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.
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