• Colleen G Canning, Roberta B Shepherd, Janet H Carr, Jennifer A Alison, Lauren Wade, and Alanna White.
• School of Physiotherapy, Faculty of Health Sciences, University of Sydney, PO Box 170, Lidcombe, NSW, 1825, Australia. C.Canning@fhs.usyd.edu.au
• Clin Rehabil. 2003 Jul 1;17(4):355-62.

ObjectiveTo examine the effectiveness of intensive practice of sit-to-stand on motor performance, exercise capacity and exercise efficiency in traumatic brain-injured patients during early inpatient rehabilitation.DesignSingle-blind randomized controlled pilot study.SettingBrain injury rehabilitation unit.SubjectsTwenty-four subjects who had recently sustained a severe traumatic brain injury (TBI) were randomized into an experimental (n = 13) and a control (n = 11) group.InterventionsIn addition to their usual rehabilitation programme, subjects in the experimental group participated in four weeks of intensive training of sit-to-stand and step-up exercises with the aim of improving performance of sit-to-stand. The control group did no additional sit-to-stand or step-up training.Main Outcome MeasuresTotal number of sit-to-stands in 3 min as a measure of motor performance; peak oxygen consumption during a maximal 3-min sit-to-stand test (Vo2peak) as a measure of exercise capacity; oxygen consumption during a 3-min equivalent workload sit-to-stand test (Vo2equiv) as a measure of exercise efficiency. Pre- and post-training measurements were made.ResultsThe exercise programme resulted in a 62% improvement in motor performance (number of repetitions of sit-to-stand in 3 min) for the experimental group compared with the control group's 18% improvement (p < 0.05). There was no significant difference between groups for changes in exercise capacity or efficiency. In the experimental group, the increase in Vo2peak from pre-test to post-test correlated with the increase in sit-to-stand repetitions (p < 0.05).ConclusionsIntensive task-specific training is recommended as an important component of rehabilitation early following severe traumatic brain injury.

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