Sleep after TBI: How the TBI Model Systems have advanced the field

Kathleen R Bell, Tamara Bushnik, Kristen Dams-O'Connor, Yelena Goldin, Jeanne M. Hoffman, Anthony H. Lequerica, Risa Nakase-Richardson, Jennifer M. Zumsteg

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


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 languageEnglish (US)
Pages (from-to)287-296
Number of pages10
Issue number3
StatePublished - 2018


  • 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


Dive into the research topics of 'Sleep after TBI: How the TBI Model Systems have advanced the field'. Together they form a unique fingerprint.

Cite this