Actimetria do padrão sono-vigília de pacientes com Acidente Vascular Cerebral
Stroke is a health condition that causes several motor and functional impairments. The aim of the study was to evaluate the sleep-wake pattern in stroke patients. The sample consisted of 10 patients (3 women and 7 men, mean age = 51 ± 6 years) and 10 healthy subjects (3 women and 7 men, mean age...
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| topic |
Acidente Vascular Cerebral Ritmo de atividade Ciclo sono-vigília Actigrafia Neurorreabilitação CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
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Acidente Vascular Cerebral Ritmo de atividade Ciclo sono-vigília Actigrafia Neurorreabilitação CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL Oliveira, Débora Carvalho de Actimetria do padrão sono-vigília de pacientes com Acidente Vascular Cerebral |
| description |
Stroke is a health condition that causes several motor and functional impairments. The aim of
the study was to evaluate the sleep-wake pattern in stroke patients. The sample consisted of 10
patients (3 women and 7 men, mean age = 51 ± 6 years) and 10 healthy subjects (3 women and
7 men, mean age 52 ± 7 years). Participants were assessed by a sociodemographic and clinical
evaluation sheet, National Institute of Health Stroke scale for neurologic evaluation, FuglMeyer scale for motor function evaluation, Pittsburgh Sleep Quality Index for sleep quality
evaluation and sleep-wake pattern objective evaluation by Actigraphy (Actiwatch 2, Philips
Respironics®, Andover, MA, USA) for 7 consecutive days. Data analysis was performed using
the unpaired t'Student test and Pearson's correlation test. The findings revealed a significant
difference between patients and healthy individuals in the IQSP, with patients presenting poor
sleep quality (patients=6±4, healthy=4±2, p=0.044). Actigraphic analysis demonstrated that
stroke patients showed lower level of activity both the wake phase (patients=142315±64367
counts, healthy=304392±88192 counts, p<0.0001) and the sleep phase (patients=3874±3279
counts, healthy=7812±4732; p<0.0001); longer sleep duration (patients=480±101 minutes,
healthy=426±70 minutes, p=0.020); lower wake time (patients=896 ± 91 minutes,
healthy=972±93 minutes, p=0.002). Additionally, it was verified that in relation to the variables
of circadian rhythmicity that patients presented higher Interdaily Stability (IS)
(patients=0.4±0.1, healthy=0.3±0.2, p=0.028), and higher Intradaily Variability (IV)
(patients=0.7±0.1, healthy=0.6±0.1, p<0.001); lower values to the most active 10 hours (M10)
(patients=32.3±11.7, healthy=62.6±14.9, p<0.0001) and to the least active 5 hours (L5)
(patients=17.5±6.8, healthy=41.2±12.6, p<0.0001). We found a significant correlation between
the IQSP and the activity level during wake phase (r=-0.32, p=0.007) and IQSP and IV (r=0.53,
p=0.017). The results suggest that the activity level and fragmentation of the activity rhythm
may alter the sleep-wake pattern and cause problems on sleep quality in stroke patients, which
may be a temporal marker for the planning of therapeutic intervention during
neurorehabilitation. |
| author2 |
Campos, Tânia Fernandes |
| author_facet |
Campos, Tânia Fernandes Oliveira, Débora Carvalho de |
| format |
doctoralThesis |
| author |
Oliveira, Débora Carvalho de |
| author_sort |
Oliveira, Débora Carvalho de |
| title |
Actimetria do padrão sono-vigília de pacientes com Acidente Vascular Cerebral |
| title_short |
Actimetria do padrão sono-vigília de pacientes com Acidente Vascular Cerebral |
| title_full |
Actimetria do padrão sono-vigília de pacientes com Acidente Vascular Cerebral |
| title_fullStr |
Actimetria do padrão sono-vigília de pacientes com Acidente Vascular Cerebral |
| title_full_unstemmed |
Actimetria do padrão sono-vigília de pacientes com Acidente Vascular Cerebral |
| title_sort |
actimetria do padrão sono-vigília de pacientes com acidente vascular cerebral |
| publisher |
Brasil |
| publishDate |
2018 |
| url |
https://repositorio.ufrn.br/jspui/handle/123456789/26413 |
| work_keys_str_mv |
AT oliveiradeboracarvalhode actimetriadopadraosonovigiliadepacientescomacidentevascularcerebral |
| _version_ |
1773957384192917504 |
| spelling |
