Sleepiness, Exertion Fatigue, Arousal, and Vigilant Attention in Persons With Chronic Aphasia.

Purpose: Individuals in the acute and chronic stages of stroke recovery often report more daytime sleepiness (Sterr, Herron, Dijk, & Ellis, 2008) and fatigue that qualitatively differs from “normal” feelings of fatigue they experienced prestroke (De Doncker, Dantzer, Ormstad, & Kuppuswamy, 2018). Sp...

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Publicado en:American Journal of Speech-Language Pathology Vol. 28; no. 4; pp. 1491 - 1509
Autores principales: Riley, Ellyn A., Owora, Arthur, McCleary, Joshua, Anderson, Alyssa
Formato: pictorial research tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Nov2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2019
      vid: 28
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      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        10.1044/2019_AJSLP-18-0301
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        atl: Sleepiness, Exertion Fatigue, Arousal, and Vigilant Attention in Persons With Chronic Aphasia.
      aug:
        au:
          Riley, Ellyn A.
          Owora, Arthur
          McCleary, Joshua
          Anderson, Alyssa
        affil: Aphasia Lab, Department of Communication Sciences and Disorders, College of Arts and Sciences, Syracuse University, NY.
      sug:
        subj:
          Chronic Disease
          Aphasia Diagnosis
          Aphasia Complications
          Sleepiness
          Exertion
          Fatigue
          Arousal Evaluation
          Attention Evaluation
          Human
          Male
          Female
          Adult
          Middle Age
          Descriptive Statistics
          Chi Square Test
          Mann-Whitney U Test
          Spearman's Rank Correlation Coefficient
          Wilcoxon Rank Sum Test
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Purpose: Individuals in the acute and chronic stages of stroke recovery often report more daytime sleepiness (Sterr, Herron, Dijk, & Ellis, 2008) and fatigue that qualitatively differs from “normal” feelings of fatigue they experienced prestroke (De Doncker, Dantzer, Ormstad, & Kuppuswamy, 2018). Speech-language pathologists frequently observe signs of fatigue in their clients with aphasia and perceive that client fatigue impedes therapeutic interventions (Riley, 2017). The current study aimed to quantify daytime sleepiness, exertion fatigue, and physiologically measured arousal and vigilant attention in persons with aphasia. Method: We measured sleepiness, exertion fatigue, arousal, and vigilant attention in 10 participants with aphasia and 10 neurologically healthy adults. Daytime sleepiness was measured using the Epworth Sleepiness Scale (Johns, 1991). Exertion fatigue was measured using the Visual Analog Fatigue Scale (B. Y. Tseng, Gajewski, & Kluding, 2010) before and after a 72-min computer-administered language task. Arousal was measured using heart rate and variability (Shaffer & Ginsberg, 2017). Vigilant attention was measured using electroencephalography and subsequently classified into 1 of 4 levels of vigilant attention using a classification algorithm (Berka et al., 2004). Results: Persons with aphasia did not show significant differences from controls in reported amount of daytime sleepiness, exertion fatigue, or overall physiological arousal but demonstrated different patterns of electroencephalography-measured vigilant attention and error production as compared to controls. Conclusions: Although overall sleepiness, exertion fatigue, and overall arousal did not differ between groups, physiological measures of vigilant attention may be more sensitive to differences and may explain feelings of fatigue that persons with chronic aphasia experience.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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