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Table 7.7 Relaxation Strategies for the Management of Fatigue and Sleep Disorders Post ABI

Author Year

Country

Study Design

Sample Size

Methods

Outcome

Chiu et al. (2017)

Taiwan

RCT Crossover

PEDro=8

N=24

Population: TBI; Mean age=35.9yr; Gender: Male=9 Female=15; Mean Time Post Injury=27.6mo.

Intervention: Using a crossover design, TBI patients received a 30 min, 41°C warm footbath each day for 3d then usual care for 3 days (or vice versa), separated by a 3d washout period.

Outcome Measure: Sleep Efficiency (SE), Sleep Onset Latency (SOL), Total Sleep Time (TST), Wake After Sleep Onset (WASO).

1.        Warm footbaths showed non-significant improvement in SE compared to control (p=0.09).

2.        SOL was significantly reduced during the warm footbath phase as compared with control (p<0.001).

3.        TST was not significantly increased during the warm footbath phase compared with control.

4.        WASO was significantly reduced during the warm footbath phase as compared with control (p=0.006).