<h3>Objective:</h3> To investigate the relationship between exercise modalities, intensities, and patterns following TBI and recovery, and to identify health inequities and barriers to recovery that may negatively impact recovery. <h3>Background:</h3> Recommendations on return-to-exercise post-traumatic brain injury (TBI) remain controversial. This study surveyed Hawaii’s diverse population to identify trends in exercise and recovery for TBI patients to shape recommendations on return-to-exercise. This study also aimed to identify health inequities and factors contributing to different outcomes, allowing inequities to be addressed. <h3>Design/Methods:</h3> Retrospective review of 100 patients diagnosed with TBI between January 2020 and January 2022 was performed. Variables collected include demographics, etiologies, and symptoms at diagnosis. Self-generated phone surveys were completed to evaluate exercise patterns post-TBI and barriers to recovery. Statistical analysis was performed using RStudio. <h3>Results:</h3> Patients who recovered within two years displayed similar exercise patterns to patients who took longer than two years. Exercise frequency, intensity, and duration did not differ significantly (p=0.75, p=0.51, p=0.80, respectively). Hiking/walking for exercise was more common in the long recovery group (p=0.018), likely reflecting advanced age compared to the short recovery group (50 vs. 39 years old, p=0.003). Otherwise, exercise modalities did not differ significantly. Additionally, no correlation exists between exercise intensity and symptom change (p=0.920), suggesting patients exhibit exercise patterns suitable for their specific condition. Finally, when comparing TBI recovery resources accessed across races or insurance types, Caucasian patients and individuals with private insurance utilized the most resources (p=0.032). <h3>Conclusions:</h3> Return-to-exercise does not appear to be a predictor for TBI recovery. If encouraged to exercise post-TBI, patients will self-regulate a regimen not likely exacerbating their symptoms or recovery time, thus it may be suitable to recommend return-to-exercise as tolerated. The study also found worrying inequitable trends in TBI recovery resources accessed, and these disparities should be further investigated to rectify this issue. <b>Disclosure:</b> Mr. Weldon has nothing to disclose. Mr. Nakamura has received personal compensation for serving as an employee of Hawaii Health & Harm Reduction Center. Miss Van has nothing to disclose. Ms. Nakamura has nothing to disclose. Mr. Law has nothing to disclose. Mr. Goo has nothing to disclose. Ms. Roman has nothing to disclose. Enrique Carrazana has received personal compensation for serving as an employee of Neurelis. Enrique Carrazana has received personal compensation in the range of $100,000-$499,999 for serving as a Consultant for Neurelis, Alexza, Zogenix. Enrique Carrazana has received personal compensation in the range of $10,000-$49,999 for serving as an officer or member of the Board of Directors for Hawaii-Biotech, CND Life Sciences. Enrique Carrazana has stock in Neurelis, Marinus, . Dr. Viereck has nothing to disclose. The institution of Dr. Liow has received research support from UCB. The institution of Dr. Liow has received research support from Livanova. The institution of Dr. Liow has received research support from Biogen. The institution of Dr. Liow has received research support from Novartis. The institution of Dr. Liow has received research support from Eisai. The institution of Dr. Liow has received research support from Engage Therapeutics. The institution of Dr. Liow has received research support from SK Lifescience. The institution of Dr. Liow has received research support from Cerevel. The institution of Dr. Liow has received research support from Xenon. The institution of Dr. Liow has received research support from NeuroDerm. The institution of Dr. Liow has received research support from Avanir. The institution of Dr. Liow has received research support from Annovis. The institution of Dr. Liow has received research support from Acadia.