Wrong objective; it should have been to create a sleep protocol. So more wasted research, and the mentors and senior researchers approved such waste, I'd have them fired.
Study Protocol: Sleep Effects on Post-Stroke Rehabilitation Study
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- PAP
Abstract
Background
A range of sleep disturbances and disorders are problematic in people following stroke; they interfere with recovery of function during post-stroke rehabilitation. However, studies to date have focused primarily on the effects of one sleep disorder—Obstructive Sleep Apnea (OSA)—on stroke recovery.
Objectives
The study protocol for the SLEep Effects on Post-Stroke Rehabilitation (SLEEPR) Study is presented with aims of characterizing proportion of non-OSA sleep disorders in the first 90 days following stroke, evaluating the effect of non-OSA sleep disorders on post-stroke recovery, and exploring the complex relationships between stroke, sleep, and recovery in the community setting.
Methods
SLEEPR is a prospective cohort observational study across multiple study sites following individuals from inpatient rehabilitation through 90 days post-stroke, with three measurement time points (inpatient rehabilitation, i.e., ~15 days post-stroke, 60 days post-stroke, and 90 days post-stroke). Measures of sleep, function, activity, cognition, emotion, disability, and participation will be obtained for 200 people without OSA at the study’s start through self-report, capacity assessments, and performance measures. Key measures of sleep include wrist actigraphy, sleep diaries, overnight oximetry, and several sleep disorders screening questionnaires (Insomnia Severity Index, Cambridge Hopkins Restless Legs Questionnaire, Epworth Sleepiness Scale, and Sleep Disorders Screening Check List). Key measures of function and capacity include the 10-meter walk test, Stroke Impact Scale, Barthel Index, and modified Rankin Scale. Key performance measures include leg accelerometry (e.g., steps/day, sedentary time, upright time, sit-to-stand transitions) and community trips via GPS data and activity logs.
Discussion
The results of this study will contribute to understanding the complex interplay between non-OSA sleep disorders and post-stroke rehabilitation; they provide insight regarding barriers to participation in the community and return to normal activities following stroke. Such results could lead to strategies for developing new stroke recovery interventions.
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