Large Fibre Neuropathy: Part of Fibromyalgia or Coexisting
Entity?

Zusammenfassung Zielsetzung Ziel dieser Studie ist es, die Inzidenz von Large Fibre Neuropathy (LFN) bei Fibromyalgie (FM) -Patienten mit peripheren Neuropathie-Beschwerden zu untersuchen und den Einfluss von LFN und FM auf Schmerzen, Lebensqualität, Schlafqualität, Behinderung, und depressive Symptome. Methoden Zwischen Juni 2018 und Februar 2019 wurden insgesamt 104 Patienten (67 Frauen, 37 Männer; Durchschnittsalter: 52,21±9,53 Jahre; Spanne 31–74 Jahre) mit der Diagnose FM in die Studie eingeschlossen. Die Patienten wurden in 2 Gruppen eingeteilt: Gruppe 1, einschließlich Patienten mit Polyneuropathie (PNP) (n=48) und Gruppe 2, einschließlich Nicht-PNP-Patienten (n=54). Gruppe 1 wurde auch weiter in 2 Untergruppen als sensorische PNP (n=28) und sensomotorische PNP (n=20) unterteilt. Alle Patienten wurden anhand der Visual Analog Scale (VAS), des Fibromyalgia Impact Questionnaire (FIQ), des Short Form-36 (SF-36), des Pittsburgh Sleep Quality Index (PSQI) und des Beck Depression Inventory (BDI) bewertet. Ergebnisse Es gab keinen statistisch signifikanten Unterschied in den demografischen Merkmalen zwischen den Gruppen (p>0,05). Es gab einen statistisch signifikanten Unterschied in den VAS-, SF-36-, BDI-, FIQ- und PSQI-Werten zwischen Gruppe 1 und Gruppe 2 (p<0,05). Es gab keinen statistisch signifikanten Unterschied in den VAS-, SF-36-, BDI-, FIQ- und PSQI-Werten zwischen den sensorischen und sensomotorischen PNP-Gruppen (p>0,05). Schlussfolgerungen Unsere Studienergebnisse zeigen, dass FM mit LFN die Schmerzen, die Lebensqualität, die Schlafqualität, die Behinderung und die depressiven Symptome negativ beeinflusst, gegenüber denjenigen ohne LFN, was auf die Bedeutung des Neuropathiemanagements bei FM-Patienten hinweist.

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Benefits of adding stretching to a moderate-intensity aerobic exercise programme in women with fibromyalgia: a randomized controlled trial

Clinical Rehabilitation ◽

10.1177/0269215519893107 ◽

2019 ◽

Vol 34 (2) ◽

pp. 242-251 ◽

Cited By ~ 2

Author(s):

Miguel Gómez-Hernández ◽

Tomás Gallego-Izquierdo ◽

Patricia Martínez-Merinero ◽

Daniel Pecos-Martín ◽

Alejandro Ferragut-Garcías ◽

...

Keyword(s):

Sleep Quality ◽

Aerobic Exercise ◽

Quality Index ◽

Analogue Scale ◽

Pittsburgh Sleep Quality Index ◽

Fibromyalgia Impact Questionnaire ◽

Exercise Programme ◽

Moderate Intensity ◽

Control Group ◽

Experimental Group

Objective: To investigate the effects of adding stretching to a moderate-intensity aerobic exercise programme in women with fibromyalgia. Design: Randomized controlled trial. Subjects: Sixty-four female patients who were diagnosed with fibromyalgia syndrome based on the American College of Rheumatology criteria were recruited (mean age: 54.27 ± 6.94 years). Interventions: The control group ( n = 32) underwent supervised moderate-intensity cycling (50%–70% of the age-predicted maximum heart rate) three times per week for 12 weeks. The experimental group ( n = 32) underwent the same exercise programme plus a stretching programme once per week for 12 weeks. Main measures: The main measures of this study were sleep quality assessed by the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale, the impact of fibromyalgia on quality of life assessed by the Fibromyalgia Impact Questionnaire, and pain perception assessed by the visual analogue scale at baseline, after 4 weeks, and after 12 weeks. Results: The experimental group experienced significant improvements at 4-week measure compared with control group: Pittsburgh Sleep Quality Index ( P < 0.001); Epworth Sleepiness Scale ( P = 0.002); Fibromyalgia Impact Questionnaire (0.93 ± 7.39, P < 0.001); and visual analogue scale (0.52 ± 0.05, P < 0.001). Also at 12-week measure, experimental group experienced significant improvements compared with control group: Pittsburgh Sleep Quality Index ( P < 0.001), Epworth Sleepiness Scale ( P < 0.001); Fibromyalgia Impact Questionnaire (1.15 ± 9.11, P < 0.001); and visual analogue scale (0.81 ± 0.62, P < 0.001). Conclusion: Adding stretching to a moderate-intensity aerobic exercise programme increased sleep quality, decreased the impact of fibromyalgia on the quality of life, and reduced pain compared with just a moderate-intensity aerobic exercise programme in our sample of women with fibromyalgia.

