Outcomes Post Treatment: Impact on Motor Impairment of Sleep Efficiency in SCI (OPTIMISE SCI Trial)

This study (OPTIMISE SCI) investigates whether improving sleep quality in people with a recent spinal cord injury (SCI) can help their motor recovery. Participants will be monitored for sleep problems like sleep apnea and their impact on physical rehabilitation outcomes. You may be eligible if: - You are an English-speaking adult (18+) - You had a spinal cord injury within the last 30 days (cervical or thoracic, C2 to T12 level) - Your injury is classified as AIS A through D (complete or incomplete) - You were not being treated for sleep apnea before your injury You may NOT be eligible if: - Your spinal cord condition is non-traumatic and likely to progress (e.g., MS, spinal cord tumor) - You have other diseases of the central nervous system - You had chronic pain before the injury - You have significant psychiatric disorders, neuromuscular diseases, or substance misuse - You have epilepsy, vitamin B12 deficiency, or a known sleep disorder other than sleep-disordered breathing Talk to your doctor to see if this trial is right for you.