The Relationship Between Sleep Disturbance and Functional Status in Mild Stroke Patients

Abstract

ObjectiveTo investigate the sleep state of mild stroke patients and relationship between sleep disturbance and functional status.MethodsA total of 80 acute stroke patients were enrolled in this study. The criteria for inclusion in the study was as following: 1) first stroke, 2) cognitive function preserved enough to perform the test (Mini Mental State Examination ≥24), 3) good functional levels (Modified Rankin Scale ≤3), 4) upper extremity motor function preserved enough to perform occupational tests (hand strength test, Purdue pegboard test, 9-hole peg test, and Medical Research Council score ≥3), and 5) less than 2 weeks between the stroke and the assessment. Quality of sleep was assessed by using Pittsburg Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), Insomnia Severity Index (ISI), and Stanford Sleepiness Scale (SSS). Activities of daily living was assessed by using the Modified Barthel Index (MBI) and depressed mood was assessed by using the Beck Depression Inventory (BDI). Gross and fine motor function of the upper extremity was assessed by using hand strength test (Jamar dynamometer), Purdue pegboard test, and the 9-hole peg test.ResultsThe results of the occupational assessment were fine in the good sleepers. The PSQI, ESS, and ISI were correlated with some of the assessment tools (BDI, MBI, Purdue pegboard, 9-hole peg, and hand strength).ConclusionIn conclusion, this study emphasizes that sleep disturbance can affect the functional status in mild acute stroke patients. Therefore, clinicians must consider sleep status in stroke patients and need to work to control it.

Mental health according to sleep duration in stroke survivors: A population‐based nationwide cross‐sectional study

“…Sleep duration has been shown to be closely associated with poor functional outcomes and neurocognitive dysfunction in stroke survivors. In addition, sleep has a restorative neurological effect as such, stroke survivors who have shorter sleep duration might be at higher risk of experiencing suicidal thoughts and further neurological impairment. Attention to stroke survivorsʼ sleep duration, as well as offering education and promoting the importance of adequate sleep, are important in preventing suicidal ideation in this population, and interventions and management measures to relieve symptoms that hinder sleep, as well as to improve sleep disorders, are required.…”

“…Older stroke patients have been found to show inappropriate sleep hygiene when they experience physical, environmental and emotional obstacles . Furthermore, short and long sleep duration among stroke survivors can be caused by insomnia and sleep apnea . Sleep duration has been shown to be closely associated with poor functional outcomes and neurocognitive dysfunction in stroke survivors .…”

“…6 Furthermore, short and long sleep duration among stroke survivors can be caused by insomnia and sleep apnea. 4,5 Sleep duration has been shown to be closely associated with poor functional outcomes and neurocognitive dysfunction in stroke survivors. 5 In addition, sleep has a restorative neurological effect, and proper sleep duration is important for independent daily living of stroke survivors.…”

“…2 Previous studies have reported that many stroke survivors experience sleep disorders. [3][4][5] Older stroke patients have been found to show inappropriate sleep hygiene when they experience physical, environmental and emotional obstacles. 6 Furthermore, short and long sleep duration among stroke survivors can be caused by insomnia and sleep apnea.…”

Anti-Citrullinated Cyclic Peptide Antibody and Functional Disability Are Associated With Poor Sleep Quality in Rheumatoid Arthritis

“…23 Apart from RA, a nexus has been identified between functional limitation and sleep impairment in many other chronic medical conditions. 24,25 The anti-CCP antibody test is a useful diagnostic and prognostic tool in RA. 26 Studies have consistently pointed out the role of this antibody as a strong predictor of joint erosions in RA.…”