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Health status in patients with disturbed sleep and obstructive sleep apnea

Otolaryngology ◽

10.1067/mhn.2000.102579 ◽

2000 ◽

Vol 122 (4) ◽

pp. 542-546

Author(s):

Richard E. Gliklich ◽

Farhan Taghizadeh ◽

John W. Winkelman

Keyword(s):

Health Status ◽

Sleep Quality ◽

Health Survey ◽

Quality Index ◽

Sleep Disturbances ◽

Pittsburgh Sleep Quality Index ◽

Obstructive Sleep ◽

Sf 36 ◽

Status Assessment ◽

Health Status Measures

The health status of 435 consecutive patients with sleep disturbances necessitating polysomnography was investigated. Patients underwent overnight polysomnography and health status assessment, including the Medical Outcomes Study SF-36 Health Survey and the Pittsburgh Sleep Quality Index. Based on a respiratory distress index (RDI) greater than 10 to define apnea, patients with apnea were significantly ( P < 0.05) more likely to be male, be older, and have higher body mass index and lower oxygen saturation levels than patients without apnea. Multiple domains of the SF-36 Health Survey and the Pittsburgh Sleep Quality Index were significantly worse ( P < 0.05) for this population when normative data were compared. Although few differences were observed between the apneic and nonapneic patients when a cutoff point for apnea was defined as an RDI greater than 10 or 20, increasing RDI was significantly associated with worsening physical functioning scores. Overall, decrements in health status measures were more strongly correlated with the number of oxygen desaturations below 85% than with increasing RDI. We conclude that patients with sleep disturbances demonstrate significant decrements in general and sleep-specific health status, but these decrements are more closely associated with oxygen desaturation than RDI.

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The Quality of Sleep and Quality of Life in Patients with Alopecia

Journal of Sleep sciences ◽

10.18502/jss.v5i2.5609 ◽

2021 ◽

Author(s):

Fatemeh Kashaninasab ◽

Mir Farhad Ghaleh Bandi ◽

Azim Ghazvini ◽

Azadeh Goodarzi ◽

Sussan Moudi ◽

...

Keyword(s):

Quality Of Life ◽

Sleep Quality ◽

Hair Loss ◽

Quality Index ◽

Short Form ◽

Demographic Variables ◽

Quality Of Sleep ◽

Dermatology Clinic ◽

Sf 36

Background and Objective: Alopecia is one of the most common skin disorders that can affect the quality of life (QOL) in patients. Since few studies have simultaneously evaluated the QOL and quality of sleep in patients with alopecia, this study aimed to evaluate these two important factors in patients with different types of hair loss and among demographic variables. Materials and Methods: Using a convenience sampling method, this cross-sectional study was performed on all patients with various types of alopecia referring to the Dermatology Clinic of Rasoul-e-Akram Hospital, Tehran, Iran, in 2016. For data collection, Dermatology Life Quality Index (DLQI), Short Form Health Survey (SF-36), and Pittsburgh Sleep Quality Index (PSQI) questionnaires were used. Results: A total of 70 patients with four types of hair loss, including androgenic alopecia, alopecia areata, telogen effluvium, and discoid lupus erythematosus (DLE) were evaluated. The overall sleep quality score was 5.51 ± 2.93, which was not significantly different in all four patient groups (P > 0.05). The overall DLQI score was 4.40 ± 4.30, which had little effect on the QOL in most patients with alopecia (40.6%). The overall QOL and quality of sleep scores were not significantly correlated with such demographic variables as age, gender, marital status, education, and employment (P > 0.05). The SF-36 questionnaire and DLQI had a significant inverse relationship (r = -0.285, P = 0.026). Conclusion: Our study showed that the quality of sleep and QOL were affected in all four types of patients with alopecia. As a result, attention to quality of sleep and QOL in these patients with any demographic characteristics is important. However, more studies are needed to confirm the results.

