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McLaren et al. [16] validated the Sleep Condition Indicator - a brief self-report measure of insomnia [17] - for use after stroke, and found the optimal diagnostic cut-off to be lower after stroke (≤13) than is conventional in the general population (≤16). There is no explicit treatment for sleep disorders following TBI.
Eventually, researchers began to apply his technique to stroke patients, and it came to be called constraint-induced movement therapy. Notably, the initial studies focused on chronic stroke patients who were more than 12 months past their stroke. This challenged the belief held at that time that no recovery would occur after one year.
Here is an example of how chronotherapy could work over a week's course of treatment, with the patient going to sleep 3 hours later every day until the desired sleep and wake time is reached. [1] Day 1: sleep 3:00 am to 11:00 am; Day 2: sleep 6:00 am to 2:00 pm; Day 3: sleep 9:00 am to 5:00 pm; Day 4: sleep 12:00 pm to 8:00 pm; Day 5: sleep 3: ...
One study of 61 DSPD patients, with average sleep onset at about 3:00 am and average waking time of about 11:30 am, was followed with questionnaires to the subjects after a year. Good effect was seen during the six-week treatment with a large daily dose of melatonin.
The chances of recovery depend on the extent of injury to the brain and the patient's age – younger patients having a better chance of recovery than older patients. A 1994 report found that of those who were in a vegetative state a month after a trauma, 54% had regained consciousness by a year after the trauma, whereas 28% had died and 18% ...
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Twilight anesthesia is also known as twilight sleep and allows an easy awakening and a speedy recovery time for the patient. Anesthesia is used to control pain by using medicines that reversibly block nerve conduction near the site of administration, therefore, generating a loss of sensation at the area administered. Close monitoring by the ...
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