Summary
Objective: This study aimed to correlate the P2/P1 ratio of intracranial pressure waveforms with sedentary behavior during the chronic stage of stroke.
Materials and Methods: Eight patients from São Carlos, Brazil, who had hemiparesis and stroke onset within the previous 6 months, participated in this study. To monitor their intracranial pressure, we used noninvasive Brain4Care® intracranial pressure monitoring during a postural change maneuver involving 15 min in a supine position and 15 min in an orthostatic position. The patients’ sedentary behavior was continually monitored at home using a StepWatch Activity Monitor™ for 1 week. Moreover, the patients completed the International Physical Activity Questionnaire before and after using the StepWatch Activity Monitor™.
Results: In the supine and orthostatic positions, the P2/P1 ratios were 0.84 ± 0.14 and 0.98 ± 0.17, respectively. The percentage of time spent in inactivity was 71 ± 11%, and the number of steps walked per day was 4220 ± 2239. We found a high positive correlation (r = 0.881, p = 0.004) between the P2/P1 ratio and the percentage of time spent in inactivity.
Conclusion: This preliminary study showed a correlation between sedentary behavior and cerebral compliance. Thus, monitoring of intracranial pressure during the late stage of a stroke could guide the clinician’s treatment to reduce sedentary behavior and the risks of recurrent stroke and cardiovascular diseases.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Abraham M, Singhal V (2015) Intracranial pressure monitoring. J Neuroanaesth Crit Care 2(3):193–203. https://doi.org/10.4103/2348-0548.165039
Tasneem N, Samaniego EA, Pieper C, Leira EC, Adams HP, Hasan D et al (2017) Brain multimodality monitoring: a new tool in neurocritical care of comatose patients. Crit Care Res Pract 2017:6097265. https://doi.org/10.1155/2017/6097265
Donnelly J, Budohoski KP, Smielewski P, Czosnyka M (2016) Regulation of the cerebral circulation: bedside assessment and clinical implications. Crit Care 20:129. https://doi.org/10.1186/s13054-016-1293-6
Salinet ASM, Silva NCC, Caldas J, de Azevedo DS, de-Lima-Oliveira M, Nogueira RC et al (2018) Impaired cerebral autoregulation and neurovascular coupling in middle cerebral artery stroke: influence of severity? J Cereb Blood Flow Metab 39(11):2277–2285. https://doi.org/10.1177/0271678X18794835
Hatem SM, Saussez G, Faille M, Prist V, Zhang X, Dispa D et al (2016) Rehabilitation of motor function after stroke: a multiple systematic review focused on techniques to stimulate upper extremity recovery. Front Hum Neurosci 10:442. https://doi.org/10.3389/fnhum.2016.00442
Tieges Z, Mead G, Allerhand M, Duncan F, van Wijck F, Fitzsimons C et al (2015) Sedentary behavior in the first year after stroke: a longitudinal cohort study with objective measures. Arch Phys Med Rehabil 96(1):15–23. https://doi.org/10.1016/j.apmr.2014.08.015
Hendrickx W, Riveros C, Askim T, Bussmann JBJ, Callisaya ML, Chastin SFM et al (2019) Identifying factors associated with sedentary time after stroke: secondary analysis of pooled data from nine primary studies. Top Stroke Rehabil 26(5):327–334. https://doi.org/10.1080/10749357.2019.1601419
Carter SE, Draijer R, Holder SM, Brown L, Thijssen DHJ, Hopkins ND (2018) Regular walking breaks prevent the decline in cerebral blood flow associated with prolonged sitting. J Appl Physiol 125:790–798. https://doi.org/10.1152/japplphysiol.00310.2018
Zlatar ZZ, Hays CC, Mestre Z, Campbell LM, Meloy MJ, Bangen KJ et al (2019) Dose-dependent association of accelerometer-measured physical activity and sedentary time with brain perfusion in aging. Exp Gerontol 110679:125. https://doi.org/10.1016/j.exger.2019.110679
Aoi MC, Tzung-Lo M, Selim M, Olufsen MS, Novak V (2012) Impaired cerebral autoregulation is associated with brain atrophy and worse functional status in chronic ischemic stroke. PLoS One 7(10):e46794. https://doi.org/10.1371/journal.pone.0046794
Aires MJH, Elting JW, Keyser JD, Kremer BPH, Vroomen PCAJ (2010) Cerebral autoregulation in stroke. Stroke 41:2697–2704. https://doi.org/10.1161/STROKEAHA.110.594168
González K, Fuentes J, Márquez JL (2017) Physical inactivity, sedentary behavior and chronic diseases. Korean J Fam Med 38(3):111–115. https://doi.org/10.4082/kjfm.2017.38.3.111
Ballestero MFM, Frigieri G, Cabella BCT, Oliveira SM, Oliveira RS (2017) Prediction of intracranial hypertension through noninvasive intracranial pressure waveform analysis in pediatric hydrocephalus. Childs Nerv Syst 33(9):1517–1524. https://doi.org/10.1007/s00381-017-3475-1
Cabella B, Vilela GHF, Mascarenhas S, Czosnyka M, Smielewski P, Dias C et al (2016) Validation of a new noninvasive intracranial pressure monitoring method by direct comparison with an invasive technique. Acta Neurochir Suppl 122:93–96. https://doi.org/10.1007/978-3-319-22533-3_18
Frigieri G, Andrade RAP, Dias C Jr, Spavieri DL, Brunelli R, Cardim DA, Wang CC, Verzola RMM, Mascarenhas S (2018) Analysis of a non-invasive intracranial pressure monitoring in patients with traumatic brain injury. Acta Neurochir Suppl 126:107–110. https://doi.org/10.1007/978-3-319-65798-1_23
Nucci CG, Bonis PD, Mangiola A, Santini P, Sciandrone M, Risi A et al (2016) Intracranial pressure wave morphological classification: automated analysis and clinical validation. Acta Neurochir 158(3):581–588. https://doi.org/10.1007/s00701-015-2672-5
Acknowledgments
This study was supported by the Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) through scholarship grant number 2017/22173-5 and by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) (finance code 001).
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Ethics declarations
Brain4Care Health Technology provided the noninvasive devices used in this project for research purposes. Gabriela Nagai Ocamoto, Jean Alex Matos Ribeiro, Aparecida Maria Catai, and Thiago Luiz Russo have no financial interests related to Brain4Care Health Technology. Deusdedit Lineu Spavieri Junior and Gustavo Henrique Frigieri Vilela have received financial support from Brain4Care Health Technology.
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Nagai Ocamoto, G., Spavieri Junior, D.L., Matos Ribeiro, J.A., Frigieri Vilela, G.H., Catai, A.M., Russo, T.L. (2021). Noninvasive Intracranial Pressure Monitoring in Chronic Stroke Patients with Sedentary Behavior: A Pilot Study. In: Depreitere, B., Meyfroidt, G., Güiza, F. (eds) Intracranial Pressure and Neuromonitoring XVII. Acta Neurochirurgica Supplement, vol 131. Springer, Cham. https://doi.org/10.1007/978-3-030-59436-7_12
Download citation
DOI: https://doi.org/10.1007/978-3-030-59436-7_12
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-59435-0
Online ISBN: 978-3-030-59436-7
eBook Packages: MedicineMedicine (R0)