Publications by authors named "Michelle Demore-Taber"

2 Publications

  • Page 1 of 1

Pilot study of intensive exercise on endurance, advanced mobility and gait speed in adults with chronic severe acquired brain injury.

Brain Inj 2016 28;30(10):1213-9. Epub 2016 Jul 28.

b Supportive Living Inc Research Council , Lexington , MA , USA.

Background And Purpose: Effects of high-intensity exercise on endurance, mobility and gait speed of adults with chronic moderate-to-severe acquired brain injury (ABI) were investigated. It was hypothesized that intensive exercise would be associated with improvements in impairment and activity limitation measures.

Participants: Fourteen adults with chronic ABI in supported independent living who could stand with minimal or no assist and walk with or without ambulation device were studied. Eight presented with low ambulatory status.

Methods: This was a single group pre- and post-intervention study. Participants received a 6-week exercise intervention for 60-90 minutes, 3 days/week assisted by personal trainers under physical therapist supervision. Measures (6MWT, HiMAT and 10MWT) were collected at baseline, post-intervention and 6 weeks later. Repeated measures T-test and Wilcoxon Signed Ranks test were used.

Results: Post-intervention improvements were achieved on average on all three measures, greater than minimal detectable change (MDC) for this population. Three participants transitioned from low-to-high ambulatory status and maintained the change 6 weeks later.

Discussion And Conclusion: People with chronic ABI can improve endurance, demonstrate the ability to do advanced gait and improve ambulatory status with 6 weeks of intensive exercise. Challenges to sustainability of exercise programmes for this population remain.
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December 2017

There will be some changes made: A survivor perspective on post-acquired brain injury residential transition.

Brain Inj 2015 23;29(13-14):1547-53. Epub 2015 Sep 23.

d Advocates , Framingham , MA , USA.

Primary Objective: Brain injury survivors experience many transitions post-injury and it is important that they experience these in the most supportive and integrative ways possible. This study provided a group of chronic brain injury survivors the opportunity to share their insights and experience of residential transition and to suggest strategies to help maximize the transition experience and outcomes.

Research Design: This study used a qualitative design that consisted of semi-structured interviews.

Methods And Procedures: Twenty-one adults with chronic acquired brain injury residing in community-based supported group houses answered a series of scripted questions. Interviews were recorded and participant statements were transcribed and coded according to prospectively developed transition themes.

Main Outcomes And Results: Participants discussed positive and negative insights and experiences regarding residential transitions. Themes of balance between support and independence, life purpose and transition to more or less structure were frequently addressed. Participants suggested caregiver-targeted strategies to facilitate successful transitions before, during and after a move.

Conclusions: The insights and suggestions shared by this group of chronic acquired brain injury survivors add to already existing knowledge of post-injury residential transitions and strategies professional caregivers may use to maximize the ease and success of the survivor's transitional experience.
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October 2016