Exercise and Rehabilitation After Traumatic Brain Injury

NCT ID: NCT03407924

Last Updated: 2018-01-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE1

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-30

Study Completion Date

2022-03-31

Brief Summary

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The purpose of this study is to examine the effects of exercise on recovery after traumatic brain injury. Investigators will determine if exercise enhances rehabilitation by increasing substances (proteins) that can facilitate recovery.

Detailed Description

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Exercise-based therapies can promote recovery of function and are easily implemented in the clinical rehabilitation setting. This study will determine if exercise facilitates recovery by improving markers of neuroplasticity and decreasing neuroinflammatory responses. The investigators will also determine if variations in genes involved in neuroplasticity, memory and inflammation influence the responsiveness to exercise and rehabilitation. Particular genetic polymorphisms involved in neuroplasticity and inflammatory responses will be evaluated. Recovery will be determined by assessing cognitive function, life quality and balance.

Conditions

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Traumatic Brain Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Intervention will consist of aerobic exercise sessions at predetermined heart rate range.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intervention aerobic exercise (AER)

Participants with traumatic brain injury (TBI) that are enrolled in a comprehensive rehabilitation program (R) will be engaged in an aerobic exercise program (AER). These participants will also receive standard rehabilitation which includes exercise within the physical therapy session. Given that the duration of the rehabilitative program is variable the period of AER training will be no less than 4 weeks and will not exceed 30 weeks. Activity levels will be monitored.

Group Type EXPERIMENTAL

Aerobic Exercise (AER)

Intervention Type OTHER

Aerobic exercise will be performed with a treadmill or stationary tandem bike 3 times per week. Each exercise session will take about 30 minutes plus 5 to 10 min of warm-up and cool-down. Participants will wear a safety harness.

Rehabilitation

Intervention Type OTHER

Rehabilitative program is focused on completion of activities of daily living, initiation, appropriate behavior and community integration for five days per week at the Centre for Neuro Skills.

rehabilitation (R)

Participants with traumatic brain injury that are enrolled in a comprehensive rehabilitation program. These participants will receive standard rehabilitation. Given that the duration of the rehabilitative program is variable the duration of participation will be no less than 4 weeks and will not exceed 30 weeks. Activity levels will be monitored.

Group Type ACTIVE_COMPARATOR

Rehabilitation

Intervention Type OTHER

Rehabilitative program is focused on completion of activities of daily living, initiation, appropriate behavior and community integration for five days per week at the Centre for Neuro Skills.

control (C)

Healthy volunteers' responsiveness to exercise and activity levels will be determined to detect TBI effects.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Aerobic Exercise (AER)

Aerobic exercise will be performed with a treadmill or stationary tandem bike 3 times per week. Each exercise session will take about 30 minutes plus 5 to 10 min of warm-up and cool-down. Participants will wear a safety harness.

Intervention Type OTHER

Rehabilitation

Rehabilitative program is focused on completion of activities of daily living, initiation, appropriate behavior and community integration for five days per week at the Centre for Neuro Skills.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of TBI (for R+AER and R groups).
* Fluency in English or Spanish.
* Able to walk with or without a device.

Exclusion Criteria

* Orthopedic or cardiac conditions that prevent from exercising.
* Current diagnosis of neurological and/or psychiatric diseases.

Unable to be in the Los Angeles CA metropolitan area for the duration of the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Centre for Neuro Skills

INDUSTRY

Sponsor Role lead

Responsible Party

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Grace S. Griesbach

National Director of Clinical Research

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Grace S Griesbach, PhD

Role: PRINCIPAL_INVESTIGATOR

Centre for Neuro Skills

Locations

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Centre for Neuro Skills

Encino, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Grace S Griesbach, PhD

Role: CONTACT

(818)783-3800

Lisa Kreber, PhD

Role: CONTACT

(661)873-6513

Facility Contacts

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Grace Griesbach, PhD

Role: primary

818-783-3800

Charan Singh, MS

Role: backup

(661)872-3408

References

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Griesbach GS, Hovda DA, Molteni R, Wu A, Gomez-Pinilla F. Voluntary exercise following traumatic brain injury: brain-derived neurotrophic factor upregulation and recovery of function. Neuroscience. 2004;125(1):129-39. doi: 10.1016/j.neuroscience.2004.01.030.

Reference Type BACKGROUND
PMID: 15051152 (View on PubMed)

Hellawell DJ, Taylor RT, Pentland B. Cognitive and psychosocial outcome following moderate or severe traumatic brain injury. Brain Inj. 1999 Jul;13(7):489-504. doi: 10.1080/026990599121403.

Reference Type BACKGROUND
PMID: 10462147 (View on PubMed)

Ashman TA, Gordon WA, Cantor JB, Hibbard MR. Neurobehavioral consequences of traumatic brain injury. Mt Sinai J Med. 2006 Nov;73(7):999-1005.

Reference Type BACKGROUND
PMID: 17195886 (View on PubMed)

Alsalaheen BA, Mucha A, Morris LO, Whitney SL, Furman JM, Camiolo-Reddy CE, Collins MW, Lovell MR, Sparto PJ. Vestibular rehabilitation for dizziness and balance disorders after concussion. J Neurol Phys Ther. 2010 Jun;34(2):87-93. doi: 10.1097/NPT.0b013e3181dde568.

Reference Type BACKGROUND
PMID: 20588094 (View on PubMed)

Chamelian L, Feinstein A. Outcome after mild to moderate traumatic brain injury: the role of dizziness. Arch Phys Med Rehabil. 2004 Oct;85(10):1662-6. doi: 10.1016/j.apmr.2004.02.012.

Reference Type BACKGROUND
PMID: 15468028 (View on PubMed)

Agrawal M, Joshi M. Impact of rehabilitation on functional outcome during the first year of moderate and severe traumatic brain injury. Brain Inj. 2014;28(3):292-7. doi: 10.3109/02699052.2013.865266. Epub 2013 Dec 30.

Reference Type BACKGROUND
PMID: 24378157 (View on PubMed)

Griesbach GS, Kreber LA, Harrington D, Ashley MJ. Post-acute traumatic brain injury rehabilitation: effects on outcome measures and life care costs. J Neurotrauma. 2015 May 15;32(10):704-11. doi: 10.1089/neu.2014.3754. Epub 2015 Feb 11.

Reference Type BACKGROUND
PMID: 25496475 (View on PubMed)

Chandrasekhar SS. The assessment of balance and dizziness in the TBI patient. NeuroRehabilitation. 2013;32(3):445-54. doi: 10.3233/NRE-130867.

Reference Type BACKGROUND
PMID: 23648599 (View on PubMed)

Ridgel AL, Vitek JL, Alberts JL. Forced, not voluntary, exercise improves motor function in Parkinson's disease patients. Neurorehabil Neural Repair. 2009 Jul-Aug;23(6):600-8. doi: 10.1177/1545968308328726. Epub 2009 Jan 8.

Reference Type BACKGROUND
PMID: 19131578 (View on PubMed)

Other Identifiers

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AER-TBI1

Identifier Type: -

Identifier Source: org_study_id

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