Characteristics of sleep disorders in patients with chronic back pain

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Abstract

Background. Insomnia is considered a risk factor for the frequency of pain, however, no reliable studies with a comprehensive analysis of the objective polysomnography data have been conducted so far.

Objective. Using the method of polysomnography, to assess the changes in the structure of sleep in the chronic pain syndrome, by the example of chronic back pain.

Methods. The study was carried out in two groups (basic and control,) in which the patients were examined according to the following algorithm: an objective examination, assessment of the neurological status, filling in neurological scales and questionnaires, a single comprehensive study of the night sleep (polysomnography).

Results. According to the data of the polysomnographic study, presomnic disorders were detected in 25% of patients, intrasomnic disorders in 48%, and postsomnic disorders in 17%.

Conclusion. These sleep patterns, measured by polysomnography, demonstrate a link between sleep disorders, changes in the psycho-vegetative status, and chronic pain syndrome.

About the authors

Daniil K. Vinogradov

Novosibirsk State Medical University

Author for correspondence.
Email: webkraz@gmail.com
ORCID iD: 0000-0001-9303-1970

Postgraduate Student, Department of Neurology

Russian Federation, Novosibirsk

O. B. Doronina

Novosibirsk State Medical University

Email: doronina_ob@mail.ru
ORCID iD: 0000-0002-5136-7430

канд. мед. наук, доцент кафедры неврологии лечебного факультета

Russian Federation, Novosibirsk

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Supplementary files

Supplementary Files
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2. Fig. 1. The distribution of points in the questionnaire of subjective characteristics of sleep in a group of patients with chronic back pain

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3. Fig. 2. The dependence of the sleep efficiency index on the duration of the disease

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Copyright (c) 2019 Vinogradov D.K., Doronina O.B.

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