title: Management of Sleep Quality and Pain in an Individual Living with HIV and Hepatitis C Coinfection Using an Activity Monitor.
abstract: METHODS
  Case report.
  
  
  BACKGROUND
  Twenty-five percent of people living with HIV/AIDS (PLWHA) are also coinfected with hepatitis C virus (HCV). There are limited reports to assist in the symptom management of PLWHA and HCV coinfection.
  
  
  METHODS
  Our case was a 67-year-old man living with HIV/HCV coinfection and other medical complications. Our intervention consisted of a 6-week progressive conditioning program, while his activity and sleep pattern were monitored using a wrist accelerometer.
  
  
  RESULTS
  After completing a conditioning training, there was a 64% decrease in the number of waking episodes per night and 68% decrease in activity at night. Based on Pittsburgh Sleep Quality Index scores, the participant transitioned from being a "poor sleeper" to a "good sleeper." A 40% decrease in pain was reported. Functional outcome measures also showed improvements.
  
  
  CONCLUSIONS
  There were improvements in the participant's sleep quality and pain. The use of a commercial accelerometer may assist in objectively tracking compliance and activity changes.
authors: School of Physical Therapy, University of the Incarnate Word, San Antonio, TX, USA rosandov@uiwtx.edu.
authors: Roberto
authors: R
authors: Sandoval
authors: Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL, USA.
authors: Rachel
authors: R
authors: Gilkerson
mesh_terms: D000368:Aged; D019380:Anti-HIV Agents / Q000627:therapeutic use; D000998:Antiviral Agents / Q000627:therapeutic use; D060085:Coinfection / Q000188:drug therapy / Q000503:physiopathology*; D015658:HIV Infections / Q000188:drug therapy / Q000503:physiopathology*; D006526:Hepatitis C / Q000188:drug therapy / Q000503:physiopathology*; D006801:Humans; D008297:Male; D059408:Pain Management; D012890:Sleep
chemical_list: D019380:Anti-HIV Agents; D000998:Antiviral Agents
keywords: HIV; accelerometer; pain; rehabilitation; sleep