scholarly journals Physical activity after mild traumatic brain injury: What are the relationships with fatigue and sleep quality?

2019 ◽  
Vol 23 (1) ◽  
pp. 53-60 ◽  
Author(s):  
F. van Markus-Doornbosch ◽  
E. Peeters ◽  
S. van der Pas ◽  
T. Vliet Vlieland ◽  
J. Meesters
Keyword(s):  
Physical Activity ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Sleep Quality ◽  
Mild Traumatic Brain Injury

scholarly journals SWOT analysis of an outpatient rehabilitation physical activity intervention for individuals with mild traumatic brain injury

2021 ◽  
Author(s):  
Christophe Alarie ◽  
Isabelle Gagnon ◽  
Lily Trang Than Huynh ◽  
Karine Doucet ◽  
Adèle Pichette-Auray ◽  
...  
Keyword(s):  
Physical Activity ◽  
Traumatic Brain Injury ◽  
Quality Improvement ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Swot Analysis ◽  
Physical Activity Intervention ◽  
Service Providers ◽  
Outpatient Rehabilitation ◽  
Physical Activity Interventions

Abstract Background Physical activity interventions have been shown to be an effective therapeutic approach to improve symptoms and reduce recovery time after a mild traumatic brain injury. Service providers from a specialized traumatic brain injury outpatient rehabilitation program recognized the need to ensure their physical activity intervention integrated evidence-based treatment components, while considering user needs and preferences. To inform quality improvement efforts, service providers felt it necessary to learn about the perceptions of key stakeholders, regarding the quality of the intervention. The study objective was to explore the perceptions of administrators, clinicians and users of the specialized program regarding the physical activity intervention’s strengths, weaknesses, opportunities and threats (SWOT). Methods Using a SWOT analysis framework, this qualitative study explored the perspectives of the purposive sample (n=14) composed of the managerial staff, six clinicians and five program users. Semi-structured interviews were performed, recorded, transcribed verbatim and analyzed using a qualitative content analysis approach. Results Fifty categories were generated resulting in 15 strengths, 17 weaknesses, 12 opportunities and 6 threats grouped into 8 overarching categories: physical activity intervention, health-related outcomes, clinical expertise, knowledge translation, communication, user engagement, resources, accessibility. Category descriptions, convergent and divergent perspectives, and salient quotes of participants are provided. Conclusions This study successfully identified perceived strengths, many weaknesses, several opportunities and a few threats. Participants were generally positive about the intervention but identified weaknesses including the need for service providers to better describe the physical activity intervention using theoretically driven approaches before engaging in quality improvement activities. Convergent and divergent perspectives of service providers and program users helped identify areas to maintain and others to improve upon when the program develops their new intervention. Study results may also inform the development of other physical activity interventions designed for adults with persisting symptoms of a mild traumatic brain injury.

Physical Activity Interventions for Individuals With a Mild Traumatic Brain Injury

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Christophe Alarie ◽  
Isabelle Gagnon ◽  
Enrico Quilico ◽  
Elizabeth Teel ◽  
Bonnie Swaine
Keyword(s):  
Physical Activity ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Mild Traumatic Brain Injury ◽  
Physical Activity Interventions

Daily Morning Blue Light Therapy Improves Daytime Sleepiness, Sleep Quality, and Quality of Life Following a Mild Traumatic Brain Injury

2020 ◽  
Vol 35 (5) ◽  
pp. E405-E421 ◽  
Author(s):  
Adam C. Raikes ◽  
Natalie S. Dailey ◽  
Bradley R. Shane ◽  
Brittany Forbeck ◽  
Anna Alkozei ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Sleep Quality ◽  
Blue Light ◽  
Mild Traumatic Brain Injury ◽  
Daytime Sleepiness ◽  
Light Therapy

scholarly journals Sleep Duration and Sleep Quality following Acute Mild Traumatic Brain Injury: A Propensity Score Analysis

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Ting-Yun Huang ◽  
Hon-Ping Ma ◽  
Shin-Han Tsai ◽  
Yung-Hsiao Chiang ◽  
Chaur-Jong Hu ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Propensity Score ◽  
Sleep Quality ◽  
Sleep Disturbance ◽  
Sleep Duration ◽  
Mild Traumatic Brain Injury ◽  
Propensity Scores ◽  
Sleep Problems ◽  
Background Information

Introduction. Mild traumatic brain injury (mTBI) has been widely studied and the effects of injury can be long term or even lifelong. This research aims to characterize the sleep problems of patients following acute mTBI.Methods. A total of 171 patients with mTBI within one month and 145 non-mTBI controls were recruited in this study. The questionnaire, Pittsburgh Sleep Quality Index (PSQI), was used to evaluate seven aspects of sleep problems. A propensity score method was used to generate a quasirandomized design to account for the background information, including gender, age, Beck’s Anxiety Index, Beck’s Depression Index, and Epworth Sleepiness Scale. The effect was evaluated via cumulative logit regression including propensity scores as a covariate.Results. Before adjustment, about 60% mTBI patients and over three quarters of control subjects had mild sleep disturbance while one third mTBI patients had moderate sleep disturbance. After adjusting by the propensity scores, the scores of sleep quality and duration were significant between mTBI and control groups.Conclusion. Our study supports that sleep problem is common in mTBI group. After adjusting the confounders by propensity score, sleep duration and subjective sleep quality are the most frequently reported problems in mTBI patients within one month after the injury.

scholarly journals Comprehensive insomnia assessment following mild traumatic brain injury

2021 ◽  
Author(s):  
Dora M. Zalai
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Sleep Quality ◽  
Sleep Disorders ◽  
Mild Traumatic Brain Injury ◽  
Primary Insomnia ◽  
Chronic Insomnia ◽  
Poor Sleep ◽  
Wake Time ◽  
Insomnia Symptoms

Background and Rationale: Insomnia symptoms following mild traumatic brain injury (mTBI) predict poor TBI outcomes. Insomnia symptoms may be caused by sleep disorders that can be effectively treated, which in turn, may improve mTBI outcomes. Previous studies have focused on insomnia symptom assessment in mTBI or evaluated samples with all TBI severities. To effectively manage insomnia following mTBI, it is important to understand which sleep disorders contribute to insomnia symptoms in this clinical group. Furthermore, it is important to extend research on primary insomnia to determine which variables are related to the perception of poor sleep among individuals who report new onset/worsening insomnia symptoms following mTBI. Objectives: (1) determine the prevalence of sleep disorders that contribute to chronic insomnia symptoms in patients with mTBI and (2) determine which objectively measured electroencephalographic and subjective variables are associated with subjective wake time and the perception of poor sleep among patients with chronic insomnia symptoms following mTBI. Methods: Individuals with chronic insomnia symptoms following mTBI (N = 50; age 17-65; 64% females; 3 - 24 months post mTBI) participated in a multi-method sleep and circadian assessment. Sleep disorders were diagnosed according to ICSD-3 criteria. Results: Insomnia disorder was the most common diagnosis (62%), followed by obstructive sleep apnea (OSA) -44%; circadian rhythm sleep-wake disorders (CRSWD) - 26% and periodic limb movement disorder (PLMD) - 8%. The overestimation of wake time was similar to what has been described in primary insomnia. In contrast to the REM instability hypothesis of primary insomnia, REM sleep duration was not related to subjective wake time. Both low sleep quality and feeling unrested in the morning had the strongest relationship to subjective wake time. Feeling unrested was also associated with anxiety. Conclusions: OSA and CRSWD frequently occur among patients whose main presenting sleep symptom is chronic insomnia following a mTBI. Accordingly, objective sleep and circadian assessment should be part of chronic insomnia evaluation following a mTBI. The results imply that interventions reducing subjective wake time and anxiety could improve subjective sleep quality; however, these interventions should be mplemented in conjunction with the treatment for OSA, CRSWD and PLMD.

scholarly journals Comprehensive insomnia assessment following mild traumatic brain injury

2021 ◽  
Author(s):  
Dora M. Zalai
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Sleep Quality ◽  
Sleep Disorders ◽  
Mild Traumatic Brain Injury ◽  
Primary Insomnia ◽  
Chronic Insomnia ◽  
Poor Sleep ◽  
Wake Time ◽  
Insomnia Symptoms

Background and Rationale: Insomnia symptoms following mild traumatic brain injury (mTBI) predict poor TBI outcomes. Insomnia symptoms may be caused by sleep disorders that can be effectively treated, which in turn, may improve mTBI outcomes. Previous studies have focused on insomnia symptom assessment in mTBI or evaluated samples with all TBI severities. To effectively manage insomnia following mTBI, it is important to understand which sleep disorders contribute to insomnia symptoms in this clinical group. Furthermore, it is important to extend research on primary insomnia to determine which variables are related to the perception of poor sleep among individuals who report new onset/worsening insomnia symptoms following mTBI. Objectives: (1) determine the prevalence of sleep disorders that contribute to chronic insomnia symptoms in patients with mTBI and (2) determine which objectively measured electroencephalographic and subjective variables are associated with subjective wake time and the perception of poor sleep among patients with chronic insomnia symptoms following mTBI. Methods: Individuals with chronic insomnia symptoms following mTBI (N = 50; age 17-65; 64% females; 3 - 24 months post mTBI) participated in a multi-method sleep and circadian assessment. Sleep disorders were diagnosed according to ICSD-3 criteria. Results: Insomnia disorder was the most common diagnosis (62%), followed by obstructive sleep apnea (OSA) -44%; circadian rhythm sleep-wake disorders (CRSWD) - 26% and periodic limb movement disorder (PLMD) - 8%. The overestimation of wake time was similar to what has been described in primary insomnia. In contrast to the REM instability hypothesis of primary insomnia, REM sleep duration was not related to subjective wake time. Both low sleep quality and feeling unrested in the morning had the strongest relationship to subjective wake time. Feeling unrested was also associated with anxiety. Conclusions: OSA and CRSWD frequently occur among patients whose main presenting sleep symptom is chronic insomnia following a mTBI. Accordingly, objective sleep and circadian assessment should be part of chronic insomnia evaluation following a mTBI. The results imply that interventions reducing subjective wake time and anxiety could improve subjective sleep quality; however, these interventions should be mplemented in conjunction with the treatment for OSA, CRSWD and PLMD.

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