Concordance of Actigraphy With Polysomnography in Traumatic Brain Injury Neurorehabilitation Admissions

Garofano, Jeffrey S.; Schwartz, Daniel P.; Silva, Marc A.; Zeitzer, Jamie M.; Modarres, Mo; Barnett, Scott D.; Nakase‐Richardson, Risa

doi:10.1097/htr.0000000000000215

Cited by 39 publications

(44 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…17 Moreover, one research team recently showed that actigraphy correlated with polysomnography-measured total sleep time and sleep efficiency among severe TBI inpatients in a rehabilitation setting. 30 Still, results of the present study reflect an indirect measure of sleep and wake, though actigraphy remains the bestsuited method for the long-term assessment of sleepwake cycles within this clinical population.…”

Section: Resultsmentioning

confidence: 71%

Parallel recovery of consciousness and sleep in acute traumatic brain injury

et al. 2017

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 71%

Parallel recovery of consciousness and sleep in acute traumatic brain injury

et al. 2017

View full text Add to dashboard Cite

show abstract

“…The purpose of this paper was to demonstrate feasibility of data collection, provide programmatic structure for successful implementation, and provide information about the various parameters collected with ACG device used and accompanying proprietary software. Our own work has validated some of the parameters (eg, TST, SE) against electroencephalogram‐based PSG in an acute neurorehabilitation sample [26]. Alternative approaches to scoring the ACG data are possible with this patient population and described in the literature, although the validity of parameters remain uncertain [35].…”

Section: Discussionmentioning

confidence: 98%

“…Our own work with implementation of ACG on an acute brain injury unit has shown it to be feasible and a valid measure of sleep compared with the gold‐standard of PSG [25]. We report moderate‐to‐strong correlations between ACG and PSG for indices such as total sleep time (TST; r = .78, P < .01) and sleep efficiency (SE; r = .66, P < .01) [26].…”

Section: Introductionmentioning

confidence: 87%

Implementation of Actigraphy in Acute Traumatic Brain Injury (TBI) Neurorehabilitation Admissions: A Veterans Administration TBI Model Systems Feasibility Study

Towns

Zeitzer

Holcomb

et al. 2016

PM&R

Self Cite

View full text Add to dashboard Cite

show abstract

“…Actigraphy has shown to be a satisfactory objective estimate of sleep especially for global sleep parameters including total sleep time, sleep onset latency, and sleep efficiency [ 41 ]. Multiple studies have included actigraphy to examine sleep in TBI patients [ 25 , 68 , 69 ], and they have shown that actigraphy is a reliable method for monitoring sleep in this population, irrespective of the injury severity [ 70 ].…”

Section: Methodsmentioning

confidence: 99%

Unraveling the Biopsychosocial Factors of Fatigue and Sleep Problems After Traumatic Brain Injury: Protocol for a Multicenter Longitudinal Cohort Study

Bruijel¹,

Stapert²,

Vermeeren³

et al. 2018

JMIR Res Protoc

View full text Add to dashboard Cite

BackgroundFatigue and sleep problems are common after a traumatic brain injury (TBI) and are experienced as highly distressing symptoms, playing a significant role in the recovery trajectory, and they can drastically impact the quality of life and societal participation of the patient and their family and friends. However, the etiology and development of these symptoms are still uncertain.ObjectiveThe aim of this study is to examine the development of fatigue and sleep problems following moderate to severe TBI and to explore the changes in underlying biological (pain, brain damage), psychological (emotional state), and social (support family, participation) factors across time.MethodsThis study is a longitudinal multicenter observational cohort study with 4 measurement points (3, 6, 12, and 18 months postinjury) including subjective questionnaires and cognitive tasks, preceded by 7 nights of actigraphy combined with a sleep diary. Recruitment of 137 moderate to severe TBI patients presenting at emergency and neurology departments or rehabilitation centers across the Netherlands is anticipated. The evolution of fatigue and sleep problems following TBI and their association with possible underlying biological (pain, brain damage), psychological (emotional state), and social (support family, participation) factors will be examined. ResultsRecruitment of participants for this longitudinal cohort study started in October 2017, and the enrollment of participants is ongoing. The first results are expected at the end of 2020.ConclusionsTo the authors’ knowledge, this is the first study that examines the development of both post-TBI fatigue and sleep longitudinally within a biopsychosocial model in moderate to severe TBI using both subjective and objective measures. Identification of modifiable factors such as mood and psychosocial stressors may give direction to the development of interventions for fatigue and sleep problems post-TBI.Trial RegistrationNetherlands Trial Register NTR7162; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=7162 (Archived by WebCite at http://www.webcitation.org/6z3mvNLuy)International Registered Report Identifier (IRRID)RR1-10.2196/11295

show abstract

Concordance of Actigraphy With Polysomnography in Traumatic Brain Injury Neurorehabilitation Admissions

Abstract: Actigraphy is a valid proxy for monitoring of sleep in this population across injury severity and common comorbidity groups. However, further research with larger sample sizes to examine concordance in patients with TBI with disorder of consciousness and spasticity is recommended.

Cited by 39 publications

References 46 publications

Parallel recovery of consciousness and sleep in acute traumatic brain injury

Parallel recovery of consciousness and sleep in acute traumatic brain injury

Implementation of Actigraphy in Acute Traumatic Brain Injury (TBI) Neurorehabilitation Admissions: A Veterans Administration TBI Model Systems Feasibility Study

Unraveling the Biopsychosocial Factors of Fatigue and Sleep Problems After Traumatic Brain Injury: Protocol for a Multicenter Longitudinal Cohort Study

Contact Info

Product

Resources

About