Assuming the same for stroke, what is your doctors sleep protocol for you? Do sleeping pills provide the same type of sleep needed?
Recovery From Brain Injury, Better Sleep Go Hand in Hand
After a traumatic brain injury (TBI), people also experience major
sleep problems, including changes in their sleep-wake cycle. A study
published in the journal Neurology shows that recovering from these
conditions occurs in parallel.
“These results suggest that monitoring a person's sleep-wake cycle
may be a useful tool for assessing their recovery after TBI,” said Nadia
Gosselin, PhD, University of Montréal, Montréal, Québec. “We found that
when someone sustained a brain injury and had not recovered a certain
level of consciousness to keep them awake and aware of their
surroundings, they were not able to generate a good sleep-wake cycle.
But as they recovered, their quality of sleep improved.”
A good sleep-wake cycle was defined as being alert and active during the day and getting uninterrupted sleep at night.
The study involved 30 people aged 17 to 58 years who had been
hospitalised for moderate to severe TBI. Most of the patients were in a
coma when they were admitted to the hospital and all initially received
care in an intensive care unit. The injuries were caused by motor
vehicle accidents for 20 people, falls for 7 people, recreational or
sports injuries for 2 people, and a blow to the head for 1 person. They
were hospitalised for an average of 45 days with monitoring for the
study beginning an average of 21 days into a person's stay.
Each person was monitored daily for an average of 11 days for level
of consciousness and thinking abilities using the Rancho Los Amigos
scale, which ranges from 1 to 8. Each person also wore an activity
monitor on their wrist so researchers could measure their sleep.
Researchers found that consciousness and thinking abilities improved
hand-in-hand with measures of quality of sleep, showing a linear
relationship.
One measure, the daytime activity ratio, shows percentage of activity
that occurs during the day. Immediately after the injury, activity
occurs throughout the day and night. The study showed that participants
reached an acceptable sleep-wake cycle, with a daytime activity ratio of
at least 80%, at the same point when they emerged from a minimally
conscious state.
The participants still had inadequate sleep-wake cycles at a score of
5 on the Rancho Los Amigos scale, where people are confused and give
inappropriate responses to stimuli but are able to follow simple
commands. Sleep-wake cycles reached adequate levels at the same time
that people reached a score of 6 on the Rancho Los Amigos scale, which
is when people can give appropriate responses while still depending on
outside input for direction. At that level, they can remember relearned
tasks, but cannot remember new tasks.
The results were the same when researchers adjusted for the amount of
time that had passed since the injury and the amount of medications
they had received while they were in the ICU.
“It’s possible that there are common underlying brain mechanisms
involved in both recovery from TBI and improvement in sleep,” said Dr.
Gosselin. “Still, more study needs to be done and future research may
want to examine how hospital lighting and noise also affect quality of
sleep for those with TBI.”
SOURCE: American Academy of Neurology
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,112 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke.DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER, BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.
What this blog is for:
My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment