End Social Isolation
Adaptive Therapeutic Activities and Neurorehab Programs -
Over the years, the following adaptive therapeutic activities and neurorehab programs have proven transformative during healing and recovery. While it may feel overwhelming—or even unrealistic—to adopt all these programs at once, the key is to start small. By gradually incorporating them, one step at a time, you’ll build a strong foundation for recovery and accelerate your healing. There is much research that reveals the value of these programs, which are designed to empower you with practical, adaptable tools to support your journey toward recovery and well-being.
1. Adaptive Sports (walking, cycling, and kayaking events)
Adaptive sports offer a compelling and transformative value for individuals with brain injuries, providing far more than just physical activity. These programs foster a sense of community and belonging, counteracting the isolation that often accompanies brain injury. Through tailored challenges, participants regain confidence, improve motor skills, and enhance cognitive function, all while rediscovering the joy of movement. Beyond the physical benefits, adaptive sports nurture emotional resilience and purpose, as participants experience the empowerment of setting goals and achieving them. By uniting individuals in shared determination and triumph, adaptive sports create an environment where healing transcends the physical, nurturing holistic recovery and meaningful connections.
2. Food for Healing (cooking, baking, and nutrition classes)
Proper hydration and nutrition will help advance healing. It may not be surprising to hear that good nutrition and proper hydration are vital to recovery for brain injury survivors. Nutrition is an important part of brain injury recovery because both the brain and body need proper nutrients in order to heal. The food we eat supplies us with energy and nutrients that our brain and body use to complete physical, cognitive, and mental recovery. Undernutrition is associated with an increased mortality rate, more infectious complications, and worse neurologic outcomes. Deficiencies in certain nutrients can also increase brain function disruption and impact a patient’s ability to heal and recover. Good hydration provides the brain with energy to help improve thought and memory processes. Hydration also boost neuro-plasticity, which helps the brain heals itself by creating new pathways and strengthen existing ones. So, it is important for brain injury patients to stay well hydrated, get enough nutrients and calories, and include essential vitamins and minerals, in order to fuel their brain’s healing and recovery process.
3. Art & Music Therapy (art, music, and game sessions)
Biomedical research highlights the transformative power of music and art in brain injury recovery. Music, a structured auditory language engaging complex brain functions, can retrain and reeducate the injured brain by activating cognitive, motor, and speech centers through shared neural systems. Similarly, art enhances brain function by influencing brain wave patterns, emotions, and the nervous system, even raising serotonin levels. Importantly, these benefits extend beyond creating art to experiencing it, offering therapeutic value for brain repair and recovery. Together, music and art therapies support the brain’s natural healing processes—rewiring pathways, improving motor skills, enhancing concentration, and alleviating stress and depression.
4. Natural Outdoor for Recovery (parks, gardens, and conservatory visits)
Being in nature is both inspiring and profoundly therapeutic, reconnecting us with the environment from which we originated. As Clemens G. Arvay beautifully states, “We put two matching puzzle pieces together—us and nature into one whole.” Regular time in nature has been shown to have powerful effects on the human body, particularly during healing and recovery. Research suggests that nature-based rehabilitation can significantly enhance motor, sensory-motor, and cognitive functions, while also improving overall quality of life. Whether through a simple stroll in a park or hiking in the wilderness, immersing oneself in the natural world offers a wide range of benefits for mind and body alike.
Reference:
American Physiological Society. (2023). Home/News. Retrieved from https://www.physiology.org/detail/news/2023/04/21/study-reveals-the-healing-power-of-food-after-a-traumatic-brain-injury?SSO=Y
American Psychological Association. (2020). Ecotherapy. Retrieved from https://www.apa.org/monitor/2020/04/nature-sidebar
Assured Senior Living. (2024). Brain Injury Care: How Social Activities Restore Confidence. Retrieved from https://www.assuredassistedliving.com/brain-injury-care-social-activities-restore-confidence
BrainLine. (2011). How music helps to heal the injured brain. Retrieved from https://www.brainline.org/article/how-music-helps-heal-injured-brain#:~:text=Biomedical%20researchers%20have%20found%20that,and%20reeducate%20the%20injured%20brain.
Brain Injury Canada. (n.d.). Nutrition. Retrieved from https://braininjurycanada.ca/en/living-brain-injury/nutrition/
Brain Injury Center. (2023). Blog. Retrieved from https://www.braininjurycenter.org/blog/?article=187
Champion, C. (2022). Nutrition may play a key role in supporting brain health for people recovering from a TBI. UCLA Health.
