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Condition: Sleep Disorders

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Total 3019 results found since Jan 2013.

The Course and Impact of Poststroke Insomnia in Stroke Survivors Aged 18 to 65 Years: Results from the Psychosocial Outcomes In StrokE (POISE) Study 

Conclusions: Chronic insomnia has a negative effect on disability and return to work 1 year after stroke even after adjusting for demographic, psychiatric, and disability factors. Identifying and appropriately targeting insomnia through known effective treatments may improve functional outcomes after stroke. 
Cerebrovasc Dis Extra 2017;7:9 –20
Source: Cerebrovascular Diseases Extra - February 3, 2017 Category: Neurology Source Type: research

Executive Function Is Associated With Off-Line Motor Learning in People With Chronic Stroke.
CONCLUSIONS: This is the first study to demonstrate that better performance on an executive function test of attention and set-shifting predicts a higher magnitude of off-line motor learning in individuals with chronic stroke. This emphasizes the need to consider attention and set-shifting abilities of individuals following stroke as these abilities are associated with motor learning. This in turn could affect learning of activities of daily living and impact functional recovery following stroke.Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT...
Source: Physical Therapy - March 2, 2017 Category: Physiotherapy Authors: Al-Dughmi M, Al-Sharman A, Stevens S, Siengsukon CF Tags: J Neurol Phys Ther Source Type: research

The Effect of Sleep Disturbances on the Functional Recovery of Rehabilitation Inpatients Following Mild and Moderate Stroke
Conclusions: Sleep disturbance after stroke was found to have negative effects on functional recovery, especially balance improvement in moderate stroke group.
Source: American Journal of Physical Medicine and Rehabilitation - September 20, 2017 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Role of Positive Airway Pressure Therapy for Obstructive Sleep Apnea in Patients With Stroke: A Randomized Controlled Trial
Conclusions:These findings suggest significantly better stroke outcomes and statistically nonsignificant favorable outcomes in terms of recurrence of vascular events for patients with stroke and OSA who use CPAP treatment.Clinical Trial Registration:Registry: Clinical Trials Registry - India, CTRI Registration No: CTRI/2016/07.007104, Title: Sleep Disordered Breathing in stroke patients: Effect of treatment trial, URL:http://ctri.nic.in/Clinicaltrials/showallp.php?mid1=8682&EncHid=&userName=sleep%20disordered%20breathingCitation:Gupta A, Shukla G, Afsar M, Poornima S, Pandey RM, Goyal V, Srivastava A, Vibha D, Beha...
Source: Journal of Clinical Sleep Medicine : JCSM - April 13, 2018 Category: Sleep Medicine Source Type: research

Effect of CPAP Treatment of Sleep Apnea on Clinical Prognosis After Ischemic Stroke: An Observational Study
Conclusions:This observational study shows that CPAP treatment in stroke patients with moderate to severe SDB is associated with lower rates of stroke recurrence and death.Citation:Haba-Rubio J, Vujica J, Franc Y, Michel P, Heinzer R. Effect of CPAP treatment of sleep apnea on clinical prognosis after ischemic stroke: an observational study.J Clin Sleep Med. 2019;15(6):839–847.
Source: Journal of Clinical Sleep Medicine : JCSM - June 15, 2019 Category: Sleep Medicine Source Type: research

Cardiac autonomic dynamics during sleep are lost in patients with TIA and stroke.
Abstract Ischaemic stroke is accompanied by important alterations of cardiac autonomic control, which have an impact on stroke outcome. In sleep, cardiac autonomic control oscillates with a predominant sympathetic modulation during REM sleep. We aimed to assess cardiac autonomic control in different sleep stages in patients with ischaemic stroke. Forty-five patients enrolled in the prospective, multicentre SAS-CARE study but without significant sleep-disordered breathing (apnea-hypopnea index < 15/hr) and without atrial fibrillation were included in this analysis. The mean age was 56 years, 68% were male, 76...
Source: Journal of Sleep Research - June 12, 2019 Category: Sleep Medicine Authors: Tobaldini E, Proserpio P, Oppo V, Figorilli M, Fiorelli EM, Manconi M, Agostoni EC, Nobili L, Montano N, Horvath T, Bassetti CL Tags: J Sleep Res Source Type: research

