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Recruiting NCT06177509

NCT06177509 Effect of Graded Aerobic Exercise in Mild Traumatic Brain Injury

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Clinical Trial Summary
NCT ID NCT06177509
Status Recruiting
Phase
Sponsor Sunnaas Rehabilitation Hospital
Condition Traumatic Brain Injury
Study Type INTERVENTIONAL
Enrollment 72 participants
Start Date 2023-11-17
Primary Completion 2025-12

Trial Parameters

Condition Traumatic Brain Injury
Sponsor Sunnaas Rehabilitation Hospital
Study Type INTERVENTIONAL
Phase N/A
Enrollment 72
Sex ALL
Min Age 18 Years
Max Age 60 Years
Start Date 2023-11-17
Completion 2025-12
Interventions
Graded Aerobic Exercise

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Brief Summary

There is a paucity of knowledge about mechanisms behind mild traumatic brain injury (mTBI) subgroup's sustained problems, and effective interventions that can alleviate this disabling condition. Persistent Post-concussive Symptoms (PCS) affect between 20% and 30% of individuals after mTBI. This Randomized Controlled Trial (RCT) will investigate whether graded aerobic exercise has a positive effect on symptom burden (including exercise intolerance) and Autonomic Nervous System (ANS) dysfunction in patients with PCS. This study will expand upon previous work on adolescents with sport-related concussion in the acute phase. It will cover a wider age group and will include patients with persisting symptoms, thus providing knowledge on whether a sub-symptom threshold aerobic exercise program will alleviate symptom burden in adult patients with PCS. Furthermore - looking into the relationship between mTBI and ANS function, this study is expected to contribute to a better understanding of the neurobiological factors involved in PCS. The results may also help developing targeted interventions to specific characteristics in persistent symptoms after mTBI.

Eligibility Criteria

Inclusion Criteria: * Diagnosis of mild TBI as defined by the World Health Organization (WHO) * Diagnosis of PCS based on ICD-10 criteria for a minimum of 3 months to a maximum of 2 years * Age 18-60 years. * Reduced tolerance to physical activity/exercise intolerance (self-reported worsening of symptoms such as dizziness, nausea or headache during physical activity and exercise). Or have not yet tried physical activity/exercise after the injury. Exclusion Criteria: * Other neurological or severe psychiatric conditions listed in the medical record. * Heart-lung disease. * Extremity injuries that prevent physical exercise * Drug addiction * Insufficient understanding of the Norwegian language (unable to follow instructions and/or fill in forms). * Normal BCTT.

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