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Objective Assessment of Activity in Inpatients with Traumatic Brain Injury: Initial Findings

Published online by Cambridge University Press:  28 October 2015

Simon Driver Open the ORCID record for Simon Driver [Opens in a new window] ,
Lauren Rachal ,
Chad Swank  and
Randi Dubiel
Simon Driver*
Affiliation:
Baylor Institute for Rehabilitation, Physical Medicine and Rehabilitation, Dallas, Texas, USA
Lauren Rachal
Affiliation:
Baylor Institute for Rehabilitation, Physical Medicine and Rehabilitation, Dallas, Texas, USA
Chad Swank
Affiliation:
Baylor Institute for Rehabilitation, Physical Medicine and Rehabilitation, Dallas, Texas, USA Texas Woman's University, School of Physical Therapy, Dallas, Texas, USA
Randi Dubiel
Affiliation:
Baylor Institute for Rehabilitation, Physical Medicine and Rehabilitation, Dallas, Texas, USA
*
*Address for correspondence: Simon Driver, 909 N. Washington Avenue, Suite 232, Dallas, Texas, 75246. E-mail: simon.driver@baylorhealth.edu, 214-820-9014.
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Abstract

Purpose: Use accelerometers to examine the physical activity behaviours of individuals following TBI undergoing inpatient rehabilitation.

Method: Twenty-one individuals with Traumatic brain injury (TBI) undergoing inpatient rehabilitation (9 females, 12 males; M age = 43.8 ± 14.7 years; M GCS = 9.1 ± 4.3; M time since injury = 40.8 ± 22.1 days; M length of stay (LOS) = 30 ± 14 days) wore accelerometers for an average of 8.4 ± 2.0 consecutive days (1440 minutes/day). Activity counts (AC) were collected at 1 minute epochs and descriptive statistics were calculated to assess intensity of activity and time spent being active and sedentary.

Results: During scheduled therapy, time individuals completed an average of 161.4 ± 65.5 AC/minute, which decreased to 114.5 ± 51.3 during non-therapy time and 22.2 ± 10 when sleeping. Using population level cut points, individuals were on average considered inactive during therapy, inactive or sedentary during non-therapy time, and only one participant spent >1 minute in moderate intensity activity. The mean length of active and sedentary bouts was 9 minutes.

Discussion: Findings indicate that the amount and intensity of activity completed is low amongst individuals completing inpatient rehabilitation after TBI, with the majority considered sedentary or inactive. While the sample is small, it is important to develop and implement safe and effective strategies to increase activity levels during rehabilitation.

Keywords

Head injuryexerciseaccelerometersrehabilitation
Type
Articles
Information
Brain Impairment , Volume 17 , Issue 1: Physical Activity in Neurological Populations , March 2016 , pp. 55 - 63
Copyright
Copyright © Australasian Society for the Study of Brain Impairment 2015 

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