The Influence of the Sleep Apnea on the Neurological and Functional Recovery

Study Overview
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Brief Summary
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The sleep respiratory troubles (central apnea or CHEYNES-Stokes dyspnea) are frequent after stroke. The association of the sleep respiratory troubles with a reserved functional prognosis is debated. The purpose is to find out the frequency of the sleep respiratory troubles after stroke in a PRM department and to study their relationship with functional and neurological recovery.

Detailed Description
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The sleep respiratory troubles (central apnea or CHEYNES-Stokes dyspnea) are frequent after stroke. The association of the sleep respiratory troubles with a reserved functional prognosis is debated. The purpose is to find out the frequency of the sleep respiratory troubles after stroke in a PRM department and to study their relationship with functional and neurological recovery. Forty-five patients with the average of 58,2 years had been included in this prospective MONOCENTRICAL study. The detection of the sleep respiratory troubles was realised using a nocturnal oxymetry device and measuring the inspiratory flow, gathering the index of apnea-hypopnea. The NIHSS, the FIM and the FUGL-MEYER scales were used at the moment of inclusion and two months AFTERWORDS.

Official Title
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Influence of the Sleep Apnea Syndrome on the Functional Recovery After Stroke in a Rehabilitation Unit

Conditions
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Sleep Apnea, Obstructive

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient's or one family member's agreement for participation in the study Being aged over 18 years Stroke history in the past 6 months (ischemic or hemorrhagic) Hospitalisation in PRM department and participation to a rehabilitation program during study Patient belonging to the social security system Exclusion Criteria: Patient having a sleep apnea syndrome known prior to inclusion Patient presenting a cardiorespiratory INSUFIENCY Patients being INABLE to carry-out the tests or presenting a mental disorder Patients who started already their rehabilitation program before in another PRM center or department

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| With sleep APNEA<br>Sleeping Apnea Syndrome (SAS) screening usin an APNEA LINK device within the 10 first days following the admission Diagnosis and medical care by a sleeping disorder qualified specialist | |
| Without sleep APNEA<br>Sleeping Apnea Syndrome (SAS) screening usin an APNEA LINK device within the 10 first days following the admission | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the variation of the FIM (Functional Independence Measure) | defined by the FIM score after 2 months minus the FIM score at the initial moment(T0) | at 2 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| age |  | at inclusion | 
| BMI (Body Mass Index) |  | at inclusion | 
| Score NIHSS (National Institute of Health Stroke Score) | Comparison between inclusion and 2 months | at 2 months | 
| Fugl Meyer Assessment of Motor Recovery after Stroke | comparison between inclusion and 2 months | at 2 months | 
| Epworth Sleepiness Scale (ESS) |  | at inclusion | 
| Attention tests | BAWL Test (Batterie Attentionnelle William Lennox) | at inclusion | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Sleep apnea, NIHSS scale, FIM scale, FUGL-MEYER scale