Post-stroke insomnia in community-dwelling patients with chronic motor stroke: Physiological evidence and implications for stroke care

Scientific Reports
Annette SterrD Riemann

Abstract

Questionnaire studies suggest that stroke patients experience sustained problems with sleep and daytime sleepiness, but physiological sleep studies focussing specifically on the chronic phase of stroke are lacking. Here we report for the first time physiological data of sleep and daytime sleepiness obtained through the two gold-standard methods, nocturnal polysomnography and the Multiple Sleep Latency Test. Data from community-dwelling patients with chronic right-hemispheric stroke (>12 months) were compared to sex- and age-matched controls. Behavioural and physiological measures suggested that stroke patients had poorer sleep with longer sleep latencies and lower sleep efficiency. Patients further spent more time awake during the night, and showed greater high-frequency power during nonREM sleep than controls. At the same time the Multiple Sleep Latency Test revealed greater wake efficiency in patients than controls. Importantly these findings were not due to group differences in sleep disordered breathing or periodic limb movements. Post-stroke insomnia is presently not adequately addressed within the care pathway for stroke. A holistic approach to rehabilitation and care provision, that includes targeted sleep interventions,...Continue Reading

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Citations

May 3, 2019·Stroke; a Journal of Cerebral Circulation·Sandeep P Khot, Lewis B Morgenstern
Jan 21, 2020·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Irene L KatzanNancy Foldvary-Schaefer
Jun 9, 2020·Neurorehabilitation and Neural Repair·Melanie K FlemingHeidi Johansen-Berg
Jul 22, 2020·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Irene L KatzanNancy Foldvary-Schaefer
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Feb 6, 2020·Frontiers in Psychiatry·Alexei VerkhratskyBaoman Li
Nov 4, 2020·Brain and Behavior·Meijuan XiaoJincai He
Dec 17, 2019·Heart & Lung : the Journal of Critical Care·Eeeseung ByunPamela H Mitchell
Feb 13, 2021·BioMed Research International·Han-Chin HsiehPo-Cheng Chen
Jul 2, 2021·Neurorehabilitation and Neural Repair·Melanie K FlemingHeidi Johansen-Berg

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