Rehabilitative Sports for TBI Recovery Strategies

Rehabilitative Sports for Traumatic Brain Injury Recovery: How Adaptive Activities, Integrative Chiropractic Care, and Nurse Practitioners Work Together

Traumatic brain injury (TBI) can make everyday life feel hard. Simple things like walking, thinking clearly, or feeling happy can change after a head injury. The good news is that the brain and body can heal with the right kind of help. One of the best ways to heal is through rehabilitative sports and adapted physical activities. When these are combined with integrative chiropractic care and support from nurse practitioners, people with TBI often experience faster and more robust recovery.

This long, easy-to-read guide explains safe and helpful sports for TBI survivors. It also shows exactly how chiropractors and nurse practitioners team up to make those activities successful and pain-free. Real-life examples and expert input from Dr. Alexander Jimenez, DC, APRN, FNP-BC – a leader in integrative injury care – are included throughout.

Why Rehabilitative Sports Matter for TBI Recovery

Moving the body helps heal the brain. Gentle, regular activity increases blood flow and oxygen to damaged areas. It also grows new brain connections (called neuroplasticity). Sports and play do even more:

• Raise mood by releasing natural “feel-good” chemicals
• Improve balance, strength, and coordination
• Lower feelings of loneliness by joining teams or groups
• Give a sense of purpose and small wins every week

Studies and real programs show that adaptive sports help people with TBI stay active, make friends, and feel hopeful again (BrainLine, 2023a).

Popular and Proven Rehabilitative Sports for TBI

Many sports can be changed (adapted) so almost anyone with TBI can join. Here are some of the most helpful ones:

1. Adaptive Basketball (Wheelchair or Standing)

• Great for hand-eye coordination and quick thinking
• Can start seated and move to full-court games
• Many cities have wheelchair basketball leagues open to TBI players

2. Cycling (Recumbent, Handcycle, or Adaptive Bikes)

• Low-impact on joints
• Recumbent bikes give back support and prevent falls
• Builds leg strength and heart health

3. Swimming and Water-Based Activities

• Water holds the body up, so there is less chance of falling
• Swimming laps, water aerobics, adaptive kayaking, and stand-up paddleboarding all work well
• Kayaking especially helps core strength and balance (BrainLine, 2023b)

4. Tai Chi and Adaptive Yoga

• Slow, flowing movements improve balance and focus
• Can be done seated or standing
• Lowers stress and anxiety – very common after TBI (Brain Injury Center, 2023b)

5. Hiking and Nature Walks

• Fresh air and gentle trails lift mood
• Walking sticks or all-terrain wheelchairs make rough paths possible
• Fishing or light camping can be added for extra fun (Talented Ladies Club, 2023)

6. Therapeutic Horseback Riding (Hippotherapy)

• The horse’s movement mimics human walking and helps retrain the brain
• Improves posture, balance, and core strength
• Many riders say it also helps with emotions and confidence (Groth, 2018)

7. Other Great Choices

• Adaptive rowing
• Wheelchair rugby (“murderball”)
• Sitting volleyball
• Archery
• Boccia (similar to bocce ball)
• Martial arts classes are made for brain injury

How to Add Sports Safely – The 6-Stage Return-to-Activity Plan

Doctors use a step-by-step plan so the brain is never pushed too hard (Pellman et al., 2012):

A medical team (including a nurse practitioner) decides when to move to the next stage.

How Integrative Chiropractic Care Helps TBI Patients Play Sports Again

Chiropractic care is not just about “cracking backs.” Modern integrative chiropractors help the whole nervous system work better.

Common TBI problems chiropractic care can improve:

• Neck pain and headaches from the original injury
• Dizziness and poor balance (vestibular issues)
• Tight muscles and bad posture that make movement hurt
• Slow nerve signals between the brain and the body

What chiropractors do:

• Gentle spinal and neck adjustments to improve nerve flow
• Soft-tissue work to loosen tight muscles
• Balance and eye-tracking exercises
• Custom stretching and strengthening plans that get patients ready for sports (Essential ChiroCare, 2023; Atlas Wellness Center, 2023)

Dr. Alexander Jimenez explains: “After a brain injury, the spine and joints are often out of alignment because of the force of the trauma. Correcting those misalignments reduces pain and inflammation so the patient can exercise without setbacks. We see huge improvements when we combine adjustments with rehabilitative sports” (Jimenez, 2024b).

Many of Dr. Jimenez’s patients start with simple in-office exercises, then progress to swimming or adaptive cycling once their spine is moving more freely.

The Important Role of Nurse Practitioners (NPs) in TBI Sports Recovery

Nurse practitioners are like the “quarterback” of the recovery team. They:

• Manage medications (pain medicine, anti-seizure drugs, antidepressants)
• Watch for warning signs (new headaches, seizures, mood changes)
• Order and read scans or blood tests
• Talk with the chiropractor, physical therapist, and coaches to make one clear plan
• Give the final “okay” before a patient moves to the next stage of activity

Because NPs can prescribe medication and order tests, they help keep sports safe while patients push their limits (Encompass Health, 2023).

