Acquired Brain Injury Survivor Long-Term Cognitive Exercise Engagement Post-Speech Therapy Discharge.
Therese M O'Neil-PirozziPublished in: American journal of speech-language pathology (2021)
Purpose The purpose of this article is to promote the viewpoint that speech-language pathologists (SLPs) are well positioned to actively encourage individuals with cognitive-communication disorders following acquired brain injury (ABI) to engage in ongoing, long-term, cognitive exercise post-therapy discharge. Method This viewpoint article draws on evidence from the well-researched area of physical exercise, reports findings of early-stage research in the much less studied area of cognitive exercise, and highlights relevant aspects of motivational theory informing exercise participation. Informed by these, an evidence-supported model of cognitive exercise engagement is offered to inform ABI-targeted cognitive wellness empowerment efforts, and a case study illustrates clinical application of the model. Conclusions Exercise provides an opportunity to sustain or improve long-term health, function, and quality of life outcomes. It is within SLP scope of practice to collaborate with family members and other caregivers to empower individuals post-ABI, especially those with decreased self-management skills, to engage in long-term computerized and noncomputerized cognitive exercise following SLP therapy discharge. Ongoing research will further inform the evidence supporting the scholarly opinion presented in this viewpoint.
Keyphrases
- brain injury
- high intensity
- physical activity
- subarachnoid hemorrhage
- resistance training
- early stage
- healthcare
- social media
- public health
- primary care
- squamous cell carcinoma
- adipose tissue
- body composition
- stem cells
- palliative care
- skeletal muscle
- radiation therapy
- emergency department
- sentinel lymph node
- mesenchymal stem cells
- hearing loss
- risk assessment
- health information
- glycemic control