The effect of obstructive sleep apnea and treatment with continuous positive airway pressure on stroke rehabilitation: rationale, design and methods of the TOROS study
| Autor: | Erny Groet, Winni F. Hofman, Coen A M van Bennekom, Wytske A Kylstra, Tijs van Bezeij, Ben Schmand, Justine A. Aaronson, Joost G van den Aardweg |
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| Přispěvatelé: | Faculteit der Geneeskunde, Brein en Cognitie (Psychologie, FMG), Coronel Institute of Occupational Health, Amsterdam Neuroscience, Amsterdam Movement Sciences, Neurology |
| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
Neurology medicine.medical_treatment Clinical Neurology Rehabilitation outcome law.invention Study Protocol Cognition Randomized controlled trial law CPAP medicine Humans Single-Blind Method Continuous positive airway pressure Stroke Sleep disorder Sleep Apnea Obstructive Rehabilitation Continuous Positive Airway Pressure business.industry Stroke Rehabilitation Sleep apnea Functional status General Medicine Recovery of Function medicine.disease Obstructive sleep apnea respiratory tract diseases Treatment Outcome Case-Control Studies Physical therapy Neurology (clinical) business Follow-Up Studies |
| Zdroj: | BMC Neurology BMC Neurology, 14:36. BioMed Central BMC neurology, 14(1). BioMed Central |
| ISSN: | 1471-2377 |
| DOI: | 10.1186/1471-2377-14-36 |
| Popis: | Background Obstructive sleep apnea is a common sleep disorder in stroke patients. Obstructive sleep apnea is associated with stroke severity and poor functional outcome. Continuous positive airway pressure seems to improve functional recovery in stroke rehabilitation. To date, the effect of continuous positive airway pressure on cognitive functioning in stroke patients is not well established. The current study will investigate the effectiveness of continuous positive airway pressure on both cognitive and functional outcomes in stroke patients with obstructive sleep apnea. Methods/Design A randomized controlled trial will be conducted on the neurorehabilitation unit of Heliomare, a rehabilitation center in the Netherlands. Seventy stroke patients with obstructive sleep apnea will be randomly allocated to an intervention or control group (n = 2×35). The intervention will consist of four weeks of continuous positive airway pressure treatment. Patients allocated to the control group will receive four weeks of treatment as usual. Outcomes will be assessed at baseline, immediately after the intervention and at two-month follow-up. In a supplementary study, these 70 patients with obstructive sleep apnea will be compared to 70 stroke patients without obstructive sleep apnea with respect to cognitive and functional status at rehabilitation admission. Additionally, the societal participation of both groups will be assessed at six months and one year after inclusion. Discussion This study will provide novel information on the effects of obstructive sleep apnea and its treatment with continuous positive airway pressure on rehabilitation outcomes after stroke. Trial registration Trial registration number: Dutch Trial Register NTR3412 |
| Databáze: | OpenAIRE |
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