SUNY Upstate Medical University, Syracuse, NY, USA.
Wake Forest University Health Sciences, Wake Forest, NC, USA.
Clin Rehabil. 2020 Nov;34(11):1400-1408. doi: 10.1177/0269215520935940. Epub 2020 Jun 30.
Evaluate the impact of self-reported sleep problems on post-stroke recovery.
Cross-sectional secondary analysis of longitudinal data from the Locomotor Experience Applied Post-Stroke (LEAPS) rehabilitation and recovery study (phase-III single-blind randomized controlled clinical trial). Group medians were compared for three sleep problem groups across three time points.
Outpatient and in-home physical therapy.
Adults during the first year following stroke ( = 408, 380, 360 at 2, 6, 12 months, respectively).
The original study compared effects of locomotor training with body weight support in the year post-stroke. This analysis evaluated function in three sleep/functional-impact groups: no sleep problems, sleep problems with no-to-minimal-impact and sleep problems with moderate-to-quite-a-bit of impact.
Participants' responses regarding if they had "a sleep problem, such as insomnia" and, if so, what the impact was on their function. Stroke Impact Scale subscales for strength, hand function, mobility, ADLs, memory, communication, emotion, participation, and percent recovery.
About 25% of people with stroke reported sleep difficulty, 10% perceived sleep problems negatively impact function. Groups self-reporting worse sleep performed worse in all functional subscales (except self-perceived percent recovery) during the first year post-stroke.
Self-reported poor sleep adversely effects post-stroke functional recovery.
评估自报睡眠问题对中风后康复的影响。
Locomotor Experience Applied Post-Stroke (LEAPS) 康复和恢复研究（三期单盲随机对照临床试验）纵向数据的横断面二次分析。在三个时间点上，将三个睡眠问题组的组中位数进行比较。
门诊和家庭物理治疗。
中风后第一年的成年人（ = 408、380、360 人，分别在 2、6、12 个月时）。
原始研究比较了在中风后一年内进行运动训练与身体重量支持的效果。本分析评估了三个睡眠/功能影响组的功能：无睡眠问题、睡眠问题但无到轻度影响和睡眠问题有中度到相当大的影响。
参与者是否有“睡眠问题，如失眠”的回答，如果有，对他们的功能有什么影响。中风影响量表的子量表包括力量、手功能、移动性、ADLs、记忆、沟通、情绪、参与和恢复百分比。
约 25%的中风患者报告有睡眠困难，10%的患者认为睡眠问题对他们的功能有负面影响。在中风后第一年，自我报告睡眠较差的组在所有功能子量表（自我感知恢复百分比除外）上的表现都较差。
自我报告的睡眠质量差会对中风后的功能恢复产生不利影响。
