Effects of aquatic aerobic training on an individual's cognition after traumatic brain injury: a case study

Authors

  • Caio Roberto Aparecido Paschoal Castro Associação de Assistência à Criança Deficiente - AACD
  • Cristiane Dias dos Anjos de Sousa Associação de Assistência à Criança Deficiente - AACD
  • Andreia Poletti Associação de Assistência à Criança Deficiente - AACD
  • Suraya Gomes Novais Shimano Universidade Federal do Triângulo Mineiro - UFTM
  • Douglas Martins Braga Associação de Assistência à Criança Deficiente - AACD

DOI:

https://doi.org/10.11606/issn.2317-0190.v28i3a182740

Keywords:

Brain Injuries, Traumatic, Hydrotherapy, Endurance Training, Cognition

Abstract

Objective: To verify the interference of aerobic aquatic exercise performed in the cognition of an individual with Traumatic Brain Injury (TBI). Method: This is experimental case study occured in the Aquatic Physiotherapy Sector of the AACD. It was aprroved by the institution's Research Ethics Committee, protocol number 3,171,742. A 31-year-old male who underwent a TBI (almost 12 months from the evaluation date) participated in the study. The participant did not report hydrophobia and, on physical assessment, he did not present pain or dysfunctions that compromised his physical performance. He undertook not to perform another physical activity during the study. A neuropsychological evaluation was carried out before and after the intervention. The protocol consisted of 12 sessions of 45 minutes, once a week, aerobic training on an underwater bike with a physiotherapist monitoring. The water temperature was 33°C and immersion at the level of the xifoid process. The training intensity monitoring was performed through heart rate (HR) and target HR was stipulated by Karvonenn formula. Results: The participant improved the score in the tests of intellectual functions, intentional processes and speed of information processing, spatial vision skills, language, logical reasoning, mental calculus, abstract reasoning. Conclusion: Aquatic aerobic exercise positively interfered with the cognitive functions of an individual with sequelae of an TBI.

Downloads

Download data is not yet available.

References

Almeida TLT, Falkenburg L, Nascimento RZR, Reis CA, Sales VC, Pedroso TD, et al. Traumatismo cranioencefálico: reabilitação. Acta Fisiátr. 2012;19(2):130-7. DOI: https://doi.org/10.5935/0104-7795.20120020

Radomski MV, Giles GM, Owens J, Showers M, Rabusch S, Kreiger R, et al. Can service members with mild traumatic brain injury learn to develop implementation intentions for self-identified goals? Disabil Rehabil. 2020:1-8. Doi: https://doi.org/10.1080/09638288.2020.1841309

Brasil. Ministério da Saúde. Diretrizes de atenção à reabilitação da pessoa com traumatismo cranioencefálico. Brasília: Ministério da Saúde; 2015.

World Health Organization. Good health adds life to years: Global brief for World Health Day 2012. Geneva: WHO; 2012.

World Health Organization. World health statistics 2018: monitoring health for the SDGs, sustainable development goals. Geneva: WHO; 2018.

Moura EW, Lima E, Borges D, Silva PA. Fisioterapia: sspectos clínicos e práticos da reabilitação. São Paulo: Artes Médicas; 2010.

Prigatano GP. Personality disturbances associated with traumatic brain injury. J Consult Clin Psychol. 1992;60(3):360-8. Doi: https://doi.org/10.1037//0022-006x.60.3.360

Kendell RE. The distinction between personality disorder and mental illness. Br J Psychiatry. 2002;180:110-5. Doi: https://doi.org/10.1192/bjp.180.2.110

de Guise E, Alturki AY, LeBlanc J, Champoux MC, Couturier C, Lamoureux J, et al. The Montreal Cognitive Assessment in persons with traumatic brain injury. Appl Neuropsychol Adult. 2014;21(2):128-35. Doi: https://doi.org/10.1080/09084282.2013.778260

Jenkins PO, Mehta MA, Sharp DJ. Catecholamines and cognition after traumatic brain injury. Brain. 2016;139(Pt 9):2345-71. Doi: https://doi.org/10.1093/brain/aww128

