TY - GEN
T1 - 23686: Sleep Characteristics after Acute Stroke Vs. Traumatic Brain Injury
AU - Ottman, Ellie Marion
AU - Erickson, Kendell L.
AU - Sprint, Gina L.
AU - Honn, Kimberly A.
AU - Weeks, Douglas L
AU - Crooks, Elena
PY - 2020/2/1
Y1 - 2020/2/1
N2 - Purpose/Hypothesis: Fatigue and sleep disturbances are reported in the majority of individuals following stroke and traumatic brain injury (TBI). Between these populations, abnormal sleep is associated with impaired cognitive and psychomotor functioning. Sleep characteristics have been described in these populations at both acute-hospital and chronic stages, however not during acute rehabilitation. Therefore, the purpose of this study was to describe and compare sleep characteristics in individuals with acute stroke versus acute TBI in an inpatient rehabilitation facility (IRF). Number of Subjects: Thirteen subjects (67.5±5.7 years) with acute stroke (n=10) or TBI (n=3) at an IRF completed the study. Materials and Methods: Subjects wore actigraph monitors, a valid alternative to polysomnography, to measure sleep characteristics over 10 days. Minutes of sleep during two time periods—lights-on (06:00-20:59) and nighttime (19:00-05:59)—and number of sleep/wake transitions were calculated for Days 1 and 10. Cognitive and motor Functional Independence Measure (FIM) scores were recorded to reflect functional severity of neurological injury. Non-parametric tests were used to compare differences in sleep characteristics between persons with acute stroke and TBI. Results: There were no significant differences in sleep measures from Day 1 to Day 10 for either group. Total mean sleep durations were 14.9h for the TBI group and 8.0h for the stroke group. Despite observed differences, increased daytime sleep was exhibited by both groups. The stroke group displayed appropriate sleep duration, however, with a mean of only 68.5% of sleep occurring during nighttime hours. Compared to the stroke group, the TBI group demonstrated an additional 3h 13min of nighttime sleep, 3h 20min more of lights-on sleep, and 14.2 more sleep/wake transitions (p
AB - Purpose/Hypothesis: Fatigue and sleep disturbances are reported in the majority of individuals following stroke and traumatic brain injury (TBI). Between these populations, abnormal sleep is associated with impaired cognitive and psychomotor functioning. Sleep characteristics have been described in these populations at both acute-hospital and chronic stages, however not during acute rehabilitation. Therefore, the purpose of this study was to describe and compare sleep characteristics in individuals with acute stroke versus acute TBI in an inpatient rehabilitation facility (IRF). Number of Subjects: Thirteen subjects (67.5±5.7 years) with acute stroke (n=10) or TBI (n=3) at an IRF completed the study. Materials and Methods: Subjects wore actigraph monitors, a valid alternative to polysomnography, to measure sleep characteristics over 10 days. Minutes of sleep during two time periods—lights-on (06:00-20:59) and nighttime (19:00-05:59)—and number of sleep/wake transitions were calculated for Days 1 and 10. Cognitive and motor Functional Independence Measure (FIM) scores were recorded to reflect functional severity of neurological injury. Non-parametric tests were used to compare differences in sleep characteristics between persons with acute stroke and TBI. Results: There were no significant differences in sleep measures from Day 1 to Day 10 for either group. Total mean sleep durations were 14.9h for the TBI group and 8.0h for the stroke group. Despite observed differences, increased daytime sleep was exhibited by both groups. The stroke group displayed appropriate sleep duration, however, with a mean of only 68.5% of sleep occurring during nighttime hours. Compared to the stroke group, the TBI group demonstrated an additional 3h 13min of nighttime sleep, 3h 20min more of lights-on sleep, and 14.2 more sleep/wake transitions (p
M3 - Other contribution
T3 - Articles, Abstracts, and Reports
ER -