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Researching Sleep Disorders<br />

A good night’s sleep would be a dream come true for many<br />

p<strong>at</strong>ients who visit Carle Clinic’s Regional Sleep Disorders<br />

Center. Problems ranging from sleep apnea to sleep<br />

depriv<strong>at</strong>ion to Restless Legs Syndrome impact the lives and<br />

health <strong>of</strong> countless Americans each day, but COM-UC faculty<br />

in the Sleep Disorders Center are working to change th<strong>at</strong>.<br />

The work <strong>of</strong> Daniel Picchietti, M.D., and Shalu<br />

Manchanda, M.D., provides one such example. Dr. Picchietti,<br />

director <strong>of</strong> the Sleep Disorders Center and a COM-UC clinical<br />

associ<strong>at</strong>e pr<strong>of</strong>essor, has a busy clinical practice and is actively<br />

involved in research to assist children and adults with sleep<br />

disorders. Dr. Manchanda, a research assistant pr<strong>of</strong>essor <strong>of</strong><br />

internal medicine and <strong>at</strong>tending physician in the intensive<br />

care unit <strong>at</strong> Carle Found<strong>at</strong>ion Hospital, studied with<br />

Dr. Picchietti while she prepared for her board certific<strong>at</strong>ion<br />

in sleep medicine and has now joined him in conducting<br />

research <strong>at</strong> the Center.<br />

Their specific collabor<strong>at</strong>ion focuses on finding a more<br />

efficient tool for diagnosis <strong>of</strong> Restless Legs Syndrome (RLS),<br />

a condition th<strong>at</strong> affects an estim<strong>at</strong>ed 5% to 15% <strong>of</strong> the<br />

popul<strong>at</strong>ion. P<strong>at</strong>ients with RLS have an irresistible sens<strong>at</strong>ion<br />

to move their legs, which interferes with sleep onset. In<br />

addition, 85% <strong>of</strong> those who have RLS also suffer from<br />

periodic limb movements, a condition in which a p<strong>at</strong>ient’s<br />

sleep is disturbed in associ<strong>at</strong>ion with limb jerks th<strong>at</strong> may<br />

occur repe<strong>at</strong>edly during the night.<br />

Currently, Dr. Picchietti and Dr. Manchanda are using a toe<br />

sensor unit in the labor<strong>at</strong>ory and testing it against the gold<br />

standard diagnostic tool, the all-night polysomnogram, to test<br />

for leg jerks. According to Dr. Manchanda, it’s research th<strong>at</strong><br />

holds promise. “Our collabor<strong>at</strong>ion is only in its beginning<br />

stages,” she says. “But we hope to see success in the form<br />

<strong>of</strong> a less expensive outp<strong>at</strong>ient tool, which could mean quicker<br />

diagnosis and thus faster relief for p<strong>at</strong>ients.”<br />

Problems ranging from<br />

sleep apnea to sleep<br />

depriv<strong>at</strong>ion to Restless Legs<br />

Syndrome impact the lives<br />

and health <strong>of</strong> countless<br />

Americans each day, but<br />

COM-UC faculty in the<br />

Sleep Disorders Center are<br />

working to change th<strong>at</strong>.<br />

Shalu Manchanda, M.D., and Daniel Picchietti, M.D.<br />

T h e P o w e r o f C o l l a b o r a t i o n<br />

5

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