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AVALIAÇÃO DA QUALIDADE DO SONO, DOR, ESTRESSE E NÍVEL DE ATIVIDADE FÍSICA DE PROFISSIONAIS DE SAÚDE EM UM HOSPITAL UNIVERSITÁRIO

Centro de Pesquisas Avançadas em Qualidade de Vida ◽

10.36692/v13n2-11 ◽

2021 ◽

pp. 1

Author(s):

Gabriela Brito Marcelino ◽

Bárbara Araújo Roriz ◽

Paulo Adriano Schwingel ◽

Tarcísio Fulgêncio Alves da Silva ◽

Paula Andreatta Maduro ◽

...

Keyword(s):

Physical Activity ◽

Sleep Quality ◽

Quality Index ◽

International Physical Activity Questionnaire ◽

Pittsburgh Sleep Quality Index ◽

Short Form ◽

Physical Activity Questionnaire ◽

Stress Scale ◽

Nordic Musculoskeletal Questionnaire ◽

Activity Questionnaire

O Objetivos: o presente estudo debruça-se sobre a perspectiva de compreender e descrever a qualidade do sono, dor, estresse e nível de atividade física de profissionais enfermeiros, técnicos em enfermagem e fisioterapeutas empregados em um hospital universitário de atenção terciária localizado no Nordeste brasileiro. Métodos: Trata-se de um estudo epidemiológico descritivo e analítico do tipo transversal. Foram aplicados os seguintes questionários: Índice de Qualidade de Sono de Pittsburgh (Pittsburgh Sleep Quality Index- IQSP), Questionário Nórdico de Sintomas Osteomusculares (Nordic Musculoskeletal Questionnaire - QNSO), Depression Anxiety and Stress Scale – Short Form (DASS-21) e Questionário Internacional de Atividade Física (International Physical Activity Questionnaire - IPAQ). Resultados: Os segmentos mais acometidos por sintomas osteomioarticulares foram as costas e a região do pescoço. Diferentemente dos plantonistas diurnos, percebe-se que 100% dos profissionais plantonistas noturnos apresentam um grau normal/mínimo de estresse. Conclusão: profissionais da área da saúde apresentam uma prevalência maior de dor musculoesquelética. As regiões anatômicas mais acometidas são o pescoço, a parte superior das costas e a parte inferior das costas. Os profissionais não apresentaram escores elevados que os caracterizem com algum transtorno do sono ou com uma qualidade de sono ruim, tendo em sua maioria uma qualidade de sono regular.

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Effect of Internet Addiction on Sleep Quality in University Students

Galician Medical Journal ◽

10.21802/gmj.2019.4.8 ◽

2019 ◽

Vol 26 (4) ◽

Author(s):

Gulsun Ayran ◽

Gulsum Gundogdu ◽

Nurten Arslan Işık

Keyword(s):

University Students ◽

Sleep Quality ◽

Internet Addiction ◽

Quality Index ◽

Pittsburgh Sleep Quality Index ◽

Personal Information ◽

Short Form ◽

Pearson Correlation ◽

Study Data ◽

Academic Year

The objective of the research was to investigate the effect of the internet addiction on sleep quality in university students. Materials and Methods. The sample of the study consisted of the students who were studying in Erzincan Binali Yildirim University, 2017-2018 academic year (n=419). The study data were collected using the Personal Information Form, the Young Internet Addiction Questionnaire-Short Form and the Pittsburgh Sleep Quality Index. Analysis of the data was performed using percentile, averages, and Pearson correlation analysis. Results. The average age of the adolescents participated in the study was 20.54±1.92; 65.6% were female. Adolescents' Young İnternet Addiction Test total score average was 26.58±8.96 and the Pittsburgh Sleep Quality Index total score average was 6.51±2.99. A positive and statistically significant (26.2%) correlation was found between the Young İnternet Addiction Test total score and the Pittsburgh Sleep Quality Index total score of the adolescents. Conclusions. Internet addiction disrupts sleep quality in university students and causes sleep disorders.

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Validation of the Pittsburgh Sleep Quality Index Addendum for Posttraumatic Stress Disorder (PSQI-A) in U.S. Male Military Veterans

Journal of Traumatic Stress ◽

10.1002/jts.21793 ◽

2013 ◽

Vol 26 (2) ◽

pp. 192-200 ◽

Cited By ~ 35

Author(s):

Salvatore P. Insana ◽

Martica Hall ◽

Daniel J. Buysse ◽

Anne Germain

Keyword(s):

Posttraumatic Stress Disorder ◽

Sleep Quality ◽

Posttraumatic Stress ◽

Quality Index ◽

Stress Disorder ◽

Pittsburgh Sleep Quality Index ◽

Military Veterans

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Availability of a Flavored Beverage and Impact on Children’s Hydration Status, Sleep, and Mood

Nutrients ◽

10.3390/nu13061757 ◽

2021 ◽

Vol 13 (6) ◽

pp. 1757

Author(s):

Michael R. Szymanski ◽

Gabrielle E. W. Giersch ◽

Margaret C. Morrissey ◽

Courteney L. Benjamin ◽

Yasuki Sekiguchi ◽

...

