Stack Emma L, Ashburn Ann M
School of Health Professions and Rehabilitation Sciences, University of Southampton, Southampton, United Kingdom.
Mov Disord. 2006 Sep;21(9):1340-2. doi: 10.1002/mds.20944.
The contribution of impaired mobility to disordered sleep in Parkinson's disease (PD) remains uncertain. We evaluated the sleep of 38 people with PD and observed their turning strategies. Most reported difficulty maintaining sleep and difficulty turning. Those who hip-hitched rated themselves more disabled and those who sat up had more severe PD than those who used support. Using multiple strategies was associated with sleep disturbance. As the ability to turn deteriorates, we recommend patients identify the single strategy least disruptive to sleep. Research must address whether improving mobility improves sleep quality.
帕金森病(PD)中运动功能受损对睡眠紊乱的影响仍不明确。我们评估了38名帕金森病患者的睡眠情况,并观察了他们的翻身策略。大多数患者报告存在睡眠维持困难和翻身困难。与使用辅助工具的患者相比,采用臀部扭动翻身的患者自我评定残疾程度更高,而采用坐起翻身的患者帕金森病病情更严重。使用多种翻身策略与睡眠障碍有关。随着翻身能力的下降,我们建议患者确定对睡眠干扰最小的单一翻身策略。研究必须探讨改善运动功能是否能提高睡眠质量。