Cognitive Vitality. (2020). Blog. Retrieved from https://www.alzdiscovery.org/cognitive-vitality/blog/can-dehydration-impair-cognitive-function#:~:text=The%20adult%20human%20body%20contains,properly%2C%20leading%20to%20cognitive%20problems
Da Silva Santos, R., & Galdino, G. (2018). Endogenous systems involved in exercise-induced analgesia. Journal of Physiology and Pharmacology, 69(1), 3-13. doi: 10.26402/jpp.2018.1.01.
Davis, M.C. (2009). Building emotional resilience to promote health. American Journal of Lifestyle Medicine, July Aug 2009. doi: 10.1177/1559827609335152
Declerck, L., Kaux, J.F., Vanderthommen, M., Lejeune, T., & Stoquart, G. (2019). The effect of adaptive sports on individuals with acquired neurological disabilities and its role in rehabilitation: A systematic review. International Federation of Sports Medicine, Volume 18, Number 12, December 2019.
Diaz, R., Miller, E.K., Kraus, E., & Fredericson, M. (2019). Impact of adaptive sports participation on quality of life. Sports Med Arthrosc Rev, Volume 27, Number 2, June 2019.
Ditchman, N.M., Keegan, J.P., Batchos, E.J., Haak, C.L., & Johnson, K.S. (2016). Sense of community and its impact on the life satisfaction of adults with brain injury. Rehabilitation Counseling Bulletin, Volume 60, Issue 4. https://doi.org/10.1177/0034355216661850
Ditchman, N., Chan, F., Haak, C., & Easton, A. B. (2017). Factors impacting sense of community among adults with brain injury. Rehabilitation Psychology, 62(2), 130–142. https://doi.org/10.1037/rep0000139
Dobkin, B.H. (2014). Motor rehabilitation after stroke, traumatic brain, and spinal cord injury: Common denominators within recent trials. Curr Opin Neurol, 2009 Dec; 22(6):563-569. doi: 10.1097/WCO.0b013e3283314b11
Hunter, E. (2023). Nutrition can speed up healing after a traumatic brain injury. American Physiological Society, April 21, 2023.
Muscaritoli, M. (2021). The impact of nutrients on mental health and well-being: Insights from the literature. Front. Nutr., 2021 Mar 8; 8:656290. doi: 10.3389/fnut.2021.656290
National Institute of Aging. (2023). MIND and Mediterranean diets linked to fewer signs of Alzheimer’s brain pathology. Retrieved from https://www.nia.nih.gov/news/mind-and-mediterranean-diets-linked-fewer-signs-alzheimers-brain-pathology
NRTimes. (n.d.). Nature in neurorehabilitation – an untapped resource? Retrieved from https://nrtimes.co.uk/tag/nature/
Occupational Safety and Health Administration. (n.d.). The Cognitive Effects of Proper Hydration. Retrieved from https://www.osha.gov/sites/default/files/2023BeatTheHeatWinners/Contest_Innovative_KentPrecision_CognitiveEffectsHydration.pdf
Phillips, R. (n.d.) Art enhances brain function and well-being. Retrieved from https://www.healing-power-of-art.org/art-and-the-brain/
Rebecchini, L. (2021). Music, mental health, and immunity. Brain Behav Immun Health, 2021 Oct 21; 18:100374. doi: 10.1016/j.bbih.2021.100374
Scientific American. (2015). Music Can Heal the Brain. Retrieved from https://www.scientificamerican.com/article/music-can-heal-the-brain/
Seale, B., Davis, A., Lawson, J., Smith, L., Watson, J., & Henderson-Wilson, C. (2024). Nature-based design in stroke rehabilitation environments: A scoping review. HERD: Health Environments Research & Design Journal, May 14, 2024. doi: https://doi.org/10.1177/19375867241251832
Shestopalov, A.E., Yakovleva, A.V., Yadgarov, M.Y., Sergeev, I.V., & Kuzovlev, A.N. (2024). Prevalence and impact of malnutrition risk on outcomes in critically ill patients with traumatic brain injury and stroke: A retrospective cohort study using electronic health records. Nutrients, 16(15), 2396. https://doi.org/10.3390/nu16152396
Synapse Australia’s Brain Injury Organization. (n.d.) Understanding Brain Injury. Retrieved from https://synapse.org.au/fact-sheet/steps-to-a-healthier-brain/
Weinstein, A.A., Chin, L.M.K., Collins, J., Goel, D., Keyser, R.E., & Chan, L. (2018). Effect of aerobic exercise training on mood in people with traumatic brain injury: A pilot study. J Head Trauma Rehabil, 2017 May-Jun; 32(3):E49-E56. doi: 10.1097/HTR.0000000000000253
Zaatar, M.T., Alhakim, K., Enayeh, M., & Tamer, R. (2023). The transformative power of music: Insights into neuroplasticity, health, and disease. Brain Behav Immun Health, 2023 Dec 12; 35:100716. doi: 10.1016/j.bbih.2023.100716