Open Access
CC BY-NC-ND 4.0 · Sleep Sci 2023; 16(03): e335-e343
DOI: 10.1055/s-0043-1772805
Review Article

The Importance of Sleep for Successful Neurorehabilitation after Stroke

1   Department of Neurology and Neurosurgery, Universidade Federal De São Paulo, São Paulo, São Paulo, Brazil
,
Brian James Murray
2   Department of Medicine, Division of Neurology, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
,
Fernando Morgadinho Santos Coelho
1   Department of Neurology and Neurosurgery, Universidade Federal De São Paulo, São Paulo, São Paulo, Brazil
3   Department of Psychobiology, Universidade Federal de São Paulo, São Paulo, São Paulo, Brazil
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Abstract

Sleep has important clinical implications for neurorehabilitation after stroke. We aimed to systematically explore sleep (including naps) as an essential factor in the neurorehabilitation of patients after stroke. After titles and abstracts were screened, 49 full texts were reviewed, and 7 were included in this review. Data were extracted and assessed for quality and risk of bias. We looked at any neurorehabilitation setting, and compared sleep with no sleep and explored these factors in stroke patients versus healthy individuals. Rehabilitation is critical for many activities that may need to be learned or re-learned following stroke and for returning to everyday life. In this context, sleep is essential in neurorehabilitation and physical therapy practice as it supports neuroplasticity, memory, and learning. The available data suggest that sleep should be considered in the treatment plan for successfully targeted physiotherapy to optimize cognitive and motor learning. Physical therapists should advise about sleep hygiene and therapies to improve sleep, both quality and quantity.



Publikationsverlauf

Eingereicht: 23. Mai 2022

Angenommen: 24. Oktober 2022

Artikel online veröffentlicht:
11. September 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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