Is Sleep Disordered Breathing Confounding Rehabilitation Outcomes in Spinal Cord Injury Research?
| Autor: | Marnie Graco, Anthony Chiodo, M. Safwan Badr, Mark S. Nash, Cameron M. Gee, Tommy Sutor, Kevin K. McCully, Gino S. Panza |
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| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Psychological intervention Physical Therapy Sports Therapy and Rehabilitation Affect (psychology) Sleep medicine Sleep Apnea Syndromes Physical medicine and rehabilitation mental disorders Prevalence Humans Medicine cardiovascular diseases Continuous positive airway pressure Spinal cord injury Spinal Cord Injuries Rehabilitation Continuous Positive Airway Pressure business.industry Confounding Sleep apnea medicine.disease nervous system diseases respiratory tract diseases Treatment Outcome business |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 103:1034-1045 |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2021.08.015 |
| Popis: | The purpose of this article is to highlight the importance of considering sleep-disordered breathing (SDB) as a potential confounder to rehabilitation research interventions in spinal cord injury (SCI). SDB is highly prevalent in SCI, with increased prevalence in individuals with higher and more severe lesions, and the criterion standard treatment with continuous positive airway pressure remains problematic. Despite its high prevalence, SDB is often untested and untreated in individuals with SCI. In individuals without SCI, SDB is known to negatively affect physical function and many of the physiological systems that negatively affect physical rehabilitation in SCI. Thus, owing to the high prevalence, under testing, low treatment adherence, and known negative effect on the physical function, it is contended that underdiagnosed SDB in SCI may be confounding physical rehabilitation research studies in individuals with SCI. Studies investigating the effect of treating SDB and its effect on physical rehabilitation in SCI were unable to be located. Thus, studies investigating the likely integrated relationship among physical rehabilitation, SDB, and proper treatment of SDB in SCI are needed. Owing to rapid growth in both sleep medicine and physical rehabilitation intervention research in SCI, the authors contend it is the appropriate time to begin the conversations and collaborations between these fields. We discuss a general overview of SDB and physical training modalities, as well as how SDB could be affecting these studies. |
| Databáze: | OpenAIRE |
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