Improving Sleep in Rehabilitation After Stroke

Condition:   Stroke Interventions:   Behavioral: Digital cognitive behavioural therapy for insomnia;   Behavioral: Sleep hygiene information Sponsors:   University of Oxford;   Big Health Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials

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(Spink Health) The study, conducted in Switzerland, found that having multiple sleep-wake disturbances such as sleep-disordered breathing, extreme long or short sleep duration, insomnia and restless leg syndrome independently and significantly increased the risk of a new cardio-cerebrovascular event in the two years following a stroke.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
ga OT Abstract Zolpidem is widely used to treat insomnia of older adults despite that few randomized controlled studies were conducted in this group. We systematically reviewed the relevant literature on efficacy/effectiveness and safety of zolpidem use by elderly individuals in relevant databases completed with a manual search of key journals. Studies were required to include individuals aged ≥60 years under intervention with zolpidem compared to placebo or other hypnosedatives. Outcomes were either objectively- or subjectively-assessed improvements in specific sleep parameters and safety for clinical use. T...
Source: Experimental Gerontology - Category: Geriatrics Authors: Tags: Exp Gerontol Source Type: research
Sleep disorders are highly prevalent in the general population and may be linked in a bidirectional fashion to stroke, which is one of the leading causes of morbidity and mortality. Four major scientific societies established a task force of experts in neurology, stroke, respiratory medicine, sleep medicine and methodology, to critically evaluate the evidence regarding potential links and the impact of therapy. 13 research questions were evaluated in a systematic literature search using a stepwise hierarchical approach: first, systematic reviews and meta-analyses; second, primary studies post-dating the systematic reviews/...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Original Articles: EAN/ERS/ESO/ESRS statement Source Type: research
AbstractObjectiveTo evaluate the clinical efficacy of the Governor Vessel-unblocking and mind-regulating acupuncture method plus repetitive transcranial magnetic stimulation (rTMS) in the treatment of post-stroke insomnia.MethodsA total of 72 patients with post-stroke insomnia were randomly divided into 2 groups, with 36 cases in each group. The control group received rTMS treatment with a frequency of 1 Hz and a motion threshold value of 90%. The observation group received acupuncture with Governor Vessel-unblocking and mind-regulating method based on the rTMS treatment of the control group. The points were Baihui (GV 20)...
Source: Journal of Acupuncture and Tuina Science - Category: Complementary Medicine Source Type: research
This study found an association between stroke risk and longer sleep, longer midday napping, or poor sleep quality. But an association is not the same as causation. Rather than longer sleep duration causing strokes, there are other possible explanations for the findings. For example, people who sleep more at night or nap more during the day may have other risk factors for stroke, such as: A higher incidence of depression. Excessive sleeping or poor sleep quality may be symptoms of depression, and prior studies have noted higher stroke rates among depressed individuals. A more sedentary lifestyle. Those who are not active ...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Hypertension and Stroke Sleep Source Type: blogs
Sleep disturbances such as insomnia are extremely common, especially in women after menopause. According to data from the National Institutes of Health, sleep disturbance varies from 16% to 42% before menopause, from 39% to 47% during perimenopause, and from 35% to 60% after menopause. Insomnia is a serious medical problem defined by frequent difficulty falling or staying asleep that impacts a person’s life in a negative way. Hormone changes around menopause can lead to sleep problems for many reasons, including changing sleep requirements, increased irritability, and hot flashes. What menopausal women eat could have...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Fatigue Food as medicine Healthy Eating Menopause Nutrition Sleep Source Type: blogs
In the middle of the night, I wake up feeling warm. I open the window and pull my hair back into a ponytail and drink some water. Then I glance at my phone, delete a few things, and see some spam. I hit unsubscribe and go back to bed. Then I lie there thinking, What if by opening that spam email I got myself hacked? What if I just sent everyone in my contact list a Burger King ad at two in the morning? Now wide awake, I move on to other concerns: my parents’ health, my stepson’s college tuition, pending deadlines. Hours roll by. I tackle real-life math problems: how many weeks I have before getting my next free...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Gen X healthy sleep insomnia Source Type: news
Abstract An elderly man presented with chronic sleep problems that had recently worsened. He had evidence of disseminated vascular disease with residual left-sided weakness following a stroke. The examination was otherwise unremarkable, but his metabolic profile revealed electrolyte and vitamin deficiencies and an elevated parathyroid hormone level. Electrolytes and vitamins are critical for maintaining physiological balance. Facilitating sleep is especially important in older people for gait stability and sustaining emotional and physical health. Addressing these issues in this patient resulted in improvement, ju...
Source: Baylor University Medical Center Proceedings - Category: Universities & Medical Training Authors: Tags: Proc (Bayl Univ Med Cent) Source Type: research
Being an early bird, sleeping seven to eight hours a night, having no insomnia, not snoring and not being sleepy during the day were tied to better cardiovascular health.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Sleep Heart Genetics and Heredity Stroke Source Type: news
Many people with clinical depression have tried an array of medication and still feel sick. Maybe they’ve tried different selective serotonin reuptake inhibitors (SSRIs) or selective norepinephrine reuptake inhibitors (SNRIs). Maybe they’ve taken these antidepressants along with an antipsychotic (a common strategy to boost effectiveness). Either way, the lack of improvement can make individuals feel even more hopeless and fear the darkness will never lift. If this sounds all-too familiar, you’re definitely not alone. In fact, up to 30 percent of people with depression don’t respond to the first few ...
Source: Psych Central - Category: Psychiatry Authors: Tags: Antidepressants Depression Disorders ECT General Medications Treatment Atypical Depression difficult to treat depression Managing Depression MAOIs medication for depression Monoamine Oxidase Inhibitors Severe Depression Treatin Source Type: news
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