@article{ref1,
title="Real-world environmental enrichment rehabilitation paradigm in people with severe traumatic brain injury: a pilot feasibility study",
journal="Brain injury",
year="2024",
author="Kumar, Devina S. and Bodt, Barry A. and Galloway, James C.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: The use of Environmental Enrichment (EE) has been widely studied in animal models. However, the application of the same in humans is limited to rehabilitation settings. <br><br>OBJECTIVE: To investigate the feasibility of a community-based EE paradigm in adults with brain injury. <br><br>METHODS: Six individuals diagnosed with traumatic brain injury enrolled in the study. The Go Baby Go Café instrumented with a body weight harness system, provided physical and social enrichment as participants performed functional tasks for 2 hours, three times a week, for 2 months. Feasibility and safety outcomes were recorded throughout sessions. Clinical measures including 10-meter walk, timed up and go, jebsen hand function, 6-minute walk, and trail making tests were obtained pre and post intervention. <br><br>RESULTS: All participants completed the study. The attendance was 100% and adherence was 87%. Positive changes in clinical measures were statistically significant for the timed up and go (p = 0.0175), TUG-cognitive (p = 0.0064), 10-meter walk (p = 0.0428), six-minute walk (p = 0.0196), TMT-A (p = 0.034). Changes in JHFT were not significant (p = 0.0506), with one subject recording values counter to the trend. <br><br>CONCLUSION: The Café was a comprehensive EE-based intervention that was feasible, safe, and has the potential to enhance motor and cognitive function in individuals with brain injury.<p /> <p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/02699052.2024.2347551",
url="http://dx.doi.org/10.1080/02699052.2024.2347551"
}