Download or read book Fatigue and Sleep Disturbance Following Traumatic Brain Injury written by Kelly Sinclair and published by . This book was released on 2012 with total page 548 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fatigue and sleep disturbances are common and disabling symptoms following traumatic brain injury (TBI). They occur chronically, and impact significantly on the ability of individuals with these injuries to return to pre-injury function, as well as overall quality of life. The aetiology of these symptoms appears to be complex and most likely multifactorial in nature, involving the primary effects of mechanical neuronal injury, but also secondary factors such as depression, anxiety, and cognitive disturbance (particularly in the domain of attention). In the context of unclear aetiology, current understandings of fatigue and sleep disturbances have primarily relied on patient self-report, particularly for fatigue which is inherently a subjective complaint, but also for sleep disturbances. Identification of suitable objective measures for fatigue and sleep or their associated symptoms may assist in further understanding these complaints. Related to the limited understanding of these complaints following TBI, is the lack of well established treatment regimens. In theory, an optimal treatment of fatigue and sleep disturbance following TBI would involve focus on the symptoms themselves as well as their associated factors, such as depression and impaired attention. Recent research in the field of sleep and chronobiology, particularly research investigating the therapeutic applications of light exposure, suggests that light therapy may offer an efficacious modality for treatment of fatigue, sleep disturbance and associated symptoms in the TBI population. The aims of the current thesis were to: (1) assess the utility of objective assessment tools in order to aid further understanding of disturbances to sleep-wakefulness and sustained attention (i.e. psychomotor vigilance) performances following TBI; and (2) investigate in a randomised controlled trial, the efficacy of blue light therapy, in the treatment of fatigue and its related symptoms in patients with TBI. This was achieved across three separate studies. Specifically, study one investigated the utility of actigraphy as an objective measure of sleep following TBI. The findings of the study revealed significant associations between actigraphic and self-reported (diary) estimates of nocturnal total sleep time (TST) and daily TST in patients with TBI and healthy age- and gender- matched controls. While stronger associations between diary and actigraphy were observed in the control group, the magnitude of these associations did not differ significantly between groups. The study thus provided preliminary support for use of actigraphy as an objective assessment of sleep duration in the TBI population. In light of previous research that has demonstrated associations between vigilance/sustained attention and both fatigue and sleep disturbances in patients with TBI, study two compared psychomotor vigilance performance in patients with TBI and healthy age- and gender- matched controls using the Psychomotor Vigilance Task (PVT). The PVT was selected as a potentially useful objective measure in patients with TBI as it has been commonly used within the sleep science field and is well accepted for its sensitivity to sleep loss, circadian timing, and countermeasures for sleepiness. Consistent with past research, study two demonstrated that patients with TBI showed slower performances and increased attentional lapses relative to healthy controls. Distribution analyses additionally revealed that patients with TBI performed more slowly across the entire performance distribution, consistent with a generalised cognitive slowing. Depression, fatigue and daytime sleepiness were found to have varying impacts on aspects of psychomotor vigilance performance. Previous use of the PVT in TBI groups has been limited and the study highlighted the sensitivity of the PVT to sustained attention deficits in patients with TBI. Taken together, the findings of study one and two have implications for the ongoing assessment of sleep and performance deficits in patients with TBI, and have potential to provide greater understanding of fatigue and sleep complaints in this population. Finally, given the lack of efficacious treatments for fatigue and sleep disturbances following TBI, study three examined the efficacy of blue light therapy as a potential treatment of fatigue and its associated symptoms in patients with TBI. Blue light therapy was selected for use given prior research findings which have demonstrated its alerting, circadian phase shifting, and mood enhancing properties. In a sample of patients with TBI who had self-reported fatigue and sleep complaints, study three demonstrated the efficacy of daily, morning exposure (45 minutes) to blue light over a 4 week treatment period in alleviation of self-reported fatigue and daytime sleepiness. This is the first demonstration of efficacy for a non-pharmacological treatment of fatigue and daytime sleepiness in patients with TBI. These findings establish the basis for large-scale randomised controlled trials of light therapy for fatigue in TBI, and have important implications for enhancing rehabilitation participation and long-term quality of life following TBI.

