Acquired Brain Injury Survivor Long-Term Cognitive Exercise Engagement Post-Speech Therapy Discharge

Am J Speech Lang Pathol. 2021 Sep 23;30(5):2329-2333. doi: 10.1044/2021_AJSLP-20-00145. Epub 2021 Aug 11.

Abstract

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.

MeSH terms

  • Brain Injuries* / diagnosis
  • Brain Injuries* / therapy
  • Cognition
  • Exercise
  • Humans
  • Patient Discharge
  • Quality of Life
  • Speech
  • Speech Therapy
  • Speech-Language Pathology*
  • Survivors