The Relationship Between Sleep Disturbance and Functional Status in Mild Stroke Patients.
10.5535/arm.2015.39.4.545
- Author:
Jinil KIM
1
;
Yuntae KIM
;
Kwang Ik YANG
;
Doh Eui KIM
;
Soo A KIM
Author Information
1. Department of Physical Medicine and Rehabilitation, Soonchunhyang University Cheonan Hospital, Cheonan, Korea. sooapmr@schmc.ac.kr
- Publication Type:Original Article
- Keywords:
Stroke;
Sleep;
Hand function
- MeSH:
Activities of Daily Living;
Depression;
Hand;
Hand Strength;
Humans;
Sleep Initiation and Maintenance Disorders;
Stroke*;
Upper Extremity
- From:Annals of Rehabilitation Medicine
2015;39(4):545-552
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To investigate the sleep state of mild stroke patients and relationship between sleep disturbance and functional status. METHODS: A 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 > or =24), 3) good functional levels (Modified Rankin Scale < or =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 > or =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. RESULTS: The 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). CONCLUSION: In 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.
