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Post-stroke insomnia in community-dwelling patients with chronic motor stroke: Physiological evidence and implications for stroke care

Sterr, A., Kuhn, M., Nissen, C., Ettine, D., Funk, S., Feige, B., Umarova, R., Urbach, H., Weiller, C. and Riemann, D. (2018) Post-stroke insomnia in community-dwelling patients with chronic motor stroke: Physiological evidence and implications for stroke care Scientific Reports, 8 (1), 8409. pp. 1-9.

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Questionnaire studies suggest that stroke patients experience sustained problems with sleep and daytime sleepiness, but physiological sleep studies focussing specifically on the chronic phase of stroke are lacking. Here we report for the first time physiological data of sleep and daytime sleepiness obtained through the two gold-standard methods, nocturnal polysomnography and the Multiple Sleep Latency Test. Data from community-dwelling patients with chronic right-hemispheric stroke (>12 months) were compared to sex- and age-matched controls. Behavioural and physiological measures suggested that stroke patients had poorer sleep with longer sleep latencies and lower sleep efficiency. Patients further spent more time awake during the night, and showed greater high-frequency power during nonREM sleep than controls. At the same time the Multiple Sleep Latency Test revealed greater wake efficiency in patients than controls. Importantly these findings were not due to group differences in sleep disordered breathing or periodic limb movements. Post-stroke insomnia is presently not adequately addressed within the care pathway for stroke. A holistic approach to rehabilitation and care provision, that includes targeted sleep interventions, is likely to enhance long-term outcome and quality of live in those living with chronic deficits after stroke.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Psychology
Authors :
Kuhn, M.
Nissen, C.
Ettine, D.
Funk, S.
Feige, B.
Umarova, R.
Urbach, H.
Weiller, C.
Riemann, D.
Date : 29 May 2018
DOI : 10.1038/s41598-018-26630-y
Copyright Disclaimer : Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit
Depositing User : Clive Harris
Date Deposited : 04 Dec 2018 15:42
Last Modified : 04 Dec 2018 15:42

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