Severely Disturbed Sleep in Patients With Acute Ischemic Stroke on Stroke Units: A Pilot Study
Conclusion: We show that sleep is severely disturbed in patients with acute ischemic stroke admitted to stroke units. Larger studies are needed to clarify associations between deprivation of deep sleep and secondary deterioration.
Source: Frontiers in Neurology - October 24, 2019 Category: Neurology Source Type: research

Developments in treating the nonmotor symptoms of stroke.
Authors: Hillis AE Abstract Introduction: Stroke is among the most common causes of disability worldwide. Nonmotor symptoms of stroke are common and disabling. Many are treatable, and intervention improves the quality of life for stroke survivors.Areas covered: Here the author summarizes evidence-based treatment of depression and other mood disorders, aphasia, hemispatial neglect, impairments of emotional communication and empathy, deficits in memory and other cognitive functions, sleep disorders, pain, fatigue, (1)and seizures resulting from stroke. The author focuses on treatments supported by randomized controlled ...
Source: Expert Review of Neurotherapeutics - May 5, 2020 Category: Neurology Tags: Expert Rev Neurother Source Type: research

Is there an association among sleep duration, nap, and stroke? Findings from the China Health and Retirement Longitudinal Study
ConclusionIn this elderly Chinese population, short total sleep duration per 24 h, not merely daytime napping or nighttime sleep, was significantly associated with an increased risk of stroke. Preventive measures for stroke may require a focus on elderly, sedentary individuals who report other health problems.
Source: Sleep and Breathing - June 18, 2020 Category: Respiratory Medicine Source Type: research

Sleep problems worsen health-related quality of life and participation during the first 12  months of stroke rehabilitation.
CONCLUSION: Self-reported poor sleep adversely effects post-stroke functional recovery. PMID: 32602376 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - June 29, 2020 Category: Rehabilitation Authors: Fulk G, Duncan P, Klingman KJ Tags: Clin Rehabil Source Type: research

Clinical efficacy and imaging evaluation of recombinant tissue plasminogen activator thrombolytic therapy in patients with wake up stroke: A randomized controlled trial
This study will be a single-blinded, randomized controlled trial with 2 parallel groups. It will be conducted at North China University of science and technology affiliated hospital. Discussion: There is no consistent conclusion about the pathogenesis of wake up stroke. Wake up stroke is more likely to manifest as small vessel disease. The incidence of wake up stroke patients is relatively high, and the effectiveness and safety of intravenous thrombolysis under the guidance of multimode imaging therapy in wake up stroke need to be further explored by prospective, large-scale studies. Trial registration: ClinicalTrial...
Source: Medicine - September 4, 2020 Category: Internal Medicine Tags: Research Article: Study Protocol Clinical Trial Source Type: research

Quantile Regression Forests to Identify Determinants of Neighborhood Stroke Prevalence in 500 Cities in the USA: Implications for Neighborhoods with High Prevalence
AbstractStroke exerts a massive burden on the US health and economy. Place-based evidence is increasingly recognized as a critical part of stroke management, but identifying the key determinants of neighborhood stroke prevalence and the underlying effect mechanisms is a topic that has been treated sparingly in the literature. We aim to fill in the research gaps with a study focusing on urban health. We develop and apply analytical approaches to address two challenges. First, domain expertise on drivers of neighborhood-level stroke outcomes is limited. Second, commonly used linear regression methods may provide incomplete a...
Source: Journal of Urban Health - September 3, 2020 Category: Health Management Source Type: research

The association between sleep duration, napping, and stroke stratified by self-health status among Chinese people over 65  years old from the China health and retirement longitudinal study
ConclusionsBoth short and long sleep duration were significantly associated with stroke among individuals who reported poor health. Stroke prevention should be focused on elderly individuals who believe that they have health problems.
Source: Sleep and Breathing - October 16, 2020 Category: Respiratory Medicine Source Type: research

Impact of sleep quality on post ‐stroke anxiety in stroke patients
ConclusionsPoor sleep quality before stroke was associated with PSA and may be an independent risk factor of PSA 1  month after AIS onset.
Source: Brain and Behavior - November 3, 2020 Category: Neurology Authors: Meijuan Xiao, Guiqian Huang, Liang Feng, Xiaoqian Luan, Qiongzhang Wang, Wenwei Ren, Siyan Chen, Jincai He Tags: ORIGINAL RESEARCH Source Type: research