4.2 Article

Sleep after Traumatic Brain Injury

Journal

NURSING CLINICS OF NORTH AMERICA
Volume 56, Issue 2, Pages 275-286

Publisher

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.cnur.2021.02.006

Keywords

Traumatic brain injury; Sleep; Sleep-wake disorders; Insomnia; Fatigue

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Sleep plays an important role in promoting neural connectivity, restoring neural networks, flushing substances from brain tissue, and restoring brain energy stores. Traumatic brain injury (TBI) is a complex issue, with sleep problems being a common symptom across all levels of severity.
remain poorly understood. Four of 6 viable theories of sleep function reviewed by Krueger and colleagues4 focus on brain health-promoting neural connectivity, restoring neural networks to maintain cognitive and behavioral performance, allowing for the flushing of substances from the brain tissue, and restoring brain energy stores. The role of sleep in brain recovery from traumatic brain injury (TBI) may be important, but it is not understood. TBI is defined as altered brain function from an external force, rated as mild-such as concussion-or moderate or severe, usually determined by score on the Glasgow Coma Scale. Although each TBI is unique, there are some common problems that arise from this heterogeneous disorder. Sleep problems are among the most common complaints after TBI of all levels of

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