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临床试验/NCT05786729
NCT05786729Enrolling By Invitation1 期

Effects of Aerobic Exercise and Rehabilitation After Traumatic Brain Injury

Centre for Neuro Skills2 个研究点 分布在 1 个国家目标入组 190 人开始时间: 2022年1月18日最近更新:
适应症

试验速览

阶段
1 期
状态
Enrolling By Invitation
入组人数
190
试验地点
2
主要终点
Aerobic Exercise Induced Changes in Cardio Pulmonary Exercise (CPET) at baseline

研究概览

简要总结

The purpose of this study is to examine the effects of individualized aerobic exercise regimen on recovery after traumatic brain injury (TBI).Investigators will determine if exercise facilitates recovery by facilitating neuroplasticity and decreasing neuroinflammation.

详细描述

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, and inflammation influence the responsiveness to exercise and rehabilitation. Recovery will be determined by assessing cognitive function, life quality and balance.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 60 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • All participants will provide informed consent and have to comply with the procedures of the study.
  • Age will range from 18 to 60 years.
  • Except for the non-injured control group, subjects will be required to have experienced TBI.
  • All participants should be fluent in English or Spanish.
  • All participants should have the ability to comply with the research protocol.
  • Capable of exercising in aerobic exercise equipment (with or without trunk support).
  • Able to walk independently with or without a device

排除标准

  • Current diagnosis of degenerative neurological disease.
  • A history of cerebral vascular accidents.
  • A history of major psychosis as defined by DSM-IV.
  • Subjects receiving physical therapy in a location that is not CNS.
  • Pregnancy.
  • A history of previous TBI requiring hospitalization.
  • Inability to cooperate
  • Orthopedic impairment that compromises exercise performance
  • Any cardiovascular or respiratory condition that jeopardizes patient health during exercise.

结局指标

主要结局

Aerobic Exercise Induced Changes in Cardio Pulmonary Exercise (CPET) at baseline

时间窗: Baseline

CPET will allow us to determine oxygen consumption (VO2). Results will be reported as change in VO2 levels.

Aerobic Exercise Induced Changes in Cardio Pulmonary Exercise (CPET) at Week 4

时间窗: Week 4

CPET will allow us to determine oxygen consumption (VO2). Results will be reported as change in VO2 levels.

Aerobic Exercise Induced Changes in Cardio Pulmonary (CPET) at Week 12

时间窗: Week 12

CPET will allow us to determine oxygen consumption (VO2). Results will be reported as change in VO2 levels.

Aerobic Exercise Induced Changes in Cardio Pulmonary Exercise (CPET) at Week 8

时间窗: Week 8

CPET will allow us to determine oxygen consumption (VO2). Results will be reported as change in VO2 levels.

次要结局

  • Aerobic Exercise Induced Changes in Cognitive Function at Week 12(Week 12)
  • Aerobic Exercise Induced Changes in Cognitive Function at Week 4(Week 4)
  • Aerobic Exercise Induced Changes in Cognitive Function at Week 8(Week 8)
  • Aerobic Exercise Induced Changes in Cognitive Function at baseline(Baseline)
  • Verbal Memory Assessed by the California Verbal Learning Test (CVLT II) at baseline(Baseline)
  • Verbal Memory Assessed by the California Verbal Learning Test (CVLT II) at Week 4(Week 4)
  • Verbal Memory Assessed by the California Verbal Learning Test (CVLT II) at Week 12(Week 12)
  • Quality of Life Measured by the NeuroQOL at baseline(Baseline)
  • Quality of Life Measured by the NeuroQOL at Week 4(Week 4)
  • Verbal Memory Assessed by the California Verbal Learning Test (CVLT II) at Week 8(Week 8)
  • Quality of Life Measured by the NeuroQOL at Week 8(Week 8)
  • Quality of Life Measured by the NeuroQOL at Week 12(Week 12)
  • Depression measured by the Beck Depression Inventory-II at baseline(Baseline)
  • Depression measured by the Beck Depression Inventory-II at Week 4(Week 4)
  • Visual Search/ Processing Speed measured by Trail Making Test (TMT) at baseline(Baseline)
  • Sleepiness will be measured by the Epworth Sleepiness Scale at Week 4(Week 4)
  • Vestibular function will be measured by the Berg Balance Test at Week 4(Week 4)
  • Depression measured by the Beck Depression Inventory-II at Week 8(Week 8)
  • Depression measured by the Beck Depression Inventory-II at Week 12(Week 12)
  • Visual Search/ Processing Speed measured by Trail Making Test (TMT) at Week 4(Week 4)
  • Visual Search/ Processing Speed measured by Trail Making Test (TMT) at Week 12(Week 12)
  • Sleepiness will be measured by the Epworth Sleepiness Scale at baseline(Baseline)
  • Visual Search/ Processing Speed measured by Trail Making Test (TMT) at Week 8(Week 8)
  • Sleepiness will be measured by the Epworth Sleepiness Scale at Week 8(Week 8)
  • Sleepiness will be measured by the Epworth Sleepiness Scale at Week 12(Week 12)
  • Aerobic capacity and endurance will be measured with the 6 Minute Walk Test at baseline(Baseline)
  • Aerobic capacity and endurance will be measured with the 6 Minute Walk Test at Week 4(Week 4)
  • Vestibular function will be measured by the Berg Balance Test at baseline(Baseline)
  • Vestibular function will be measured by the Berg Balance Test at Week 12(Week 12)
  • Vestibular function will be measured by the Berg Balance Test at Week 8(Week 8)
  • Evaluation of Inflammatory Biomarkers at Week 4(Week 4)
  • Evaluation of Inflammatory Biomarkers at Week 8(Week 8)
  • Evaluation of Inflammatory Biomarkers at Week 12(Week 12)
  • Evaluation of Neuroplasticity, Stress Biomarkers at Baseline(Baseline)
  • Evaluation of Neurodegeneration Biomarkers at Week 4(Week 4)
  • Aerobic capacity and endurance will be measured with the 6 Minute Walk Test at Week 8(Week 8)
  • Evaluation of Neuroplasticity, Stress Biomarkers at Week 8(Week 8)
  • BDNF / Val66Met at Week 8(Week 8)
  • Aerobic capacity and endurance will be measured with the 6 Minute Walk Test at Week 12(Week 12)
  • Evaluation of Neuroplasticity, Stress Biomarkers at Week 4(Week 4)
  • Evaluation of Neuroplasticity, Stress Biomarkers at Week 12(Week 12)
  • Evaluation of Neurodegeneration Biomarkers at Week 8(Week 8)
  • Evaluation of Neurodegeneration Biomarkers at Week 12(Week 12)
  • Evaluation of Inflammatory Biomarkers at Baseline(Baseline)
  • Evaluation of Neurodegeneration Biomarkers at Baseline(Baseline)
  • BDNF / Val66Met at baseline(Baseline)
  • BDNF / Val66Met at Week 4(Week 4)
  • BDNF / Val66Met at Week 12(Week 12)
  • IL-1β / rs16944 at baseline(Baseline)
  • IL-1β / rs16944 at Week 4(Week 4)
  • IL-1β / rs16944 at Week 8(Week 8)
  • IL-1β / rs16944 at Week 12(Week 12)
  • TrkB at baseline(Baseline)
  • COMT / VAll58Met at Week 4(Week 4)
  • COMT / VAll58Met at Week 12(Week 12)
  • DRD2 / A to T & A to G at baseline(Baseline)
  • ANKKI / TAQIA at baseline(Baseline)
  • ANKKI / TAQIA at Week 12(Week 12)
  • PPPIRIB / C to T at baseline(Baseline)
  • TrkB at Week 4(Week 4)
  • TrkB at Week 8(Week 8)
  • TrkB at Week 12(Week 12)
  • COMT / VAll58Met at baseline(Baseline)
  • COMT / VAll58Met at Week 8(Week 8)
  • DRD2 / A to T & A to G at Week 8(Week 8)
  • DRD2 / A to T & A to G at Week 4(Week 4)
  • DRD2 / A to T & A to G at Week 12(Week 12)
  • ANKKI / TAQIA at Week 4(Week 4)
  • PPPIRIB / C to T at Week 4(week 4)
  • 5-HTR2A / AI438G at Week 4(Week 4)
  • 5-HT1A / C1019G at baseline(Baseline)
  • 5-HT1A / C1019G at Week 12(Week 12)
  • 5-HTR2B / HTR2B Q20 at Week 8(Week 8)
  • ANKKI / TAQIA at Week 8(Week 8)
  • MAO-A /MAOA-H & MAOA-L at baseline(Baseline)
  • MAO-A /MAOA-H & MAOA-L at Week 4(Week 4)
  • PPPIRIB / C to T at Week 8(week 8)
  • MAO-A /MAOA-H & MAOA-L at Week 8(Week 8)
  • MAO-A /MAOA-H & MAOA-L at Week 12(Week 12)
  • 5-HTR2A / AI438G at baseline(Baseline)
  • 5-HTR2A / AI438G at Week 8(Week 8)
  • 5-HT1A / C1019G at Week 4(Week 4)
  • PPPIRIB / C to T at Week 12(week 12)
  • 5-HTR2A / AI438G at Week 12(Week 12)
  • 5-HT1A / C1019G at Week 8(Week 8)
  • 5-HTR2B / HTR2B Q20 at baseline(Baseline)
  • TPH / A218C & A779C at Week 4(Week 4)
  • TPH / A218C & A779C at Week 12(Week 12)
  • 5-HTR2B / HTR2B Q20 at Week 4(Week 4)
  • 5-HTR2B / HTR2B Q20 at Week 12(Week 12)
  • TPH / A218C & A779C at baseline(Baseline)
  • TPH / A218C & A779C at Week 8(Week 8)

研究者

申办方类型
Industry
责任方
Principal Investigator
主要研究者

Grace S. Griesbach

National Director of Clinical Research

Centre for Neuro Skills

研究点 (2)

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