New streaming fitness platform aims to get brain injury survivors moving

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Age 18 years or older with chronic brain injury (CBI) * At least 9 months post-injury * Is able to able to be able to demonstrate the ability to meet at least one of the following functional mobility scenarios: 1) able to walk with or without an assistive device or with no more than contact guard assist from a caregiver for steadiness checks and proprioceptive support, 2) able to stand up from a chair with no assistance or no more than contact guard assist from a caregiver for steadiness and proprioceptive support, and/or 3) able to maintain steady seated balance in a chair or wheelchair and able to lift at least one limb with minimal assist (\<25%) from a caregiver against gravity * Currently exercising less than 60 minutes per week * Able to follow simple commands * Participant is his/her own legal authorized representative (LAR) or LAR is able to verify they can follow simple commands and participate in study and support consenting and participation processes * Provides confirmation of medical clearance from physician to participate in moderate levels of activity without supervision from a licensed healthcare provider Exclusion Criteria: * Unsafe independent functional mobility observed during the functional mobility screen and no available caregiver/carepartner to facilitate participation in the study and provide assistance while using the SPIRIT Club platform * Being advised by any healthcare provider to avoid or restrict participation in moderate to high-intensity physical activity * Uncontrolled blood pressure, unstable angina, severe joint disease, uncontrolled or untreated dizziness or vertigo, or other medical issue precluding exercises leading to lack of clearance from a physician * \- e.g., * Unable to follow simple commands or persistent post-traumatic amnesia * Presence of expressive aphasia * Lack of fluency in English * Unable to follow simple commands or persistent post-traumatic amnesia * Regular participation (2 or more days per week) in a structured fitness program or platform (e.g., group exercise classes or personal training) * Regular participation (average of 1 or more days per week) in physical therapy services specifically for brain injury rehabilitation