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Titre : | Characterizing Physical Activity and Sedentary Behavior in Adults With Persistent Postconcussive Symptoms After Mild Traumatic Brain Injury (2021) |
Auteurs : | Leah J. Mercier ; Kristina Kowalski ; Tak S. Fung ; Julie M. Joyce ; Keith Owen Yeates ; Chantel T. Debert |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 10, 2021) |
Article en page(s) : | p. 1918-1925.e1 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.05.002 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Dépression ; Exercice physique ; Fatigue ; Lésions encéphaliques ; Qualité de vie ; Réadaptation |
Résumé : |
Objective
To evaluate physical activity (PA) and sedentary behavior and their associations with symptom and quality of life outcomes in adults with persistent postconcussive symptoms (PPCS) after mild traumatic brain injury (mTBI). Design Cross-sectional cohort study. Setting Outpatient brain injury clinic. Participants Consecutive sample of adults (N=180) with a diagnosis of mTBI and PPCS. Interventions Not applicable. Main Outcome Measures PA and sedentary behavior were assessed using the Godin Leisure-Time Exercise Questionnaire and Rapid Assessment Disuse Index, respectively. Participants were dichotomized according to whether they completed 150 minutes of moderate-to-vigorous PA per week, based on Canadian guidelines. Postinjury moderate-to-vigorous PA was also analyzed as a continuous variable. Results Prior to injury, 85% of participants reported meeting PA guidelines, compared with 28% postinjury. Individuals meeting PA guidelines postinjury reported higher quality of life (η2p=0.130; P<.001 and lower scores on measures of functional impact headache p=".009)," fatigue depression anxiety compared with those not meeting guidelines. sedentary behavior postinjury was negatively correlated quality life positively symptom burden> Conclusions PA was significantly decreased in individuals with PPCS compared to preinjury levels. Meeting PA guidelines postinjury was associated with better clinical outcomes, suggesting that returning individuals to PA should be considered in the treatment of this patient population. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321003920#! |