Treatment of sleep disturbance following stroke and traumatic brain injury: a systematic review of conservative interventions.

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Title: Treatment of sleep disturbance following stroke and traumatic brain injury: a systematic review of conservative interventions.
Authors: Lowe, Alex, Bailey, Mark, O'Shaughnessy, Terry, Macavei, Vladimir
Source: Disability & Rehabilitation. Jun2022, Vol. 44 Issue 13, p2975-2987. 13p.
Subjects: Brain injury treatment, Conservative treatment, Online information services, Medical databases, Medical information storage & retrieval systems, Systematic reviews, Phototherapy, Acupuncture, Sleep disorders, MEDLINE, Psychotherapy, Exercise therapy
Abstract: Sleep disorders are common following stroke and traumatic brain injury. We present a systematic review of the literature investigating conservative interventions to improve sleep in these populations. The PRISMA statement was used. Embase, PubMed, and the Cochrane library were searched for all experimental studies published prior to 28th March 2020 that assessed conservative interventions to improve the sleep or sleep disorders of adults with a history of stroke or traumatic brain injury (TBI). Two authors reviewed publications of interest and risk of bias assessments were performed using the Cochrane Risk of Bias Tool or the Methodological Index for Non-Randomised Studies instrument. Twenty-three publications were included in this systematic review. Meta-analyses were not performed due to study heterogeneity. Psychotherapy-based approaches might be useful for sleep disturbance after TBI and acupuncture may help improve insomnia or sleep disturbance following stroke or TBI, respectively. The evidence was less clear for morning bright light therapy and exercise. Limitations included a single author performing primary searches, only English publications, the reporting of secondary outcome measures, and sleep disorder diagnoses. Some conservative interventions might be useful for improving sleep disturbance or disorders in these populations, but further research is required. Sleep disturbance is common following stroke and traumatic brain injury, with insomnia and obstructive sleep apnoea being the most frequently diagnosed sleep disorders. Psychotherapy-based approaches might be useful for sleep disturbance after TBI and acupuncture may help improve insomnia or sleep disturbance following stroke or TBI, respectively. Morning bright light therapy appeared to be more beneficial for fatigue rather than sleep disturbance after TBI, and the evidence for exercise was less clear. [ABSTRACT FROM AUTHOR]
Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Sleep disorders are common following stroke and traumatic brain injury. We present a systematic review of the literature investigating conservative interventions to improve sleep in these populations. The PRISMA statement was used. Embase, PubMed, and the Cochrane library were searched for all experimental studies published prior to 28th March 2020 that assessed conservative interventions to improve the sleep or sleep disorders of adults with a history of stroke or traumatic brain injury (TBI). Two authors reviewed publications of interest and risk of bias assessments were performed using the Cochrane Risk of Bias Tool or the Methodological Index for Non-Randomised Studies instrument. Twenty-three publications were included in this systematic review. Meta-analyses were not performed due to study heterogeneity. Psychotherapy-based approaches might be useful for sleep disturbance after TBI and acupuncture may help improve insomnia or sleep disturbance following stroke or TBI, respectively. The evidence was less clear for morning bright light therapy and exercise. Limitations included a single author performing primary searches, only English publications, the reporting of secondary outcome measures, and sleep disorder diagnoses. Some conservative interventions might be useful for improving sleep disturbance or disorders in these populations, but further research is required. Sleep disturbance is common following stroke and traumatic brain injury, with insomnia and obstructive sleep apnoea being the most frequently diagnosed sleep disorders. Psychotherapy-based approaches might be useful for sleep disturbance after TBI and acupuncture may help improve insomnia or sleep disturbance following stroke or TBI, respectively. Morning bright light therapy appeared to be more beneficial for fatigue rather than sleep disturbance after TBI, and the evidence for exercise was less clear. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/09638288.2020.1856948
    Languages:
      – Code: eng
        Text: English
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        PageCount: 13
        StartPage: 2975
    Subjects:
      – SubjectFull: Brain injury treatment
        Type: general
      – SubjectFull: Conservative treatment
        Type: general
      – SubjectFull: Online information services
        Type: general
      – SubjectFull: Medical databases
        Type: general
      – SubjectFull: Medical information storage & retrieval systems
        Type: general
      – SubjectFull: Systematic reviews
        Type: general
      – SubjectFull: Phototherapy
        Type: general
      – SubjectFull: Acupuncture
        Type: general
      – SubjectFull: Sleep disorders
        Type: general
      – SubjectFull: MEDLINE
        Type: general
      – SubjectFull: Psychotherapy
        Type: general
      – SubjectFull: Exercise therapy
        Type: general
    Titles:
      – TitleFull: Treatment of sleep disturbance following stroke and traumatic brain injury: a systematic review of conservative interventions.
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      – PersonEntity:
          Name:
            NameFull: Lowe, Alex
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            NameFull: Bailey, Mark
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            NameFull: O'Shaughnessy, Terry
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            NameFull: Macavei, Vladimir
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            – D: 20
              M: 06
              Text: Jun2022
              Type: published
              Y: 2022
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              Value: 09638288
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              Value: 44
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