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High-intensity strength training is a concept that is typically associated with high-level sports performance, not physical therapy interventions for a patient with a chronic traumatic brain injury. This is unfortunate, as current studies on neuroplasticity support high-intensity training to drive new neural connections for continued functional improvement. Though supported as a safe and viable intervention, this specific approach is limitedly applied by neuro rehab clinicians. This project shows that functional changes can be reignited when high-intensity strength training and agility skills are applied during physical therapy even in a patient who is over a decade past the onset of injury.