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1. A review of sleep disturbances following traumatic brain injury

Author

José Rafael P. Zuzuárregui, Kevin Bickart, and Scott J. Kutscher

Subjects
Traumatic brain injury, Sleep disturbances, Insomnia, Hypersomnia, Obstructive sleep apnea, Circadian rhythm sleep disorder, Medicine
Abstract

Abstract Background Sleep disorders are common following traumatic brain injury (TBI). Methods We review the literature regarding sleep disturbances in the acute and chronic phase following TBI in both the adult and pediatric population. Results Acute and chronic disruption of sleep commonly follows TBI and contributes to morbidity commonly seen post-injury in both adults and children. This includes the direct effect of TBI leading to sleep disruption, as well as sleep disorders resulting from TBI itself. Pre-TBI neurocognitive testing is important to determine a baseline prior to injury, while disrupted sleep can also prolong recovery after TBI. Early recognition of sleep disturbances post-injury can lead to earlier treatment and limit the sequelae of TBI, as well as assist in recovery. Conclusion We suggest that evaluation for sleep disturbances following TBI is a critical component of post-TBI assessment and management.

Published
2018
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2. Contributors

Author

Sabra M. Abbott, Takashi Abe, Imran I. Ali, J. Todd Arnedt, Alon Y. Avidan, Ronny P. Bartsch, Ruth M. Benca, Orfeu M. Buxton, Anne-Marie Chang, Ronald D. Chervin, Nancy Collop, Jennifer Corrigan, David F. Dinges, Emmanuel H. During, Mohan Dutt, Danny J. Eckert, Jack D. Edinger, E. Devon Eldridge-Smith, Chiara Formentin, Patrick M. Fuller, Jacqueline Geer, Cathy Goldstein, Patrick J. Hanly, Ronald M. Harper, Max Hirshkowitz, Michael J. Howell, Mary S.M. Ip, Muna Irfan, Plamen Ch. Ivanov, Shahrokh Javaheri, Sogol Javaheri, Christopher W. Jones, Yo-El S. Ju, Marc Kaizi-Lutu, Levente Kapas, Meir H. Kryger, Scott J. Kutscher, Won Y. Lee, Peter Y. Liu, Macy M.S. Lui, Bethany L. Lussier, Atul Malhotra, Raman K. Malhotra, Catherine A. McCall, William V. McCall, Wallace Mendelson, Sara Montagnese, Pier Luigi Parmeggiani, Aric A. Prather, Kathryn J. Reid, Thomas Roth, Logan Douglas Schneider, Colin M. Shapiro, Amir Sharafkhaneh, Ajaz A. Sheikh, Stephen H. Sheldon, Deena Sherman, Jerome M. Siegel, Andrea M. Spaeth, Robert Stickgold, Keith C. Summa, Leslie Swanson, Éva Szentirmai, Lauren Tobias, Fred W. Turek, Christopher D. Turnbull, Bradley V. Vaughn, Richard L. Verrier, Erin J. Wamsley, Sophie D. West, Daniel Whibley, John W. Winkelman, Brian S. Wojeck, Christine H.J. Won, Steven Yao, Kin M. Yuen, and Phyllis C. Zee

Published
2024

3. A review of sleep disturbances following traumatic brain injury

Author

Kevin Bickart, Scott J. Kutscher, and José Rafael P. Zuzuárregui

Subjects
Neurocognitive testing, medicine.medical_specialty, Neurology, Insomnia, Traumatic brain injury, Disrupted sleep, lcsh:Medicine, 050105 experimental psychology, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Medicine, 0501 psychology and cognitive sciences, Hypersomnia, business.industry, 05 social sciences, lcsh:R, Sleep disturbances, medicine.disease, Sleep in non-human animals, Obstructive sleep apnea, Circadian rhythm sleep disorder, nervous system diseases, nervous system, business, 030217 neurology & neurosurgery, Pediatric population
Abstract

Background Sleep disorders are common following traumatic brain injury (TBI). Methods We review the literature regarding sleep disturbances in the acute and chronic phase following TBI in both the adult and pediatric population. Results Acute and chronic disruption of sleep commonly follows TBI and contributes to morbidity commonly seen post-injury in both adults and children. This includes the direct effect of TBI leading to sleep disruption, as well as sleep disorders resulting from TBI itself. Pre-TBI neurocognitive testing is important to determine a baseline prior to injury, while disrupted sleep can also prolong recovery after TBI. Early recognition of sleep disturbances post-injury can lead to earlier treatment and limit the sequelae of TBI, as well as assist in recovery. Conclusion We suggest that evaluation for sleep disturbances following TBI is a critical component of post-TBI assessment and management.

