Excessive daytime sleepiness (EDS) is, in its consequences, a major
problem for the patient and for the society. EDS is mainly caused by night-time sleep disorders, in particular: the sleep apnoea syndrome (SAS) and periodic limb movements in sleep (PLMS). Our study was designed for finding out a) if there is a correlation between the gravity of the two conditions and the degree of EDS in patients with SAS and those with SAS and PLMS combined, and b) if EDS in the SAS+PLMS group is greater than in patients with the SAS alone. 35 patients with SAS and 10 with SAS+PLMS were examined using nocturnal polysomnography (PSG) and the multiple sleep latency test (MSLT).
As for SAS, no correlation was found between EDS and the gravity of the condition. On the other hand, PLMS was found correlated to the mean sleep latency value. A correlation between the gravity of the disease and the reduced TST, SE and the sleep stages under study was corroborated for both groups. In addition, both conditions were found to interfere with the sleep architecture more than the SAS alone. This noctural sleep disturbance, though, would stop short of raising the mean sleep latency tested in the MLST. Correlations were found in SAS between the age and 2NREM latency and between the latter and average sleep latency. In the MSLT, the groups showed no difference as to the mean sleep latencies.
A decrease in quality and quantity of sleep has a negative impact on efficiency during wakefulness, which shows particularly in case of people who interact with technological systems, for example system operators, vehicle drivers, etc. Day sleep can positively influence the following vigilance but in the time immediately after the sleep, the psychomotor performance is influenced by sleep inertia whose intensity depends on time and length of sleep.
The aim of the study was to compare day psychomotor performances of people suffering from sleep disorders and a control group of healthy people, and to test the hypothesis that a short, 15 minute long sleep causes more important sleep inertia at 3 p.m. than at 1 p.m.
Sleepiness was objectively evaluated on a group of 35 tested probands, consisting of 29 patients (13 women and 16 men) with given excessive daytime sleepiness accompanying sleep disorder, and of a control group of 6 healthy subjects, with help of Multiple Sleep Latency Test (MSLT) and subjectively with help of Alertness Visual Analogue Scale (VAS). Psychomotor performance was examined by Psychomotor Vigilance Task (PVT).
We found out an unimportant difference in the intensity of sleep inertia after a sleep at 1 p.m. and 3 p.m. We proved significant prolongation of a reaction time and an increase in number of lapses on the group with pathologically shortened sleep latency in MSLT compared to the group with the normal sleep latency. Our work also shows the difference between the subjective and objective evaluation of sleepiness of subjects. Our results show that the prolonged reaction time and increase in number of lapses of the patient group are significant in all PVT examinations compared to the control group. Further, it is obvious that the PVT test is a more sensitive method for judging psychomotor performance and indirectly for judging sleepiness than the MSLT.
These facts seem to be important especially from the two following reasons:
- They can be a help for recommendation of improved regime for driver relaxation.
- They can help in search for deeper understanding of mechanisms of attention decreases.