Cognitive Training on Sleeping Disorders in Stroke

Study Overview
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Brief Summary
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Cognitive impairment and sleeping disturbance following stroke diagnosis are common symptoms that significantly affect the quality of life.

Detailed Description
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40 patients from both sexes will participate in this study. All the patients have to be diagnosed as stroke patients. The patients will be divided into two groups; group A (20 patients): which will receive cognitive training combined with instructive conventional treatment for a sleeping disorder, and group B (20 patients): which will receive instructive conventional treatment for sleeping disorder all the patients will be assessed pre and post-treatment using 1- Epworth sleeping scale, 2-Pittsburgh sleep quality index ( PSQI) 3- MINI mental cognitive scale

Official Title
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Effect of Cognitive Training on Sleeping Disorders in Stroke: a Randomized Controlled Trial

Conditions
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Stroke, Sleep Disorder

Intervention / Treatment
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* Other: Cognitive training Therapy
* Other: instructive conventional treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: stroke onset at least 5 months prior to study enrolment with sleeping disturbance age will range from 40:55 upper extremity spasticity ranging from according to Modified Ashowrth Scale. Exclusion Criteria: difficulty to communicate other neurological conditions that cause sleeping disorders severe depression or other psychiatric symptoms.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 55 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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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: group A (20 patients): that will receive cognitive training combined with instructive conventional treatment for sleeping disorder, and group B (20 patients): that will receive instructive conventional treatment for sleeping disorder
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: study group<br>receive cognitive training combined with instructive conventional treatment for sleeping disorder | Other: Cognitive training Therapy<br>* Cognitive training Therapy include: Writing the reminiscences • Solving a table• Writing a letter making a calendar and writing a note about the daily activities on it Facing patients' fears instead of avoiding them.Using role-playing to prepare for potentially problematic interactions with others.Learning to calm one's mind and relax one's body.<br>Other: instructive conventional treatment<br>* instructive conventional treatment breathing relaxation exercise inform of diaphragmatic breathing Practice sleep hygiene such as keeping a regular sleep schedule. Get regular exercise. Minimize noise. Minimize light. Manage the temperature so that you're comfortable.<br>|
| Experimental: control group<br>receive instructive conventional treatment for sleeping disorder | Other: instructive conventional treatment<br>* instructive conventional treatment breathing relaxation exercise inform of diaphragmatic breathing Practice sleep hygiene such as keeping a regular sleep schedule. Get regular exercise. Minimize noise. Minimize light. Manage the temperature so that you're comfortable.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Epworth sleeping scale (ESS) | The ESS is a self-administered questionnaire with 8 questions. Respondents are asked to rate, on a 4-point scale (0-3), their usual chances of dozing off or falling asleep while engaged in eight different activities. Most people engage in those activities at least occasionally, although not necessarily every day. The ESS score (the sum of 8 item scores, 0-3) can range from 0 to 24. The higher the ESS score, the higher that person's average sleep propensity in daily life (ASP), or their 'daytime sleepiness'. The questionnaire takes no more than 2 or 3 minutes to answer. It is available in many different languages. | 4 weeks | 
| Pittsburgh sleep quality index ( PSQI) | 0 self-reported items Minimum score: o; Maximum score: 21 0-3 scoring for each of the 7 components Higher scores indicate worse sleep quality • 7 components/sub-scales: subjective sleep qualitv, sleep latenev, sleep duration. habitual sleep efficiency, sleep disturbances, use of sleeping medications and daytime dysfunction | 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The Mini-Mental State Examination (MMSE) | The Mini-Mental State Examination (MMSE) or Folstein test is a 30-point questionnaire that is used extensively in clinical and research settings to measure cognitive impairmen Any score of 24 or more (out of 30) indicates a normal cognition. Below this, scores can indicate severe (≤9 points), moderate (10-18 points) or mild (19-23 points) cognitive impairment | four weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Stroke, sleep disorders, cognition