Does your doctor know enough to understand what ballistic training is and have the courage to extrapolate the results to stroke survivors?Or are you completely on your own to figure out how to recover? My doctor knew nothing and did nothing for my recovery. His work consisted of writing three prescriptions of E.T.(Evaluate and Treat) to OT, PT, ST. Hell, I could train a chimpanzee to do that.
Commonly used modern ballistic training exercises are medicine ball throws, bench throws, jump squats, cleans, snatches, and push presses. I probably can't do any of those.
Ballistic resistance training has a similar or better effect on mobility than non-ballistic exercise rehabilitation in people with a traumatic brain injury: a randomised trial
Abstract
Questions
In people recovering from traumatic brain injury, is a 3-month ballistic resistance training program targeting three lower limb muscle groups more effective than non-ballistic exercise rehabilitation for improving mobility, strength and balance? Does improved mobility translate to better health-related quality of life?
Design
A prospective, multicentre, randomised trial with concealed allocation, intention-to-treat analysis and blinded measurement.
Participants
A total of 144 people with a neurological movement disorder affecting mobility as a result of traumatic brain injury.
Intervention
For 3 months, the experimental group had three 60-minute sessions of non-ballistic exercise rehabilitation per week replaced by ballistic resistance training. The control group had non-ballistic exercise rehabilitation of equivalent time. The non-ballistic exercise rehabilitation consisted of balance exercises, lower limb stretching, conventional strengthening exercises, cardiovascular fitness training and gait training.
Outcome measures
The primary outcome was mobility measured using the High-Level Mobility Assessment Tool (HiMAT). Secondary outcomes were walking speed, strength, balance and quality of life. They were measured at baseline (0 months), after completion of the 3-month intervention (3 months) and 3 months after cessation of intervention (6 months).
Results
After 3 months of ballistic resistance training, the experimental group scored 3 points (95% CI 0 to 6) higher on the 54-point HiMAT than the control group and remained 3 points (95% CI –1 to 6) higher at 6 months. Although there was a transient decrement in balance at 3 months in the experimental group, the interventions had similar effects on all secondary outcomes by 6 months. Participants with a baseline HiMAT < 27 gained greater benefit from ballistic training: 6 points (1 to 10) on the HiMAT.
Conclusion
This randomised trial shows that ballistic resistance training has a similar or better effect on mobility than non-ballistic training in people with traumatic brain injury. It may be better targeted towards those with more severe mobility limitations.
Trial registration
ACTRN12611001098921.
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