@article{22880,
  keywords = {Adult, Female, Humans, Follow-Up Studies, Male, Treatment Outcome, Middle Aged, Self Care, Patient Compliance, Program Evaluation, Exercise Therapy, Brain Injuries, Fitness Centers},
  author = {Moseley Anne and Leung Joan and Hassett Leanne and Tate Robyn and Harmer Alison and Fairbairn Timothy},
  title = {Efficacy of a fitness centre-based exercise programme compared with a home-based exercise programme in traumatic brain injury: a randomized controlled trial.},
  abstract = {<p>
<b>OBJECTIVE: </b>To compare the effects of a supervised fitness centre-based exercise programme with an unsupervised home-based exercise programme on cardiorespiratory fitness and psychosocial functioning in people with traumatic brain injury.
</p>

<p>
<b>DESIGN: </b>Multi-centre, assessor-blinded, parallel group, randomized controlled trial.
</p>

<p>
<b>PARTICIPANTS: </b>Sixty-two participants with severe traumatic brain injuries, who could walk at a speed exceeding 1 m/sec, discharged from 3 brain injury units.
</p>

<p>
<b>INTERVENTIONS: </b>The fitness centre group completed a combined fitness and strength training exercise programme supervised by a personal trainer in a local fitness centre 3 times per week for 12 weeks. The home group completed a similar exercise programme unsupervised at home.
</p>

<p>
<b>MAIN OUTCOME MEASURE: </b>Cardiorespiratory fitness measured using the modified 20-m shuttle test.
</p>

<p>
<b>RESULTS: </b>Both groups improved in fitness: the maximal velocity achieved on the modified 20-m shuttle test increased with intervention and was maintained at follow-up. However, the difference between groups was not significant (mean between-group difference (95% confidence interval) 0 m/sec (-0.6 to 0.6) at the end of intervention). There were also no between-group differences in psychosocial functioning at the end of intervention or at follow-up.
</p>

<p>
<b>CONCLUSION: </b>Both interventions were equally effective at improving cardiorespiratory fitness in adults with traumatic brain injuries.
</p>
},
  year = {2009},
  journal = {J Rehabil Med},
  volume = {41},
  pages = {247-55},
  issn = {1651-2081},
  doi = {10.2340/16501977-0316},
  language = {eng},
}