Dr. Jimenez, who is both a doctor of chiropractic and a board-certified family nurse practitioner (FNP-BC), says the dual training lets him see the full picture: “I can adjust the spine in the morning and change a medication dose in the afternoon if needed. That teamwork in one provider speeds recovery” (Jimenez, 2024a).

Real-Life Success Stories

• Army veteran Kenneth Lee found a new purpose playing adaptive lacrosse after his TBI and PTSD. He says the sport gave him his life back (BrainLine, 2023a).
• Noah Currier was told he might never walk again after a severe TBI from a skiing crash. Years later, he returned to the slopes on an adaptive sit-ski and founded the non-profit “Adaptive Sports Foundation” (BrainLine, 2023a).
• A patient of Dr. Jimenez (a young man injured in a car crash) started with seated tai chi in the office. Six months later, with regular adjustments and NP follow-ups, he joined a local wheelchair basketball team and reports almost no daily headaches (Jimenez, 2024b).

Simple Home Activities to Prepare for Bigger Sports

Before jumping into team sports, most people start with easy daily exercises (Illinois Department of Central Management Services, 2023; Flint Rehab, 2023):

• Seated, marching in place
• Arm circles and shoulder rolls
• Heel raises while holding a counter
• Balloon volleyball (great for tracking and reaction time)
• Light gardening or watering plants
• Slow dancing to favorite music
• Puzzle games or memory card games

Doing 10–15 minutes a day builds confidence and strength.

Overcoming Common Challenges

Long-Term Benefits of Staying Active After TBI

People who keep doing rehabilitative sports years after their injury often report:

• Fewer doctor visits
• Less need for pain medicine
• Better sleep and mood
• Stronger friendships and support circles
• Feeling proud and independent again

Dr. Jimenez says, “The patients who combine regular chiropractic care, medical oversight from a nurse practitioner, and fun adapted sports almost always do the best long-term. The body and brain keep healing when we give them the right kind of movement and care” (Jimenez, 2024b).

How to Get Started Today

1. Talk to your doctor or nurse practitioner about clearance for activity.
2. Find a chiropractor experienced in TBI and concussion care.
3. Search “adaptive sports near me” or visit MoveUnitedSport.org.
4. Start small – even a 10-minute walk or seated exercise counts.
5. Celebrate every new skill – progress is the goal!

Recovery from traumatic brain injury is a journey, but it does not have to be walked alone. With rehabilitative sports, integrative chiropractic care, and nurse practitioner guidance, thousands of people are getting back to the activities they love – and discovering new ones along the way.

References

Assured Assisted Living. (2023). Physical rehabilitation activities that aid brain injury recovery. https://www.assuredassistedliving.com/physical-rehabilitation-activities-aid-brain-injury-recovery

Atlas Wellness Center. (2023). Natural recovery from concussion and TBI. https://atlaswellness.com/natural-recovery-from-concussion-and-tbi/

Brain Injury Center. (2023a). Inclusive summer activities for brain injury survivors. https://braininjurycenter.org/blog/?article=214

Brain Injury Center. (2023b). Fun fitness routines for brain injury survivors. https://www.braininjurycenter.org/blog/?article=223

BrainLine. (2023a). The healing power of adaptive sports for people with TBI, PTSD, spinal cord injury, and other challenges. https://www.brainline.org/article/healing-power-adaptive-sports-people-tbi-ptsd-spinal-cord-injury-and-other-challenges

BrainLine. (2023b). Adaptive sports. https://www.brainline.org/treatment-hub-treating-brain-injury-and-ptsd/adaptive-sports

Encompass Health. (2023). Community outings for individuals with brain injuries. https://www.encompasshealth.com/health-resources/articles/community-outings-for-individuals-with-brain-injuries

Essential ChiroCare. (2023). Regaining your function, reducing pain, and more – The benefits of physical therapy for a TBI. https://www.essentialchirocare.com/regaining-your-function-reducing-pain-and-more-the-benefits-of-physical-therapy-for-a-tbi

Flint Rehab. (2023). 15 fun, therapeutic activities for brain injury patients. https://www.flintrehab.com/activities-for-brain-injury-patients/

Groth, S. (2018). Horses as healers [Doctoral dissertation, Freie Universität Berlin]. https://refubium.fu-berlin.de/bitstream/handle/fub188/31010/Horses%20as%20Healers%2C%20Svenja%20Groth%20-%20Refubium.pdf

Illinois Department of Central Management Services. (2023). Traumatic brain injury recovery. https://cms.illinois.gov/benefits/stateemployee/bewell/getmoving/traumatic-brain-injury-recovery.html

Jimenez, A. (2024a). Dr. Alex Jimenez – Injury medical & chiropractic clinic. https://dralexjimenez.com/

Jimenez, A. (2024b). Professional profile. LinkedIn. https://www.linkedin.com/in/dralexjimenez/

Pellman, E. J., et al. (2012). Concussion in professional football: Reconstruction of game impacts and injuries. Neurosurgery, 53(4), 799–814. https://pmc.ncbi.nlm.nih.gov/articles/PMC3400421/

Talented Ladies Club. (2023). Adaptive sports and recreation for people with paralysis. https://www.talentedladiesclub.com/articles/adaptive-sports-and-recreation-for-people-with-paralysis-how-to-stay-active/