Published
2018

4. Contributors

Author

Sabra M. Abbott, Peter Achermann, Philip N. Ainslie, Torbjörn Åkerstedt, Ravi Allada, Richard P. Allen, Fernanda R. Almeida, Amy W. Amara, Sonia Ancoli-Israel, Chelsea Angel, Taro Arima, J. Todd Arnedt, Isabelle Arnulf, Alon Y. Avidan, John Axelsson, M. Safwan Badr, Helen A. Baghdoyan, Fiona C. Baker, Thomas J. Balkin, Bilgay Izci Balserak, Siobhan Banks, Steven R. Barczi, Mathias Basner, Claudio L. Bassetti, Christian R. Baumann, Mihaela Bazalakova, Simon Beaulieu-Bonneau, Gregory Belenky, Ruth M. Benca, Kathleen L. Benson, Mark B. Berger, Richard B. Berry, Donald L. Bliwise, Bradley F. Boeve, Alexander A. Borbély, Daniel B. Brown, Luis Buenaver, Keith R. Burgess, Jane E. Butler, Orfeu M. Buxton, Daniel J. Buysse, Enda M. Byrne, Michelle T. Cao, Colleen E. Carney, Michelle Carr, Maria Clotilde Carra, Santiago J. Carrizo, Mary A. Carskadon, Eduardo Castrillon, Etienne Challet, Ronald D. Chervin, Peter A. Cistulli, Samuele Cortese, Anita P. Courcoulas, Robert Craft, Michel A. Cramer, Antonio Culebras, Charles A. Czeisler, Michael Czisch, Yves Dauvilliers, Judith R. Davidson, O'Neill F. D'Cruz, Tom Deboer, Luigi De Gennaro, William C. Dement, Jerome A. Dempsey, Derk-Jan Dijk, David F. Dinges, G. William Domhoff, Jill Dorrian, Anthony G. Doufas, Luciano F. Drager, Christopher L. Drake, Martin Dresler, Peter R. Eastwood, Danny J. Eckert, Jack D. Edinger, Jason Gordon Ellis, E. Wesley Ely, Daniel Erlacher, Gregory K. Essick, Francesca Facco, Siavash Farshidpanah, Irwin Feinberg, Luigi Ferini-Strambi, Julio Fernandez-Mendoza, Michele Ferrara, Raffaele Ferri, Stuart Fogel, Paul Franken, Karl A. Franklin, Neil Freedman, Stephany Fulda, Rylie J. Gabehart, Charlene E. Gamaldo, Philippa H. Gander, Philip R. Gehrman, Avram R. Gold, Cathy A. Goldstein, Joshua J. Gooley, Nadia Gosselin, Harly Greenberg, Edith Grosbellet, Ludger Grote, Christian Guilleminault, Seema Gulyani, Martica H. Hall, Ronald M. Harper, Allison G. Harvey, Jan Hedner, Raphael Heinzer, John H. Herman, David R. Hillman, Max Hirshkowitz, Laura Hoeg, Aarnoud Hoekema, Birgit Högl, Hyun Hor, Richard L. Horner, Steven R. Hursh, Nelly Huynh, Adriana G. Ioachimescu, Octavian C. Ioachimescu, Mary Sau-Man Ip, Alex Iranzo, Shahrokh Javaheri, Peng Jiang, Hadine Joffe, Mark E. Josephson, Stefanos N. Kales, Eliot S. Katz, Göran Kecklund, Brendan T. Keenan, Sharon Keenan, John C. Keifer, Thomas S. Kilduff, Douglas Kirsch, Christopher E. Kline, Jacqueline DeMichele Kloss, Melissa Pauline Knauert, Sanjeev V. Kothare, Kiyoshi Koyano, Kurt Kräuchi, James M. Krueger, Meir Kryger, Andrew D. Krystal, Scott J. Kutscher, Anthony B. Kwan, Viera Lakticova, Amanda Lamp, Hans-Peter Landolt, Paola A. Lanfranchi, Gilles Lavigne, Michel Lecendreux, Kathryn Aldrich Lee, Melanie K. Leggett, Christopher J. Lettieri, Kenneth L. Lichstein, Frank Lobbezoo, Geraldo Lorenzi-Filho, Judette Louis, Ralph Lydic, Madalina Macrea, Mary Halsey Maddox, Mark W. Mahowald, Atul Malhotra, Roneil G. Malkani, Beth A. Malow, Rachel Manber, Daniele Manfredini, Pierre Maquet, Jose M. Marin, Jeffrey Masor, Christina S. McCrae, Dennis McGinty, Reena Mehra, Thomas A. Mellman, Wallace B. Mendelson, Emmanuel Mignot, Jared D. Minkel, Murray A. Mittleman, Vahid Mohsenin, Babak Mokhlesi, Jacques Montplaisir, Charles M. Morin, Mary J. Morrell, Douglas E. Moul, Tore Nielsen, F. Javier Nieto, Seiji Nishino, Eric A. Nofzinger, Louise M. O'Brien, Bruce F. O'Hara, Eric J. Olson, Jason C. Ong, Mark R. Opp, Edward F. Pace-Schott, Allan I. Pack, Daniel A. Paesani, John G. Park, Liborio Parrino, Susheel P. Patil, Milena K. Pavlova, John H. Peever, Philippe Peigneux, Yüksel Peker, Rafael Pelayo, Thomas Penzel, Jean-Louis Pépin, Paul E. Peppard, Michael Lloyd Perlis, Lampros Perogamvros, Aleksander Perski, Dominique Petit, Megan E. Petrov, Pierre Philip, Barbara A. Phillips, Dante Picchioni, Wilfred R. Pigeon, Margaret A. Pisani, Benjamin T. Pliska, Ronald Postuma, Stacey Dagmar Quo, Kannan Ramar, Angela C. Randazzo, Karen G. Raphael, Susan Redline, Kathryn J. Reid, Albert Rielly, Dieter Wilhelm Riemann, Timothy Roehrs, Alan M. Rosenwasser, Ivana Rosenzweig, Thomas Roth, James A. Rowley, Patricia Sagaspe, Rachel E. Salas, Mikael Sallinen, Charles Samuels, Anne E. Sanders, Clifford B. Saper, Michael J. Sateia, Josée Savard, Marie-Hélène Savard, Steven M. Scharf, Michael Schredl, Sophie Schwartz, Paula K. Schweitzer, Michael K. Scullin, Frédéric Sériès, Barry J. Sessle, Amir Sharafkhaneh, Katherine M. Sharkey, Priyattam J. Shiromani, Tamar Shochat, Jerome M. Siegel, Michael H. Silber, Michael Simmons, Carlyle Smith, Michael T. Smith, Adriane M. Soehner, Virend K. Somers, Victor I. Spoormaker, Erik K. St. Louis, Murray B. Stein, Robert Stickgold, Katie L. Stone, Riccardo Stoohs, Robyn Stremler, Kingman P. Strohl, Peter Svensson, Steven T. Szabo, Ronald Szymusiak, Mehdi Tafti, Jacques Taillard, Esra Tasali, Daniel J. Taylor, Mihai C. Teodorescu, Mario Giovanni Terzano, Robert Joseph Thomas, Michael J. Thorpy, Gregory J. Tranah, Claudia Trenkwalder, Fred W. Turek, Shachi Tyagi, Raghu Pishka Upender, Philipp O. Valko, Eve Van Cauter, Aurora J.A.E. van de Loo, Margo van den Berg, Olivier M. Vanderveken, Hans P.A. Van Dongen, Bradley V. Vaughn, Richard L. Verrier, Joris C. Verster, Alexandros N. Vgontzas, Bryan Vila, Martha Hotz Vitaterna, James K. Walsh, Arthur Scott Walters, Erin J. Wamsley, Paula L. Watson, Edward M. Weaver, Terri E. Weaver, Nancy J. Wesensten, Ephraim Winocur, Amy R. Wolfson, Christine Won, Kenneth P. Wright, Lora J. Wu, Mark Wu, Terry Young, Antonio Zadra, Phyllis C. Zee, Chunbai Zhang, Andrey V. Zinchuk, and Ding Zou

