The effect of sleep fragmentation on therapeutic engagement and rehabilitation progress after brain injury in a pediatric inpatient sample.

IF 1.5 4区医学 Q4 NEUROSCIENCES

Brain injury Pub Date : 2025-03-24 DOI:10.1080/02699052.2025.2482778

Anthony H Lequerica, Hannah Aura Shoval, Jessica Ace, Theodore W Yip, Sabrina S Dieffenbach, Claire M Marchetta, Jean Lengenfelder

{"title":"The effect of sleep fragmentation on therapeutic engagement and rehabilitation progress after brain injury in a pediatric inpatient sample.","authors":"Anthony H Lequerica, Hannah Aura Shoval, Jessica Ace, Theodore W Yip, Sabrina S Dieffenbach, Claire M Marchetta, Jean Lengenfelder","doi":"10.1080/02699052.2025.2482778","DOIUrl":null,"url":null,"abstract":"Objective: This study evaluated the effect of sleep fragmentation after brain injury on therapeutic engagement and rehabilitation progress in pediatric inpatients.Methods: Participants (N = 29) wore a wrist accelerometer for one week to calculate a sleep fragmentation index measuring restlessness during the sleep period. Therapists completed ratings of functional independence (using the WeeFIM) and therapeutic engagement (effort and active participation in physical therapy sessions measured using the Rehabilitation Therapy Engagement Scale).Results: Controlling for time from injury to rehabilitation admission, sleep fragmentation is negatively associated with therapeutic engagement and rehabilitation progress (defined as improvement in WeeFIM scores from admission to discharge per day of rehabilitation). Hierarchical regression demonstrated a significant negative association between sleep fragmentation and rehabilitation progress. However, when therapeutic engagement was added to the model it accounted for a significant portion of the variance and the effect of sleep fragmentation was no longer a significant predictor of rehabilitation progress.Conclusion: Findings demonstrate the detrimental impact of sleep fragmentation on therapeutic engagement and rehabilitation progress and also suggest a possible mediating role for therapeutic engagement on the effect of sleep fragmentation on rehabilitation progress.","PeriodicalId":9082,"journal":{"name":"Brain injury","volume":" ","pages":"1-6"},"PeriodicalIF":1.5000,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brain injury","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/02699052.2025.2482778","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NEUROSCIENCES","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: This study evaluated the effect of sleep fragmentation after brain injury on therapeutic engagement and rehabilitation progress in pediatric inpatients.

Methods: Participants (N = 29) wore a wrist accelerometer for one week to calculate a sleep fragmentation index measuring restlessness during the sleep period. Therapists completed ratings of functional independence (using the WeeFIM) and therapeutic engagement (effort and active participation in physical therapy sessions measured using the Rehabilitation Therapy Engagement Scale).

Results: Controlling for time from injury to rehabilitation admission, sleep fragmentation is negatively associated with therapeutic engagement and rehabilitation progress (defined as improvement in WeeFIM scores from admission to discharge per day of rehabilitation). Hierarchical regression demonstrated a significant negative association between sleep fragmentation and rehabilitation progress. However, when therapeutic engagement was added to the model it accounted for a significant portion of the variance and the effect of sleep fragmentation was no longer a significant predictor of rehabilitation progress.

Conclusion: Findings demonstrate the detrimental impact of sleep fragmentation on therapeutic engagement and rehabilitation progress and also suggest a possible mediating role for therapeutic engagement on the effect of sleep fragmentation on rehabilitation progress.

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

来源期刊

Brain injury 医学-康复医学

CiteScore

3.50

自引率

5.30%

发文量

148

审稿时长

12 months

期刊介绍： Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.