Symposium

Brain Injury

Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)

Pain Rehabilitation

Multidisciplinary Perspectives on Sleep Disturbance and Chronic Pain Following Moderate to Severe Traumatic Brain Injury

Tuesday, November 8, 2022

2:15 PM – 3:30 PM

Presenter(s)

Aaron M. Martin, PhD

Psyhologist
James A. Haley Veterans' Hospital
Tampa, Florida, United States

Slides
Bridget A. Cotner, PhD

Health Science Specialist | Anthropologist
James A. Haley Veterans Hospital
Tampa, Florida, United States

Slides
Lara Wittine, MD, FCCP, FAASM

Sleep Medicine physician; Medical Director AdventHealth Sleep Center - Tampa
AdventHealth Hospital - Tampa; Pioneer Neurohealth; James A. Haley VA Hospital
Tampa, Florida, United States

Sleep and chronic pain following moderate to severe TBI are increasingly recognized within a complex long-term trajectory of recovery. However, information on the relationship between sleep and chronic pain following injury remains limited. This symposium will share recent findings in this area that has leveraged data from the National Institute on Disability and Rehabilitation Research TBI Model Systems (TBIMS) Chronic Pain Collaborative Research Project, an ongoing multicenter, multidisciplinary research project examining chronic pain in persons hospitalized with moderate to severe traumatic brain injury (TBI). Talks will provide overview of the mechanistic relationship between sleep and pain, present data on the longitudinal relationship between early sleep disordered breathing and the incidence of chronic pain at long-term follow-up, and relay themes related to providers perceptions on addressing the sleep needs of those with TBI and chronic pain.

Learning Objectives:

Understand the unique role of sleep among those with chronic pain following TBI and identify pain-related factors associated with poor sleep among persons with TBI and chronic pain.
Understand the association between sleep disordered breath in early rehabilitation and chronic pain status in persons with TBI.
Identify the value of objective sleep assessment (i.e., polysomnography) in the context of early rehabilitation, particularly with regard to pain management and opioid administration.
Describe providers’ perceived facilitators and barriers to sleep treatment to persons with TBI and chronic pain.
Recognize potential barriers to adequately addressing the sleep needs of those with TBI and chronic pain and identify strategies for facilitating care.