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Article type: Research Article
Authors: de Oliveira, Débora Carvalhoa; * | Ferreira, Paula Regina Cavalcantib | Silveira Fernandes, Aline Braga Galvãoa | Pacheco, Thaiana Barbosa Ferreiraa | Avelino, Matheus Madson Limaa | Cavalcanti, Fabrícia Azevedo da Costaa | Vieira, Edgar Ramosc | Campos, Tania Fernandesa
Affiliations: [a] Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, RN, Brazil | [b] Department of Physical Therapy, California State University Northridge, Los Angeles, CA, USA | [c] Department of Physical Therapy, Florida International University, Miami, FL, USA
Correspondence: [*] Address for correspondence: Débora Carvalho de Oliveira, Universidade Federal do Rio Grande do Norte, Departamento de Fisioterapia, Avenida Senador Salgado Filho, 3000, Lagoa Nova, CEP: 59066-800, Natal/RN, Brazil. Tel./Fax: +55 84 33422001; E-mail: [email protected].
Abstract: BACKGROUND:Activity levels and disturbances of the sleep-wake pattern affect health and quality of life and need to be further explored in patients with stroke. OBJECTIVE:To evaluate activity levels and their association with sleep-wake patterns in patients with stroke. METHODS:Ten adults with (51±6 years) and 10 without stroke (52±7 years) participated in the study; they were matched on age, sex and educational level. Neurological status, motor function, sleep quality, and activity levels were measured. The groups were compared using Student t-tests and the association between the measures was assessed using Pearson’s correlation. RESULTS:Compared to people without stroke, those with stroke had worse sleep quality (p = 0.044), twice lower 24h-activity levels (p < 0.0001), higher interdaily stability and intradaily variability, lower activity during the most active 10 h and during the least active 5 h. Sleep quality was associated with activity level (r= –0.72) and with within-day activity variability (r= 0.53). CONCLUSIONS:Activity level and fragmentation are associated with sleep-wake patterns and sleep quality in patients with stroke.
Keywords: Stroke, activity levels, sleep-wake cycle, neurorehabilitation
DOI: 10.3233/NRE-182665
Journal: NeuroRehabilitation, vol. 44, no. 3, pp. 353-360, 2019
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