Deans' stroke musings: The Association Between Sleep Duration and Functional Disability in Inpatient Stroke Rehabilitation: A Pilot Observational Study

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.

Friday, July 30, 2021

The Association Between Sleep Duration and Functional Disability in Inpatient Stroke Rehabilitation: A Pilot Observational Study

So you described a problem but threw up your hands in defeat and did nothing to solve it. This is why observational studies are pretty much useless.

https://doi.org/10.1016/j.arrct.2021.100150 Get rights and content

Under a Creative Commons license

open access

Abstract

Objective

To describe the change in sleep duration during inpatient rehabilitation, and to determine if sleep quality and sleep duration is associated with functional disability for individuals following stroke. It was hypothesized that participants who experienced optimal sleep during inpatient rehab would have greater functional ability at discharge.

Design

longitudinal observation study.

Setting

inpatient rehabilitation unit at a large, urban hospital.

Participants

Thirty-seven individuals with acute stroke (M_age = 62.5, SD = 11.8, Males = 20, Females = 17) were recruited from September 2018 to September 2019. Participants were invited to participate in the study by clinical personnel associated with their usual care as they were admitted to inpatient rehabilitation.

Interventions

Not applicable.

Maim Outcome Measure

Participants were asked to wear an actigraph for the duration of their rehabilitation program to assess sleep. The first three nights of actigraphy data was averaged to obtain total sleep time (TST) and sleep efficiency (SE) at admission and the last three nights was averaged for TST and SE at discharge. Functional disability (primary outcome was Functional Independent Measure, (FIM)) at admission and discharge was gathered from the participants’ medical records. One-way ANOVAs and chi-square analyses assessed for group differences, and regression modeling was used to determine if sleep was associated with functional ability at discharge.

Results

Sixteen (43%) participants were categorized as “good sleepers” and 21 (57%) were “poor sleepers” based on their TST at admission. Of the poor sleepers, 14 (66%) participants remained short duration sleepers (< 7 hours at admission and discharge). Sleep outcomes did not significantly predict FIM score at discharge.

Conclusion

Most participants had less than optimal sleep duration during inpatient rehabilitation. Efforts may be warranted to optimize sleep during inpatient rehabilitation.(A useless statement.)