Implementation of Actigraphy in Acute Traumatic Brain Injury Neurorehabilitation Admissions: A Veterans Administration TBI Model Systems Feasibility Study

Sleep problems and disorders are prevalent in TBI and are associated with negative outcomes. Incidence varies due to challenges including differences in assessment methods particularly in acute stages of recovery when patients are cognitively impaired and unable to complete traditional self-report methods. Actigraphy (ACG) has recently been validated in the acute TBI rehabilitation setting and may serve as a superior method of assessing sleep-wake patterns at this stage of recovery. Although a few studies with small sample sizes have described using ACG, none have described feasibility and implementation protocols.

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