ri-123456789-264132019-01-30T16:16:34Z Actimetria do padrão sono-vigília de pacientes com Acidente Vascular Cerebral Oliveira, Débora Carvalho de Campos, Tânia Fernandes Cavalcanti, Fabricia Azevedo da Costa Fernandes, Aline Braga Galvão Silveira Dantas, Ana Amália Torres Souza Gandour Melo, Luciana Protásio de Acidente Vascular Cerebral Ritmo de atividade Ciclo sono-vigília Actigrafia Neurorreabilitação CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL Stroke is a health condition that causes several motor and functional impairments. The aim of the study was to evaluate the sleep-wake pattern in stroke patients. The sample consisted of 10 patients (3 women and 7 men, mean age = 51 ± 6 years) and 10 healthy subjects (3 women and 7 men, mean age 52 ± 7 years). Participants were assessed by a sociodemographic and clinical evaluation sheet, National Institute of Health Stroke scale for neurologic evaluation, FuglMeyer scale for motor function evaluation, Pittsburgh Sleep Quality Index for sleep quality evaluation and sleep-wake pattern objective evaluation by Actigraphy (Actiwatch 2, Philips Respironics®, Andover, MA, USA) for 7 consecutive days. Data analysis was performed using the unpaired t'Student test and Pearson's correlation test. The findings revealed a significant difference between patients and healthy individuals in the IQSP, with patients presenting poor sleep quality (patients=6±4, healthy=4±2, p=0.044). Actigraphic analysis demonstrated that stroke patients showed lower level of activity both the wake phase (patients=142315±64367 counts, healthy=304392±88192 counts, p<0.0001) and the sleep phase (patients=3874±3279 counts, healthy=7812±4732; p<0.0001); longer sleep duration (patients=480±101 minutes, healthy=426±70 minutes, p=0.020); lower wake time (patients=896 ± 91 minutes, healthy=972±93 minutes, p=0.002). Additionally, it was verified that in relation to the variables of circadian rhythmicity that patients presented higher Interdaily Stability (IS) (patients=0.4±0.1, healthy=0.3±0.2, p=0.028), and higher Intradaily Variability (IV) (patients=0.7±0.1, healthy=0.6±0.1, p<0.001); lower values to the most active 10 hours (M10) (patients=32.3±11.7, healthy=62.6±14.9, p<0.0001) and to the least active 5 hours (L5) (patients=17.5±6.8, healthy=41.2±12.6, p<0.0001). We found a significant correlation between the IQSP and the activity level during wake phase (r=-0.32, p=0.007) and IQSP and IV (r=0.53, p=0.017). The results suggest that the activity level and fragmentation of the activity rhythm may alter the sleep-wake pattern and cause problems on sleep quality in stroke patients, which may be a temporal marker for the planning of therapeutic intervention during neurorehabilitation. Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) O Acidente Vascular Cerebral (AVC) é uma condição de saúde que acarreta diversos comprometimentos motores e funcionais. O objetivo do estudo foi de analisar o padrão sonovigília dos pacientes com AVC. A amostra foi constituída por 10 pacientes (3 mulheres e 7 homens; idade média= 51±6 anos) e 10 indivíduos saudáveis (3 mulheres e 7 homens, idade 52±7 anos). Os participantes foram avaliados através de uma ficha de avaliação sociodemográfica e clínica, avaliação neurológica pela National Institute of Health Stroke Scale, avaliação da função motora pela escala de Fugl-Meyer, avaliação da qualidade de sono pelo Índice de Qualidade do Sono de Pittsburgh (IQSP) e avaliação objetiva do padrão sonovigília pela Actimetria (Actiwatch 2, Philips Respironics®, Andover, MA, USA) durante 7 dias consecutivos. A análise dos dados foi realizada através do teste t’Student não-pareado e teste de correlação de Pearson. Os achados revelaram diferença significativa entre os pacientes e saudáveis no IQSP, com pacientes apresentando qualidade do sono ruim (pacientes = 6±4; saudáveis = 4±2; p = 0,044). A análise da actimetria demonstrou que os pacientes tiveram menor nível de atividade tanto durante a vigília (pacientes = 142315±64367; saudáveis = 304392±88192; p < 0,0001) quanto durante o sono (pacientes = 3874±3279; saudáveis = 7812±4732; p < 0,0001); maior duração do sono (pacientes = 480±101 minutos; saudáveis = 426±70 minutos, p = 0,020); menor tempo de vigília (pacientes = 896±91 minutos; saudáveis = 972±93 minutos; p = 0,002). Também foi verificado que em relação às variáveis de ritmicidade circadiana os pacientes apresentaram maior Establidade Interdiária (EI) (pacientes = 0,4±0,1; saudáveis = 0,3±0,2; p = 0,028), e maior Variabilidade Intradiária (VI) (pacientes = 0,7±0,1; saudáveis = 0,6±0,1, p < 0,001); valores menores para as 10 horas mais ativas no período de 24 horas (M10) (pacientes = 32,3±11,7; saudáveis = 62,6±14,9, p < 0,0001) e para as 5 horas menos ativas no período de 24 horas (L5) (pacientes = 17,5±6,8; saudáveis = 41,2±12,6, p < 0,0001). Verificamos correlação significativa entre o IQSP e o nível de atividade durante a vigília (r = -0,32; p = 0,007) e IQSP e VI (r = 0,53; p = 0,017). Os resultados sugerem que o nível de atividade e a fragmentação do ritmo de atividade podem alterar o padrão sonovigília e causar problemas na qualidade do sono dos pacientes com AVC, o que pode ser um marcador temporal para planejamento da intervenção terapêutica durante o processo de reabilitação. 2018-12-28T18:14:25Z 2018-12-28T18:14:25Z 2018-02-28 doctoralThesis OLIVEIRA, Débora Carvalho de. Actimetria do padrão sono-vigília de pacientes com Acidente Vascular Cerebral. 2018. 103f. Tese (Doutorado em Fisioterapia) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2018. https://repositorio.ufrn.br/jspui/handle/123456789/26413 por Acesso Aberto application/pdf Brasil UFRN PROGRAMA DE PÓS-GRADUAÇÃO EM FISIOTERAPIA |