Concussion, Mild Clinical Trial
Official title:
Effects of Bright Light Therapy of Sleep, Cognition, Brain Function, and Neurochemistry in Mild Traumatic Brain Injury
Mild traumatic brain injuries (mTBI) or "concussions" are an increasingly prevalent injury
in our society. Patients with post-concussion syndrome have been shown to have deficits on
tests of short term memory, divided attention, multi-tasking, information processing speed,
and reaction time, as well as alteration in mood and emotional functioning. Many patients
have other vague complaints including fatigue, dizziness, irritability, sleep disturbances,
and chronic headaches. Furthermore, sleep disruption of one of the most common complaints in
patients suffering from traumatic brain injuries, with as many as 40 to 65% of patients with
mTBI complaining of insomnia. Sleep problems in these patients are associated with poorer
outcome, while resolution of the sleep disturbance is associated with improvement in
cognitive functioning.
Despite recent evidence of the correlation between sleep quality and recovery from traumatic
brain injury, and the well-established role of sleep in neural plasticity and neurogenesis,
there have been virtually no direct studies of the causal effects of sleep on recovery
following mTBI. However, it is quite likely that sleep plays a critical role in recovery
following brain injury.
A particularly promising non-pharmacologic approach that shows potential in
improving/modifying abnormalities of the circadian rhythm and sleep-wake schedule is bright
light therapy. For the proposed investigation, we hypothesize that bright light therapy may
be helpful in improving the sleep of patients with a recent history of mTBI and may also
have other mood elevating effects, both of which should promote positive treatment outcome
in these individuals. Bright light therapy may increase the likelihood that they will
recover more quickly, benefit more extensively from other forms of therapy, and build
emotional and cognitive resilience.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
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