Draper K, Ponsford J. Cognitive functioning ten years following traumatic brain injury and rehabilitation. Neuropsychology. 2008;22(5):618-625. Doi: https://doi.org/10.1037/0894-4105.22.5.618

Dang B, Chen W, He W, Chen G. Rehabilitation Treatment and Progress of Traumatic Brain Injury Dysfunction. Neural Plast. 2017;2017:1582182. Doi: https://doi.org/10.1155/2017/1582182

Lojovich JM. The relationship between aerobic exercise and cognition: is movement medicinal? J Head Trauma Rehabil. 2010;25(3):184-92. Doi: https://doi.org/10.1097/HTR.0b013e3181dc78cd

Damiano DL, Zampieri C, Ge J, Acevedo A, Dsurney J. Effects of a rapid-resisted elliptical training program on motor, cognitive and neurobehavioral functioning in adults with chronic traumatic brain injury. Exp Brain Res. 2016;234(8):2245-52. Doi: https://doi.org/10.1007/s00221-016-4630-8

Griesbach GS, Hovda DA, Molteni R, Wu A, Gomez-Pinilla F. Voluntary exercise following traumatic brain injury: brain-derived neurotrophic factor upregulation and recovery of function. Neuroscience. 2004;125(1):129-39. Doi: https://doi.org/10.1016/j.neuroscience.2004.01.030

Chou W, Liu YF, Lin CH, Lin MT, Chen CC, Liu WP, et al. Exercise rehabilitation attenuates cognitive deficits in rats with traumatic brain injury by stimulating the cerebral HSP20/BDNF/TrkB Signalling Axis. Mol Neurobiol. 2018;55(11):8602-8611. Doi: https://doi.org/10.1007/s12035-018-1011-2

Vanderbeken I, Kerckhofs E. A systematic review of the effect of physical exercise on cognition in stroke and traumatic brain injury patients. NeuroRehabilitation. 2017;40(1):33-48. Doi: https://doi.org/10.3233/NRE-161388

Miczak K. Exercise after brain injury [text on the Internet]. Alexandria: APTA; c2015 [cited 2021 Feb 3]. Available from: https://www.neuropt.org/docs/default-source/bi-sig/exercise_after_tbi.pdf?sfvrsn=2&sfvrsn=2

Güeita-Rodríguez J, Florencio LL, Arias-Buría JL, Lambeck J, Fernández-de-Las-Peñas C, Palacios-Ceña D. Content comparison of aquatic therapy outcome measures for children with neuromuscular and neurodevelopmental disorders using the International Classification of Functioning, Disability, and Health. Int J Environ Res Public Health. 2019;16(21):4263. Doi: https://doi.org/10.3390/ijerph16214263

Silva J, Branco FR. Fisioterapia aquática funcional. São Paulo: Artes médicas; 2011.

Becker BE. Aquatic therapy: scientific foundations and clinical rehabilitation applications. PM R. 2009;1(9):859-72. Doi: https://doi.org/10.1016/j.pmrj.2009.05.017

Pinkham AE, Penn DL, Green MF, Buck B, Healey K, Harvey PD. The social cognition psychometric evaluation study: results of the expert survey and RAND panel. Schizophr Bull. 2014;40(4):813-23. Doi: https://doi.org/10.1093/schbul/sbt081

Driver S, Ede A. Impact of physical activity on mood after TBI. Brain Inj. 2009;23(3):203-12. Doi: https://doi.org/10.1093/schbul/sbt081 10.1080/02699050802695574

Wechsler D. WAIS III: manual para administração e avaliação. São Paulo: Casa do Psicólogo; 2004.

Cambraia SV. O Teste de Atenção Concentrada AC: manual. São Paulo: Vetor; 2009.

Sisto FF, Noronha APP, Lamounier R, Bartholomeu D, Rueda FJM. Testes de atenção dividida e sustentada – AD e AS. São Paulo: Vetor; 2016.

Driver S, Ede A. Impact of physical activity on mood after TBI. Brain Inj. 2009;23(3):203-12. Doi: https://doi.org/10.1080/02699050802695574

Mansur LL, Radanovic M, Araújo GC, Taquemori LY, Greco LL. Teste de nomeação de Boston: desempenho de uma população de São Paulo. Pro Fono. 2006;18(1):13-20. Doi: https://doi.org/10.1590/s0104-56872006000100003

Malloy-Diniz LF, Cruz MF, Torres VM, Cosenza RM. O teste de Aprendizagem Auditivo-Verbal de Rey: normas para uma população brasileira. Rev Bras Neurol. 2000;36(3):79-83.

