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Does Spinal Cord Stimulation Really Influence Sleep? / De Jaeger, Mats; Goudman, Lisa; De Groote, Sander; Rigoard, Philippe; Monlezun, Olivier; Moens, Maarten.

In: Neuromodulation, Vol. 22, No. 3, 04.2019, p. 311-316.

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De Jaeger, Mats ; Goudman, Lisa ; De Groote, Sander ; Rigoard, Philippe ; Monlezun, Olivier ; Moens, Maarten. / Does Spinal Cord Stimulation Really Influence Sleep?. In: Neuromodulation. 2019 ; Vol. 22, No. 3. pp. 311-316.

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@article{f1b207777cd14d7f82b52c456c16b761,
title = "Does Spinal Cord Stimulation Really Influence Sleep?",
abstract = "BACKGROUND: To date, clinical pain research has typically used subjective questionnaires to assess effectiveness of treatment. However, in the near future, new technologies may provide us objective outcome measures as an alternative to self-report. The goal of this study is to compare subjective and objective sleep assessments in a population of failed back surgery syndrome (FBSS) patients, treated with spinal cord stimulation (SCS).METHODS: Twenty-two patients diagnosed with FBSS received SCS. Sleep data was collected at three time point: prior to SCS implantation (B), one month after SCS (T1), and two months after SCS (T2). Sleep data measured by actigraphy provided objective sleep data and were compared to Pittsburgh sleep quality index (PSQI) scores. Agreement between sleep parameters, total sleep time (TST), sleep efficiency (SE), and sleep onset latency (SOL), was examined.RESULTS: Nineteen out of 22 patients completed the study. We identified significant differences between objective and subjective measurements for TST and SE at baseline and after two months of SCS, with patients underestimating both parameters on the PSQI in comparison to objective measurements. For SOL no significant differences were found, although patients subjectively overestimated SOL at B.CONCLUSION: The results about sleep measurements shown in this population of chronic pain patients, suggest that the subjective ratings scored worse than the objective measurements. Second, short-term SCS mainly seems to affect subjectively measured sleep parameters, especially SOL. This study shows the discrepancies between objective and subjective assessments in chronic pain research. Objective tools are indispensable for a correct assessment and treatment of sleep parameters. They are also playing a role as a biofeedback tool and are supporting the rehabilitation process.",
keywords = "Actigraphy/methods, Adult, Aged, Failed Back Surgery Syndrome/diagnosis, Female, Humans, Male, Middle Aged, Pain Measurement/methods, Self Report/standards, Sleep/physiology, Spinal Cord Stimulation/methods, Surveys and Questionnaires",
author = "{De Jaeger}, Mats and Lisa Goudman and {De Groote}, Sander and Philippe Rigoard and Olivier Monlezun and Maarten Moens",
note = "{\circledC} 2018 International Neuromodulation Society.",
year = "2019",
month = "4",
doi = "10.1111/ner.12850",
language = "English",
volume = "22",
pages = "311--316",
journal = "Neuromodulation",
issn = "1094-7159",
publisher = "Wiley-Blackwell",
number = "3",

}

RIS

TY - JOUR

T1 - Does Spinal Cord Stimulation Really Influence Sleep?

AU - De Jaeger, Mats

AU - Goudman, Lisa

AU - De Groote, Sander

AU - Rigoard, Philippe

AU - Monlezun, Olivier

AU - Moens, Maarten

N1 - © 2018 International Neuromodulation Society.

PY - 2019/4

Y1 - 2019/4

N2 - BACKGROUND: To date, clinical pain research has typically used subjective questionnaires to assess effectiveness of treatment. However, in the near future, new technologies may provide us objective outcome measures as an alternative to self-report. The goal of this study is to compare subjective and objective sleep assessments in a population of failed back surgery syndrome (FBSS) patients, treated with spinal cord stimulation (SCS).METHODS: Twenty-two patients diagnosed with FBSS received SCS. Sleep data was collected at three time point: prior to SCS implantation (B), one month after SCS (T1), and two months after SCS (T2). Sleep data measured by actigraphy provided objective sleep data and were compared to Pittsburgh sleep quality index (PSQI) scores. Agreement between sleep parameters, total sleep time (TST), sleep efficiency (SE), and sleep onset latency (SOL), was examined.RESULTS: Nineteen out of 22 patients completed the study. We identified significant differences between objective and subjective measurements for TST and SE at baseline and after two months of SCS, with patients underestimating both parameters on the PSQI in comparison to objective measurements. For SOL no significant differences were found, although patients subjectively overestimated SOL at B.CONCLUSION: The results about sleep measurements shown in this population of chronic pain patients, suggest that the subjective ratings scored worse than the objective measurements. Second, short-term SCS mainly seems to affect subjectively measured sleep parameters, especially SOL. This study shows the discrepancies between objective and subjective assessments in chronic pain research. Objective tools are indispensable for a correct assessment and treatment of sleep parameters. They are also playing a role as a biofeedback tool and are supporting the rehabilitation process.

AB - BACKGROUND: To date, clinical pain research has typically used subjective questionnaires to assess effectiveness of treatment. However, in the near future, new technologies may provide us objective outcome measures as an alternative to self-report. The goal of this study is to compare subjective and objective sleep assessments in a population of failed back surgery syndrome (FBSS) patients, treated with spinal cord stimulation (SCS).METHODS: Twenty-two patients diagnosed with FBSS received SCS. Sleep data was collected at three time point: prior to SCS implantation (B), one month after SCS (T1), and two months after SCS (T2). Sleep data measured by actigraphy provided objective sleep data and were compared to Pittsburgh sleep quality index (PSQI) scores. Agreement between sleep parameters, total sleep time (TST), sleep efficiency (SE), and sleep onset latency (SOL), was examined.RESULTS: Nineteen out of 22 patients completed the study. We identified significant differences between objective and subjective measurements for TST and SE at baseline and after two months of SCS, with patients underestimating both parameters on the PSQI in comparison to objective measurements. For SOL no significant differences were found, although patients subjectively overestimated SOL at B.CONCLUSION: The results about sleep measurements shown in this population of chronic pain patients, suggest that the subjective ratings scored worse than the objective measurements. Second, short-term SCS mainly seems to affect subjectively measured sleep parameters, especially SOL. This study shows the discrepancies between objective and subjective assessments in chronic pain research. Objective tools are indispensable for a correct assessment and treatment of sleep parameters. They are also playing a role as a biofeedback tool and are supporting the rehabilitation process.

KW - Actigraphy/methods

KW - Adult

KW - Aged

KW - Failed Back Surgery Syndrome/diagnosis

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Pain Measurement/methods

KW - Self Report/standards

KW - Sleep/physiology

KW - Spinal Cord Stimulation/methods

KW - Surveys and Questionnaires

U2 - 10.1111/ner.12850

DO - 10.1111/ner.12850

M3 - Article

C2 - 30255537

VL - 22

SP - 311

EP - 316

JO - Neuromodulation

JF - Neuromodulation

SN - 1094-7159

IS - 3

ER -

ID: 47780419