The SLEEPR Study: SLEep Effects on Post-stroke Rehabilitation
State University of New York - Upstate Medical University
200 participants
Mar 25, 2021
OBSERVATIONAL
Conditions
Summary
Sleep is critical for health and quality of life; however, little is known about the prevalence or impact of non obstructive sleep apnea (non-OSA) sleep disorders in people with stroke. The proposed study aims to characterize the proportion of people with stroke that have non-OSA sleep disorders and their impact on recovery of activities of daily living, functional mobility, and participation along the continuum of recovery in people with stroke.
Eligibility
Inclusion Criteria5
- Diagnosis of stroke as defined by the WHO: "a rapid onset event of vascular origin reflecting a focal disturbance of cerebral function, excluding isolated impairments of higher function and persisting longer than 24 hours." Diagnosis of stroke will be confirmed by imaging or clinical diagnosis.
- Age 18 or older.
- Admitted to in-patient rehabilitation.
- National Institutes of Health Stroke Scale (NIHSS) item 1a score \<2 (Level of consciousness: 0=alert, 1=not alert, but arousable by minor stimulation to obey, answer, or respond).
- Provision of informed consent by individual or by legally authorized representative.
Exclusion Criteria9
- Pre-stroke or current diagnosis of OSA or other sleep-related breathing disorder.
- Living in a nursing home or assisted living center prior to the stroke.
- Unable to ambulate 150' independently prior to the stroke.
- Other neurologic health condition that may impact recovery such as Parkinson Disease, Multiple Sclerosis, Traumatic Brain Injury, Alzheimer's Disease.
- Women who are pregnant.
- Recent hemicraniectomy or suboccipital craniectomy (i.e. those whose bone has not yet been replaced), or any other recent bone removal procedure for relief of intracranial pressure.
- Planned discharge location \>150 miles radius from recruitment site
- Global aphasia as defined by a NIHSS item 9 score of 3 (3= Mute, global aphasia; no usable speech or auditory comprehension).
- Inability to understand English
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Interventions
Observe physical function and sleep disorder symptoms following stroke
Locations(6)
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NCT05012605