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Self-Reported and Objective Sleep Measures in Stroke Survivors With Incomplete Motor Recovery at the Chronic Stage.

Melanie K Fleming1,2,3, Tom Smejka1,2,3, David Henderson Slater1,3

  • 1Wellcome Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical Neurosciences, 6396University of Oxford, Oxford, UK.

Neurorehabilitation and Neural Repair
|July 1, 2021
PubMed
Summary

Stroke survivors experience long-term sleep disturbances, with depression linked to poorer sleep quality. Further research into depression management may improve sleep for stroke patients.

Keywords:
actigraphymoodmotor impairmentself-reportsleep disruption

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Area of Science:

  • Neurology
  • Sleep Medicine
  • Rehabilitation Science

Background:

  • Stroke survivors frequently report sleep difficulties, impacting their quality of life.
  • Understanding the long-term effects of stroke on sleep is crucial for effective patient care.

Purpose of the Study:

  • Compare sleep patterns in chronic stroke survivors versus healthy individuals.
  • Investigate the relationship between motor deficits, time since stroke, and sleep quality.
  • Explore mood and physical activity as correlates of sleep disturbance and compare subjective vs. objective sleep measures.

Main Methods:

  • Cross-sectional study involving 69 chronic stroke survivors and 63 healthy controls.
  • Utilized the Sleep Condition Indicator (SCI), sleep diaries, 7-night actigraphy, Hospital Anxiety and Depression Scale, and Fugl-Meyer assessment.
  • Assessed self-reported sleep, objective sleep via actigraphy, mood, and upper extremity motor function.

Main Results:

  • Stroke survivors exhibited significantly lower SCI scores and increased wake after sleep onset compared to controls.
  • Motor impairment and time since stroke did not significantly predict sleep measures in stroke survivors.
  • Depression correlated with poorer sleep (SCI scores), and older age was associated with more fragmented sleep.

Conclusions:

  • Sleep disturbances persist long-term following a stroke.
  • Depressive symptoms represent a potential modifiable factor for improving sleep in stroke survivors.
  • Investigating depression management alongside sleep improvement strategies is recommended for this population.