Goreinstein C, Pang WY, Argimon IL, Werlang BSG. Manual do Inventário de Depressão de Beck – BDI-II. São Paulo: Casa do Psicólogo; 2011.

Brooks DS. The complete book of personal training. Champaign: Human Kinetics; 2003.

Mossberg KA, Amonette WE, Masel BE. Endurance training and cardiorespiratory conditioning after traumatic brain injury. J Head Trauma Rehabil. 2010;25(3):173-83. Doi: https://doi.org/10.1097/HTR.0b013e3181dc98ff

Pentikäinen H, Savonen K, Ngandu T, Solomon A, Komulainen P, Paajanen T, et al. Cardiorespiratory Fitness and Cognition: Longitudinal Associations in the FINGER Study. J Alzheimers Dis. 2019;68(3):961-8. Doi: https://doi.org/10.3233/JAD-180897

Hayes SM, Forman DE, Verfaellie M. Cardiorespiratory fitness is associated with cognitive performance in older but not younger adults. J Gerontol B Psychol Sci Soc Sci. 2016;71(3):474-82. Doi: https://doi.org/10.1093/geronb/gbu167

Chin LM, Keyser RE, Dsurney J, Chan L. Improved cognitive performance following aerobic exercise training in people with traumatic brain injury. Arch Phys Med Rehabil. 2015;96(4):754-9. Doi: https://doi.org/10.1016/j.apmr.2014.11.009

Firth J, Stubbs B, Vancampfort D, Schuch F, Lagopoulos J, Rosenbaum S, Ward PB. Effect of aerobic exercise on hippocampal volume in humans: A systematic review and meta-analysis. Neuroimage. 2018;166:230-238. Doi: https://doi.org/10.1016/j.neuroimage.2017.11.007

McDonnell MN, Smith AE, Mackintosh SF. Aerobic exercise to improve cognitive function in adults with neurological disorders: a systematic review. Arch Phys Med Rehabil. 2011;92(7):1044-52. Doi: https://doi.org/10.1016/j.apmr.2011.01.021

Kang DW, Bressel E, Kim DY. Effects of aquatic exercise on insulin-like growth factor-1, brain-derived neurotrophic factor, vascular endothelial growth factor, and cognitive function in elderly women. Exp Gerontol. 2020;132:110842. Doi: https://doi.org/10.1016/j.exger.2020.110842

Smith PJ, Blumenthal JA, Hoffman BM, Cooper H, Strauman TA, Welsh-Bohmer K, et al. Aerobic exercise and neurocognitive performance: a meta-analytic review of randomized controlled trials. Psychosom Med. 2010;72(3):239-52. Doi: https://doi.org/10.1097/PSY.0b013e3181d14633

Liu-Ambrose T, Best JR, Davis JC, Eng JJ, Lee PE, Jacova C, et al. Aerobic exercise and vascular cognitive impairment: A randomized controlled trial. Neurology. 2016;87(20):2082-2090. Doi: https://doi.org/10.1212/WNL.0000000000003332

Aidar FJ, Jacó de Oliveira R, Gama de Matos D, Chilibeck PD, Souza RF, Carneiro AL, et al. A randomized trial of the effects of an aquatic exercise program on depression, anxiety levels, and functional capacity of people who suffered an ischemic stroke. J Sports Med Phys Fitness. 2018;58(7-8):1171-1177. Doi: https://doi.org/10.23736/S0022-4707.17.07284-X

Published

2021-09-30

Issue

Section

Case Report

How to Cite

1.
Castro CRAP, Sousa CD dos A de, Poletti A, Shimano SGN, Braga DM. Effects of aquatic aerobic training on an individual’s cognition after traumatic brain injury: a case study. Acta Fisiátr. [Internet]. 2021 Sep. 30 [cited 2024 May 20];28(3):201-6. Available from: https://www.revistas.usp.br/actafisiatrica/article/view/182740