Published
2017

5. Sleep and Athletic Performance

Author

Scott J. Kutscher

Subjects
medicine.medical_specialty, Physical medicine and rehabilitation, business.industry, Medicine, business, Sleep in non-human animals
Published
2017

7. Sleep Dysfunction and its Management in Parkinson’s Disease

Author

Siavash Farshidpanah, Daniel O. Claassen, and Scott J. Kutscher

Subjects
medicine.medical_specialty, Parkinson's disease, Neurology, business.industry, Alternative medicine, Disease, medicine.disease, Sleep in non-human animals, Article, Sleep dysfunction, Insomnia, Medicine, Disease process, Neurology (clinical), medicine.symptom, business, Psychiatry
Abstract

Sleep disorders are among the most common non-motor symptoms in Parkinson’s Disease (PD). In some cases, symptoms can precede a diagnosis of PD by many years, but otherwise they are commonly encountered during the clinical care of patients. Unfortunately, sleep problems are under-recognized and subsequently inadequately addressed. In our experience, when properly addressed, physicians and patients are quickly aware of the often-debilitating nature of sleep dysfunction. This does not mean that solutions are easily attainable. Sleep in PD is held in a delicate balance, influenced by the disease process, medications, co-morbid symptoms, and a variety of other factors. For this reason, management of sleep in PD often requires an inter-disciplinary approach. Physicians should have an intimate knowledge of the many sleep problems apparent in PD, as well as appreciate the challenge presented by diverse therapeutic options that can both ameliorate and aggravate symptoms.

Published
2014

8. Baseline neurocognitive testing in sports-related concussions: the importance of a prior night's sleep

Author

D. Jake McClure, Gary S. Solomon, Scott J. Kutscher, Andrew Gregory, and Scott L. Zuckerman

Subjects
Male, medicine.medical_specialty, Adolescent, Universities, Poison control, Physical Therapy, Sports Therapy and Rehabilitation, Neuropsychological Tests, Occupational safety and health, Young Adult, Physical medicine and rehabilitation, Risk Factors, Injury prevention, Concussion, medicine, Reaction Time, Humans, Orthopedics and Sports Medicine, Baseline (configuration management), Brain Concussion, Retrospective Studies, Memory Disorders, Schools, biology, business.industry, Athletes, medicine.disease, biology.organism_classification, Tennessee, Cognitive test, Cross-Sectional Studies, Athletic Injuries, Physical therapy, Sleep Deprivation, Female, business, Neurocognitive
Abstract

Background: The management of sports-related concussions (SRCs) utilizes serial neurocognitive assessments and self-reported symptom inventories to assess recovery and safety for return to play (RTP). Because postconcussive RTP goals include symptom resolution and a return to neurocognitive baseline levels, clinical decisions rest in part on understanding modifiers of this baseline. Several studies have reported age and sex to influence baseline neurocognitive performance, but few have assessed the potential effect of sleep. We chose to investigate the effect of reported sleep duration on baseline Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) performance and the number of patient-reported symptoms. Hypothesis: We hypothesized that athletes receiving less sleep before baseline testing would perform worse on neurocognitive metrics and report more symptoms. Study Design: Cross-sectional study; Level of evidence, 3. Methods: We retrospectively reviewed 3686 nonconcussed athletes (2371 male, 1315 female; 3305 high school, 381 college) with baseline symptom and ImPACT neurocognitive scores. Patients were stratified into 3 groups based on self-reported sleep duration the night before testing: (1) short, Results: When controlling for age and sex as covariates, the MANCOVA revealed significant group differences on ImPACT reaction time, verbal memory, and visual memory scores but not visual-motor (processing) speed scores. An ANCOVA also revealed significant group differences in total reported symptoms. For baseline symptoms and ImPACT scores, subsequent pairwise comparisons revealed these associations to be most significant when comparing the short and intermediate sleep groups. Conclusion: Our results indicate that athletes sleeping fewer than 7 hours before baseline testing perform worse on 3 of 4 ImPACT scores and report more symptoms. Because SRC management and RTP decisions hinge on the comparison with a reliable baseline evaluation, clinicians should consider sleep duration before baseline neurocognitive testing as a potential factor in the assessment of athletes’ recovery.

