Abstract
Background: Identification and management of comorbidities in TBI has become an increasing focus for optimizing TBI outcomes. Recent meta-analyses highlight sleep disturbance and sleep disorders following TBI (Mathias & Alvaro, 2012). Improving the recognition and treatment of sleep disorders in TBI should be a central focus of rehabilitation. The Traumatic Brain Injury Model System (TBIMS) has created an infrastructure allowing multi-center investigations into sleep dysfunction in those who have had a moderate to severe TBI and received inpatient rehabilitation. Objective: This paper will describe the 1) infrastructure used to advance sleep dysfunction/disorders research following TBI, 2) preliminary findings from these studies, and 3) repository of data which can be accessed for secondary analyses by investigators outside of the TBIMS infrastructure. Methods: Two internal mechanisms allow investigators at TBIMS sites to collaborate on projects of shared interest: Research Modules and Special Interest Groups (SIG). Results: To date, five studies have resulted from the TBIMS collaborative process focusing on insomnia, circadian disruption, and sleep apnea. Conclusions: Future directions for the SIG include continued development of available knowledge and understanding of the multidimensional factors that contribute to TBI-related sleep disturbance, optimal assessment tools, effectiveness of available treatments, and treatment compliance in this population.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 287-296 |
| Number of pages | 10 |
| Journal | NeuroRehabilitation |
| Volume | 43 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jan 1 2018 |
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Keywords
- Sleep disorders
- sleep dysfunction
- traumatic brain injury
- traumatic brain injury model systems
ASJC Scopus subject areas
- Physical Therapy, Sports Therapy and Rehabilitation
- Rehabilitation
- Clinical Neurology
Cite this
Sleep after TBI : How the TBI Model Systems have advanced the field. / Bell, Kathleen R; Bushnik, Tamara; Dams-O'Connor, Kristen; Goldin, Yelena; Hoffman, Jeanne M.; Lequerica, Anthony H.; Nakase-Richardson, Risa; Zumsteg, Jennifer M.
In: NeuroRehabilitation, Vol. 43, No. 3, 01.01.2018, p. 287-296.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Sleep after TBI
T2 - How the TBI Model Systems have advanced the field
AU - Bell, Kathleen R
AU - Bushnik, Tamara
AU - Dams-O'Connor, Kristen
AU - Goldin, Yelena
AU - Hoffman, Jeanne M.
AU - Lequerica, Anthony H.
AU - Nakase-Richardson, Risa
AU - Zumsteg, Jennifer M.
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Background: Identification and management of comorbidities in TBI has become an increasing focus for optimizing TBI outcomes. Recent meta-analyses highlight sleep disturbance and sleep disorders following TBI (Mathias & Alvaro, 2012). Improving the recognition and treatment of sleep disorders in TBI should be a central focus of rehabilitation. The Traumatic Brain Injury Model System (TBIMS) has created an infrastructure allowing multi-center investigations into sleep dysfunction in those who have had a moderate to severe TBI and received inpatient rehabilitation. Objective: This paper will describe the 1) infrastructure used to advance sleep dysfunction/disorders research following TBI, 2) preliminary findings from these studies, and 3) repository of data which can be accessed for secondary analyses by investigators outside of the TBIMS infrastructure. Methods: Two internal mechanisms allow investigators at TBIMS sites to collaborate on projects of shared interest: Research Modules and Special Interest Groups (SIG). Results: To date, five studies have resulted from the TBIMS collaborative process focusing on insomnia, circadian disruption, and sleep apnea. Conclusions: Future directions for the SIG include continued development of available knowledge and understanding of the multidimensional factors that contribute to TBI-related sleep disturbance, optimal assessment tools, effectiveness of available treatments, and treatment compliance in this population.
AB - Background: Identification and management of comorbidities in TBI has become an increasing focus for optimizing TBI outcomes. Recent meta-analyses highlight sleep disturbance and sleep disorders following TBI (Mathias & Alvaro, 2012). Improving the recognition and treatment of sleep disorders in TBI should be a central focus of rehabilitation. The Traumatic Brain Injury Model System (TBIMS) has created an infrastructure allowing multi-center investigations into sleep dysfunction in those who have had a moderate to severe TBI and received inpatient rehabilitation. Objective: This paper will describe the 1) infrastructure used to advance sleep dysfunction/disorders research following TBI, 2) preliminary findings from these studies, and 3) repository of data which can be accessed for secondary analyses by investigators outside of the TBIMS infrastructure. Methods: Two internal mechanisms allow investigators at TBIMS sites to collaborate on projects of shared interest: Research Modules and Special Interest Groups (SIG). Results: To date, five studies have resulted from the TBIMS collaborative process focusing on insomnia, circadian disruption, and sleep apnea. Conclusions: Future directions for the SIG include continued development of available knowledge and understanding of the multidimensional factors that contribute to TBI-related sleep disturbance, optimal assessment tools, effectiveness of available treatments, and treatment compliance in this population.
KW - Sleep disorders
KW - sleep dysfunction
KW - traumatic brain injury
KW - traumatic brain injury model systems
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U2 - 10.3233/NRE-182538
DO - 10.3233/NRE-182538
M3 - Article
VL - 43
SP - 287
EP - 296
JO - NeuroRehabilitation
JF - NeuroRehabilitation
SN - 1053-8135
IS - 3
ER -