Article

The aim of the study was to explore the impact of insomnia and sleep
disturbance on the functional outcomes of mild and moderated stroke. DESIGN: A
multicenter-observational and correlation study was performed. Two hundred eighty
patients with mild-moderate severity stroke admitted to three acute hospitals
rehabilitation departments. Diagnostic Statistical Manual of Mental Disorders,
Fourth Edition, criteria were used to define patients with insomnia and any sleep
disturbance. Patient's initial and final functions were evaluated using the
Korean version of the Berg Balance Scale, the Korean version of Modified Barthel
Index, the Korean version of Mini-Mental State Examination, the Korean version of
the Frontal Assessment Battery, and the Korean version of National Institute of
Health Stroke Scale. Sleep disturbance and function were assessed with respect to
stroke severity as defined by the Korean version of National Institute of Health
Stroke Scale. RESULTS: The prevalence of Diagnostic Statistical Manual of Mental
Disorders, Fourth Edition insomnia and any sleep disturbance were 26.9% and
56.7%, respectively. After adjusting for age, sex, depression, anxiety, length of
stay, and hypnotic usage, the improvement of Korean version of the Berg Balance
Scale was significantly lower in the any sleep disturbance group. In the moderate
stroke group, the Korean version of the Berg Balance Scale improvement was
significantly lower in the any sleep disturbance group, whereas in the mild
stroke group, the Korean version of the Berg Balance Scale improvement was not
significant. CONCLUSIONS: Sleep disturbance after stroke was found to have
negative effects on functional recovery, especially balance improvement in
moderate stroke group.

Langue : ANGLAIS