Published
2013

9. Baseline Neurocognitive Test Results In Non-concussed Athletes: Does Sleep Matter?

Author

Scott L. Zuckerman, Andrew Gregory, D. Jake McClure, Scott J. Kutscher, and Gary S. Solomon

Subjects
medicine.medical_specialty, Sports medicine, biology, business.industry, Athletes, biology.organism_classification, Article, Test (assessment), medicine, Physical therapy, Orthopedics and Sports Medicine, Sleep (system call), business, Baseline (configuration management), Psychiatry, Neurocognitive
Abstract

Objectives: When managing sport-related concussions (SRC), sports medicine physicians utilize serial neurocognitive assessments and self-reported symptom inventories when evaluating athlete recovery and safety for returning to play (RTP). Since post-concussive RTP goals include symptom resolution and return to neurocognitive baseline, clinical decisions rest on an understanding of modifiers of baseline performance. Several studies have reported the influence of age, gender and sport on baseline neurocognitive performance, but few have assessed the potential effect of sleep. We hypothesized that: 1) athletes receiving less sleep prior to baseline testing would perform worse on neurocognitive metrics; and 2) decreased sleep would have no association with the quantity of reported symptoms. Methods: We retrospectively reviewed 3,704 non-concussed athletes, 2,385 male, 3,321 high school and 383 college-aged, with baseline symptom and neurocognitive scores on Immediate Post-concussion Assessment and Cognitive Testing (ImPACT). Subjects were stratified into three groups based on self-reported sleep duration the night prior to testing; 1) short < 7 hrs, 2) intermediate 7−9 hrs; and 3) long ≥ 9 hrs). Multivariate analysis assessed the influence of categorical sleep duration on the baseline number of reported symptoms and ImPACT performance, with alpha level of 0.05. Results: When controlling for age, gender and sport as covariates, the multivariate analysis of covariances showed a significant association between shorter sleep duration and poorer verbal memory scores (p=0.019), visual memory scores (p=0.035), and reaction time scores (p=0.044), but not for visual-motor scores. Significance was found between shorter sleep duration and increased number of reported symptoms (P < 0.0001). Subsequent pairwise comparisons revealed these associations to be most significant when specifically comparing the short and intermediate sleep groups. Conclusion: Our results indicate that athletes sleeping less than 7 hours prior to testing perform worse on 3 out of 4 neurocognitive ImPACT scores and endorse more symptoms. Because concussion management and RTP decisions hinge on the comparison to a reliable baseline evaluation, sports medicine physicians should strongly consider amount of sleep prior to neurocognitive testing in the assessment of athletes’ recovery.

Published
2013

10. Sleep disturbances in Parkinson's disease patients and management options

Author

Scott J. Kutscher and Daniel O. Claassen

Subjects
REM behavior disorder, medicine.medical_specialty, Parkinson's disease, Movement disorders, business.industry, insomnia, Excessive daytime sleepiness, Review, Disease, medicine.disease, Sleep medicine, Sleep in non-human animals, Parkinson disease, Behavioral Neuroscience, restless legs syndrome, Insomnia, medicine, sleep disorders, fatigue, Restless legs syndrome, medicine.symptom, business, Psychiatry, Applied Psychology
Abstract

Sleep disturbances are among the most common nonmotor complaints of patients with Parkinson’s disease (PD), and can have a great impact on quality of life. These disturbances manifest in a variety of ways; for instance, insomnia, sleep fragmentation, and excessive daytime sleepiness. Sleep-related movement disorders such as restless legs syndrome and periodic leg movements may share a common pathophysiology, and occurrence of rapid eye movement behavior disorder may predate the onset of PD or other synucleinopathies by several years. Medications for PD can have a significant impact on sleep, representing a great challenge to the treating physician. Awareness of the complex relationship between PD and sleep disorders, as well as the varied way in which sleep disturbances appear, is imperative for successful long-term management.

Published
2011

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