Download or read book Traumatic Brain Injury written by Jennie Ponsford and published by Psychology Press. This book was released on 2012 with total page 434 pages. Available in PDF, EPUB and Kindle. Book excerpt: Research into the rehabilitation of individuals following Traumatic Brain Injury (TBI) in the past 15 years has resulted in greater understanding of the condition. The second edition of this book provides an updated guide for health professionals working with individuals recovering from TBI. Its uniquely clinical focus provides both comprehensive background information, and practical strategies for dealing with common problems with thinking, memory, communication, behaviour and emotional adjustment in both adults and children. The book addresses a wide range of challenges, from those which begin with impairment of consciousness, to those occurring for many years after injury, and presents strategies for maximising participation in all aspects of community life. The book will be of use to practising clinicians, students in health disciplines relevant to neurorehabilitation, and also to the families of individuals with traumatic brain injury.

Download or read book Fatigue in Multiple Sclerosis written by Christian Dettmers and published by Frontiers Media SA. This book was released on 2016-02-03 with total page 89 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dear Readers, If you are engaged in the treatment of patients with MS (pwMS), this e-book’s aim is to offer novel insights to improve on an understanding of one of the major problems of pwMS: fatigue. Although there is increasing research into fatigue and its impact on MS, this collection of ten articles supports a better understanding of fatigue in MS patients. It explores pathophysiological concepts, provoking mechanisms, objective measurements, personality interactions, pharmacological and non-pharmacological interventions and summarizes clinical management. It is written by neurologists, psychologists, scientists and therapists and addresses this group of people, who deal with pwMS in private, clinical, rehabilitation or scientific settings. Its aim is to communicate high-quality information, knowledge and experience on MS to healthcare professionals, while providing global support for the international MS community.

Download or read book Sleep and Quality of Life in Clinical Medicine written by Joris C. Verster and published by Springer Science & Business Media. This book was released on 2008-02-20 with total page 517 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many patients experience sleep disturbances secondary to their primary illness and this often has a negative effect on their quality of life. This book provides an evidence-based introduction to the interface between sleep wide range of medical disorders. A clinically focused, comprehensive review for physicians and other health providers, this state-of-the-art reference can also serve as a textbook for those who wish to become familiar with the impact of sleep on quality of life.

Download or read book Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-05-20 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Veterans Benefits Administration (VBA) provides disability compensation to veterans with a service-connected injury, and to receive disability compensation from the Department of Veterans Affairs (VA), a veteran must submit a claim or have a claim submitted on his or her behalf. Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans reviews the process by which the VA assesses impairments resulting from traumatic brain injury for purposes of awarding disability compensation. This report also provides recommendations for legislative or administrative action for improving the adjudication of veterans' claims seeking entitlement to compensation for all impairments arising from a traumatic brain injury.

Download or read book Case Studies in Insomnia written by P.J. Hauri and published by Springer Science & Business Media. This book was released on 1991-08-31 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sleep disorder experts discuss specific behavioral techniques, psychotherapeutic techniques and pharmacotherapy, comprehensive and integrated approaches, disorders of the sleep-wake schedule, and specific populations--the chronically ill and older adults. The field has seen rapid advances in recent years and has attained growing respectability--insomnia is now seen as something more than a manifestation of depression or simply an annoying nuisance to be extinguished with hyponotics. Annotation copyrighted by Book News, Inc., Portland, OR

Download or read book Insomnia and Fatigue after Traumatic Brain Injury written by Marie-Christine Ouellet and published by Academic Press. This book was released on 2019-10-22 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: Insomnia and fatigue are two of the most frequent consequences after traumatic brain injury (TBI). About 30% of individuals suffer from chronic insomnia, an additional 20% have symptoms of insomnia, and up to 75% have significant and persistent fatigue. There is a strong empirical basis for the effectiveness of cognitive-behavioral interventions for the management of insomnia and fatigue in the general population and in other patient populations, and emerging research shows that these interventions seem applicable with similar benefits to people with TBI. Insomnia and Fatigue After Traumatic Brain Injury: A CBT Approach to Assessment and Treatment is written by a team of four scientist-practitioners in psychology who are experts in sleep medicine, cognitive-behavioral therapy for insomnia, and traumatic brain injury (TBI). Together they have authored this assessment and intervention manual for insomnia and fatigue, intended for clinicians working with the TBI population. Based on cognitive-behavioral principles, the manual integrates evidence-based interventions and techniques used by expert clinicians working with these populations. Throughout the development process, there has been an ongoing integration of the best available research, specialized clinical expertise, and knowledge transfer expertise: all of these perspectives were used to choose, revise, and format the content of the manual as to ensure that it would be most useful for the target audience. - Authored by specialists in sleep medicine, CBT and TBI - Covers both assessment and treatment for TBI insomnia and fatigue - Contains treatment plans in detail - Suitable for inpatient and outpatient settings - Appropriate for mild to severe TBI - Includes extensive patient handouts