Keyword(s):

Sleep Quality ◽

Quality Index ◽

Pittsburgh Sleep Quality Index ◽

Intervention Group ◽

Urine Osmolality ◽

Urine Specific Gravity ◽

Hydration Status ◽

Control Group ◽

Profile Of Mood States ◽

Urine Color

Euhydration remains a challenge in children due to lack of access and unpalatability of water and to other reasons. The purpose of this study was to determine if the availability/access to a beverage (Creative Roots®) influences hydration in children and, therefore, sleep quality and mood. Using a crossover investigation, 46 participants were randomly assigned to a control group (CON) or an intervention group and received Creative Roots® (INT) for two-week periods. We recorded daily first morning and afternoon urine color (Ucol), thirst perception, and bodyweight of the two groups. Participants reported to the lab once per week and provided first morning urine samples to assess Ucol, urine specific gravity (USG), and urine osmolality (Uosmo). Participants also completed the questionnaires Profile of Mood States-Adolescents (POMS-a) and Pittsburgh Sleep Quality Index (PSQI). Dependent t-tests were used to assess the effects of the intervention on hydration, mood, and sleep quality. Uosmo was greater and Ucol was darker in the control group (mean ± SD) [Uosmo: INT = 828 ± 177 mOsm·kg−1, CON = 879 ± 184 mOsm·kg−1, (p = 0.037], [Ucol:INT = 5 ± 1, CON = 5 ± 1, p = 0.024]. USG, POMS-a, and PSQI were not significant between the groups. At-home daily afternoon Ucol was darker in the control group [INT = 3 ± 1, CON = 3 ± 1, p = 0.022]. Access to Creative Roots® provides a small, potentially meaningful hydration benefit in children. However, children still demonstrated consistent mild dehydration based on Uosmo, despite consuming the beverage.

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Clinical Efficacy of a New Robot-assisted Gait Training System for Acute Stroke Patients

Journal of Medical and Biological Engineering ◽

10.1007/s40846-020-00590-z ◽

2021 ◽

Author(s):

Andy Chien ◽

Fei-Chun Chang ◽

Nai-Hsin Meng ◽

Pei-Yu Yang ◽

Ching Huang ◽

...

Keyword(s):

Sleep Quality ◽

Acute Stroke ◽

Quality Index ◽

Pittsburgh Sleep Quality Index ◽

Gait Training ◽

Training System ◽

Control Group ◽

Stroke Patients ◽

Robot Assisted ◽

Significant Difference

Abstract Purpose Robot-assisted gait rehabilitation has been proposed as a plausible supplementary rehabilitation strategy in stroke rehabilitation in the last decade. However, its exact benefit over traditional rehabilitation remain sparse and unclear. It is therefore the purpose of the current study to comparatively investigate the clinical benefits of the additional robot-assisted training in acute stroke patients compared to standard hospital rehabilitation alone. Methods Ninety acute stroke patients (< 3 month) were recruited. All participants received the standard hospital neurorehabilitation comprises 45–60 min sessions daily for 3 weeks. Sixty patients also received an additional 30 min of robot-assisted gait training with the HIWIN MRG-P100 gait training system after each of the standard neurorehabilitation session. Outcome measures included: 1. Berg Balance Scale (BBS); 2. Brunnstrom Stage; 3. Pittsburgh Sleep Quality Index and 4. Taiwanese Depression Questionnaire (TDQ) which were assessed pre-treatment and then after every five training sessions. Results Both groups demonstrated significant improvement pre- and post-treatment for the BBS (robotic group p = 0.023; control group p = 0.033) but no significant difference (p > 0.1) between the groups were found. However, the robotic training group had more participants demonstrating larger BBS points of improvement as well as greater Brunnstrom stage of improvement, when compared to the control group. No significant within and between group statistical differences (p > 0.3) were found for Pittsburgh Sleep Quality Index and Taiwanese Depression Questionnaire. Conclusion The addition of robotic gait training on top of standard hospital neurorehabilitation for acute stroke patients appear to produce a slightly greater improvement in clinical functional outcomes, which is not transferred to psychological status.

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