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  4. Sleep and Daytime Function in People with Spinal Cord Injury

Sleep and Daytime Function in People with Spinal Cord Injury

Not specified, 2024 · DOI: https://doi.org/10.21203/rs.3.rs-4510393/v1 · Published: June 28, 2024

Spinal Cord InjurySleep Medicine

Simple Explanation

This study looks at how sleep problems affect the daily lives of veterans with spinal cord injuries (SCI). It focuses on sleep-disordered breathing (SDB), insomnia, and overall sleep quality. The study found that veterans with SCI often have sleep disturbances, which can lead to problems with their daily functioning and quality of life. The research suggests that addressing insomnia and poor sleep quality could help improve the daily lives of veterans with SCI, regardless of whether they have sleep apnea.

Study Duration
Not specified
Participants
38 male veterans with SCI (22 cervical, 16 thoracic)
Evidence Level
Cross-sectional cohort study

Key Findings

  • 1
    Insomnia symptoms and poor sleep quality are linked to worse functioning in veterans with SCI.
  • 2
    Sleep apnea severity (AHI) was not significantly related to daytime symptoms, quality of life, or functioning outcomes.
  • 3
    Higher daytime sleepiness (ESS) correlated with worse fatigue, depression symptoms, quality of life and SCI-related functioning.

Research Summary

This study examined the relationship between sleep disturbances and daytime function in veterans with spinal cord injury (SCI). The results indicated that insomnia symptoms and poor sleep quality were associated with worse daytime functioning, including increased fatigue and depression. The study suggests that addressing insomnia and improving sleep quality could potentially improve daytime function and quality of life in veterans with SCI.

Practical Implications

Prioritize Sleep Quality

Healthcare providers should prioritize assessing and addressing sleep quality in individuals with SCI as part of their comprehensive care.

Insomnia Treatment

Explore and adapt evidence-based treatments for insomnia, such as cognitive behavioral therapy (CBT-I), to meet the specific needs of individuals with SCI.

Multifaceted Approach

Take a multifaceted approach to improve sleep, considering sleep fragmentation, sleep quality, and insomnia disorder to identify modifiable risk factors.

Study Limitations

  • 1
    Small sample size, limiting multivariable modeling.
  • 2
    Diagnostic sleep studies conducted in a lab, not typical home environment.
  • 3
    Generalizability limited to male veterans with SCI.

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