Combinatory Rehabilitation Used for Substantially Helping Individuals With Traumatic Brain Injury (CRUSH-IT)
Traumatic Brain Injury
About this trial
This is an interventional treatment trial for Traumatic Brain Injury
Eligibility Criteria
Inclusion Criteria: Age between 18-65 to control for age related brain changes Diagnosis of moderate-to-severe TBI based on TBIMS criteria at least one year prior to enrollment Having no to low substance use / involvement (drug/alcohol) as documented via ASSIST Being insufficiently physically active based on a Godin Leisure-Time Exercise Questionnaire Health Contribution Score of <14 Having a proficiency in the English language Being right handed to control for brain organization Having chronic medical conditions (e.g. diabetes) in addition to TBI will require approval to participate from a physician, consistent with PAR-Q+. Having an in-tact ability to follow directions based on the Telephone Interview for Cognitive Status (TICS-M) (i.e., TICS-M scores of ≥18) Demonstrating new learning and memory impairment based on Open-Trial Selective Reminding Task (OT-SRT) scores at least 1.5 standard deviations below healthy controls (8+ trials to reach criterion) Exclusion Criteria: Regularly taking steroids & benzodiazapines to control for medications effects Having a history of neurological disorders beyond TBI Having a history of severe mental illness (e.g., schizophrenia, bipolar, severe major depression) Having metal in the body, claustrophobia, and other risk factors that would make MRI scanning unsafe. Having moderate or high risk for exercise training contraindications (e.g. diabetes), defined as ≥1 YES on pages 2-3 of the Physical Activity Readiness Questionnaire for Everyone (PAR-Q+) Having significantly impaired vision by scotomas (corrected vision in worse eye worse than 20/60), diplopia, or nystagmus.
Sites / Locations
- Kessler FoundationRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
KF-mSMT Plus Aerobic Exercise Training
KF-mSMT Plus Stretching Exercise Training
Participants will undergo 12 weeks of supervised aerobic cycling exercise training. During the last 8 weeks of cycling exercise, participants will also undergo treatment with the Kessler Foundation modified Story Memory Technique as an approach for cognitive rehabilitation.
Participants will undergo 12 weeks of supervised stretching and toning exercise training. During the last 8 weeks of stretching exercise, participants will also undergo treatment with the Kessler Foundation modified Story Memory Technique as an approach for cognitive rehabilitation.