Sleep disruption after brain injury is associated with worse motor outcomes and slower functional recovery

作者: Melanie K Fleming , Tom Smejka , David Henderson Slater , Veerle van Gils , Emma Garratt

DOI: 10.1101/2020.02.16.20022384

关键词:

摘要: Abstract Background and Aims Sleep is important for consolidation of motor learning, but brain injury may affect sleep continuity therefore rehabilitation outcomes. This study aims to assess the relationship between quality recovery in patients receiving inpatient rehabilitation. Methods 59 with were recruited from two specialist units. was assessed (up 3 times) objectively using actigraphy (7 nights) subjectively Condition Indicator. Motor outcome assessments included: Action Research Arm test (upper limb function), Fugl Meyer assessment (motor impairment) Rivermead Mobility Index. The functional independence measure (FIM) at admission discharge by clinical team. 55 age gender matched healthy controls completed one assessment. Results Inpatients demonstrated lower self-reported (p Conclusions demonstrate impaired quality, this associated poorer outcomes slower recovery. Further investigation needed determine how can be improved whether affects outcome.

参考文章(37)
Jääskö L, Leyman I, Steglind S, Olsson S, Fugl-Meyer Ar, The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance. Scandinavian Journal of Rehabilitation Medicine. ,vol. 7, pp. 13- 31 ,(1975)
Paula Regina Aguiar Cavalcanti, Tania Fernandes Campos, John Fontenele Araüjo, None, Circadian and homeostatic changes of sleep-wake and quality of life in stroke: implications for neurorehabilitation. NeuroRehabilitation. ,vol. 32, pp. 337- 343 ,(2013) , 10.3233/NRE-130853
Maria Gardani, Eleni Morfiri, Allan Thomson, Brian O'Neill, Thomas M. McMillan, Evaluation of Sleep Disorders in Patients With Severe Traumatic Brain Injury During Rehabilitation Archives of Physical Medicine and Rehabilitation. ,vol. 96, pp. 1691- 1697 ,(2015) , 10.1016/J.APMR.2015.05.006
Lorna Paul, Stephen Brewster, Sally Wyke, Jason M. R. Gill, Gillian Alexander, Aleksandra Dybus, Danny Rafferty, Physical activity profiles and sedentary behaviour in people following stroke: a cross-sectional study Disability and Rehabilitation. ,vol. 38, pp. 362- 367 ,(2016) , 10.3109/09638288.2015.1041615
A. Terzoudi, T. Vorvolakos, I. Heliopoulos, M. Livaditis, K. Vadikolias, H. Piperidou, Sleep Architecture in Stroke and Relation to Outcome European Neurology. ,vol. 61, pp. 16- 22 ,(2009) , 10.1159/000165344
Linda N. Bakken, Kathryn A. Lee, Hesook Suzie Kim, Arnstein Finset, Anners Lerdal, Sleep-Wake Patterns during the Acute Phase after First-Ever Stroke Stroke Research and Treatment. ,vol. 2011, pp. 936298- 936298 ,(2011) , 10.4061/2011/936298
Caroline Müller, Peter Achermann, Matthias Bischof, Arto C. Nirkko, Corinne Roth, Claudio L. Bassetti, Visual and spectral analysis of sleep EEG in acute hemispheric stroke. European Neurology. ,vol. 48, pp. 164- 171 ,(2002) , 10.1159/000065509
F. Giubilei, M. Iannilli, A. Vitale, A. Pierallini, M. L. Sacchetti, G. Antonini, C. Fieschi, Sleep patterns in acute ischemic stroke Acta Neurologica Scandinavica. ,vol. 86, pp. 567- 571 ,(1992) , 10.1111/J.1600-0404.1992.TB05488.X
Annette Sterr, Katherine Herron, Derk-Jan Dijk, Jason Ellis, Time to wake-up: sleep problems and daytime sleepiness in long-term stroke survivors. Brain Injury. ,vol. 22, pp. 575- 579 ,(2008) , 10.1080/02699050802189727