Download or read book Rehabilitation After Traumatic Brain Injury written by Blessen C. Eapen and published by Elsevier Health Sciences. This book was released on 2018-01-24 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt: Covering the full spectrum of rehabilitation after traumatic brain injury, this practical reference by Drs. Blessen C. Eapen and David X. Cifu presents best practices and considerations for numerous patient populations and their unique needs. In an easy-to-read, concise format, it covers the key information you need to guide your treatment plans and help patients relearn critical life skills and regain their independence. - Covers neuroimaging, neurosurgical and critical care management, management of associated complications after TBI, pharmacotherapy, pain management, sports concussion, assistive technologies, and preparing patients for community reintegration. - Discusses special populations, including pediatric, geriatric, and military and veteran patients. - Consolidates today's available information and guidance in this challenging and diverse area into one convenient resource.

Download or read book Sports Related Concussions in Youth written by National Research Council and published by National Academies Press. This book was released on 2014-02-04 with total page 215 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the past decade, few subjects at the intersection of medicine and sports have generated as much public interest as sports-related concussions - especially among youth. Despite growing awareness of sports-related concussions and campaigns to educate athletes, coaches, physicians, and parents of young athletes about concussion recognition and management, confusion and controversy persist in many areas. Currently, diagnosis is based primarily on the symptoms reported by the individual rather than on objective diagnostic markers, and there is little empirical evidence for the optimal degree and duration of physical rest needed to promote recovery or the best timing and approach for returning to full physical activity. Sports-Related Concussions in Youth: Improving the Science, Changing the Culture reviews the science of sports-related concussions in youth from elementary school through young adulthood, as well as in military personnel and their dependents. This report recommends actions that can be taken by a range of audiences - including research funding agencies, legislatures, state and school superintendents and athletic directors, military organizations, and equipment manufacturers, as well as youth who participate in sports and their parents - to improve what is known about concussions and to reduce their occurrence. Sports-Related Concussions in Youth finds that while some studies provide useful information, much remains unknown about the extent of concussions in youth; how to diagnose, manage, and prevent concussions; and the short- and long-term consequences of concussions as well as repetitive head impacts that do not result in concussion symptoms. The culture of sports negatively influences athletes' self-reporting of concussion symptoms and their adherence to return-to-play guidance. Athletes, their teammates, and, in some cases, coaches and parents may not fully appreciate the health threats posed by concussions. Similarly, military recruits are immersed in a culture that includes devotion to duty and service before self, and the critical nature of concussions may often go unheeded. According to Sports-Related Concussions in Youth, if the youth sports community can adopt the belief that concussions are serious injuries and emphasize care for players with concussions until they are fully recovered, then the culture in which these athletes perform and compete will become much safer. Improving understanding of the extent, causes, effects, and prevention of sports-related concussions is vitally important for the health and well-being of youth athletes. The findings and recommendations in this report set a direction for research to reach this goal.

Download or read book Traumatic Brain Injury written by Jack W. Tsao and published by Springer Nature. This book was released on 2019-11-19 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: This thoroughly revised and updated work covers numerous advances in traumatic brain injury diagnosis, evaluation, treatment, and pathophysiology. Since publication of the first edition in 2012, there has been greatly increased public awareness of the clinical consequences of even the mildest of head injuries, and the result has been a concerted effort of countries around the world to increase research funding. This second edition continues to focus on mild traumatic brain injury--or concussion--and contains updates to all the original chapters as well as adding new chapters addressing clinical sequelae, including pediatric concussion, visual changes, chronic traumatic encephalopathy, and blast-associated TBI. Traumatic Brain Injury: A Clinician's Guide to Diagnosis, Management, and Rehabilitation, Second Edition, is a comprehensive resource designed for neurologists, primary care clinicians, sports physicians, and other medical providers, including psychologists and neuropsychologists, as well as athletic trainers who may evaluate and care for individuals who have sustained a TBI. The book features summaries of the most pertinent areas of diagnosis and therapy, which can be readily accessed by the busy clinician/professional. In addition, the book's treatment algorithms provide a highly practical reference to cutting edge therapies, and an updated appendix of ICD codes is included. An outstanding contribution to the literature, Traumatic Brain Injury: A Clinician's Guide to Diagnosis, Management, and Rehabilitation, Second Edition, again offers an invaluable resource for all providers who treat patients with TBI.

Download or read book Behavioral Emergencies for the Emergency Physician written by Leslie S. Zun and published by Cambridge University Press. This book was released on 2013-03-21 with total page 415 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive, go-to volume features cutting edge discussion of the emergency department management of mental health patients.

Download or read book Sleep Disorders and Sleep Deprivation written by Institute of Medicine and published by National Academies Press. This book was released on 2006-10-13 with total page 425 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical practice related to sleep problems and sleep disorders has been expanding rapidly in the last few years, but scientific research is not keeping pace. Sleep apnea, insomnia, and restless legs syndrome are three examples of very common disorders for which we have little biological information. This new book cuts across a variety of medical disciplines such as neurology, pulmonology, pediatrics, internal medicine, psychiatry, psychology, otolaryngology, and nursing, as well as other medical practices with an interest in the management of sleep pathology. This area of research is not limited to very young and old patientsâ€"sleep disorders reach across all ages and ethnicities. Sleep Disorders and Sleep Deprivation presents a structured analysis that explores the following: Improving awareness among the general public and health care professionals. Increasing investment in interdisciplinary somnology and sleep medicine research training and mentoring activities. Validating and developing new and existing technologies for diagnosis and treatment. This book will be of interest to those looking to learn more about the enormous public health burden of sleep disorders and sleep deprivation and the strikingly limited capacity of the health care enterprise to identify and treat the majority of individuals suffering from sleep problems.

Download or read book Sleep Neurology written by Lourdes M. DelRosso and published by Springer Nature. This book was released on 2020-11-12 with total page 309 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical text provides knowledge of the basic neuroscience of sleep and sleep disorders as they interrelate with various neurologic conditions. Chapters in the first section cover neural networks involved in normal sleep processes, including dreams and memory. Also discussed are how these neural networks interact in various sleep stages and sleep disorders, such as sleep related movement disorders. The book's second section explores the pathophysiology of sleep disorders in the spectrum of neurologic conditions in both adults and children. This includes sleep changes in patients with dementia, seizures, headaches, and stroke, and other common neurologic disorders. Sleep Neurology fills an important gap in the sleep medicine literature by providing the underpinnings of sleep disorders and will be of great value to students, residents, and clinicians.

Download or read book Report to Congress on Mild Traumatic Brain Injury in the United States written by Centers for Disease Control and Prevention and published by CreateSpace. This book was released on 2014-05-23 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to existing data, more than 1.5 million people experience a traumatic brain injury (TBI) each year in the United States. Of them, as many as 75 percent sustain a mild traumatic brain injury—or MTBI. These injuries may cause long-term or permanent impairments and disabilities. Many people with MTBI have difficulty returning to rou- tine, daily activities and may be unable to return to work for many weeks or months. In addition to the human toll of these injuries, MTBI costs the nation nearly $17 billion each year.

Download or read book Translational Research in Traumatic Brain Injury written by Daniel Laskowitz and published by CRC Press. This book was released on 2016-04-21 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: Traumatic brain injury (TBI) remains a significant source of death and permanent disability, contributing to nearly one-third of all injury related deaths in the United States and exacting a profound personal and economic toll. Despite the increased resources that have recently been brought to bear to improve our understanding of TBI, the developme

Download or read book Disorders of Sleep and Wakefulness Among Persons with Traumatic Brain Injury written by Tatyana Mollayeva and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Handbook of Sleep Disorders in Medical Conditions written by Josee Savard and published by Academic Press. This book was released on 2019-03-14 with total page 475 pages. Available in PDF, EPUB and Kindle. Book excerpt: Handbook of Sleep Disorders in Medical Conditions reviews the current knowledge on the nature and manifestations of sleep disorders associated with a variety of common medical conditions, including epilepsy, traumatic brain injury and dementia. It also provides clinical guidelines on how to assess and treat them with pharmacological and non-pharmacological interventions. Although the general principles of sleep medicine may be applied to some extent to patients with comorbid medical conditions, this book makes the case that an adaptive approach is warranted when considering the particularities of each condition. In addition, clinicians must also be cautious when prescribing sleep medications as some pharmacological agents are known to exacerbate symptoms associated with the medical condition, such as cognitive deficits (i.e. difficulties with memory and attention) in cancer patients experiencing chemo brain, or in persons with neurologic conditions (e.g. mild cognitive impairment, dementia, stroke, brain injury). A differential approach to evaluating and treating sleep is thus warranted. 2020 PROSE Awards - Winner: Category: Textbook/Medicine and Clinical Science: Association of American Publishers Presents a general overview on assessing and treating sleep disorders that are applicable to a diverse set of patients Provides a comprehensive, up-to-date review of the literature on the prevalence and manifestations of sleep problems related to specific medical conditions Includes practical information regarding special considerations for the assessment and treatment of sleep issues in specific medical conditions 2020 PROSE Award Subject Winner in Textbook/Medicine and Clinical Science (Association of American Publishers)