The influence of sleep quality and circadian preferences on upper extremity rehabilitation in stroke patients after constraint-induced movement therapy

被引:8
作者
Pereira, Debora Dias [1 ]
Eras-Garcia, Rafael [2 ,3 ]
Frange, Cristina [4 ]
de Oliveira, Clarissa Barros [3 ]
Tufik, Sergio [1 ]
Coelho, Fernando Morgadinho Santos [1 ,4 ]
机构
[1] Univ Fed Sao Paulo, Dept Psicobiol, Sao Paulo, SP, Brazil
[2] Univ Fed Sao Carlos, Dept Terapia Ocupac, Sao Carlos, SP, Brazil
[3] Assoc Assistencia Crianca Deficiente, Sao Paulo, SP, Brazil
[4] Univ Fed Sao Paulo, Dept Neurol & Neurocirurgia, Sao Paulo, SP, Brazil
基金
巴西圣保罗研究基金会;
关键词
circadian preference; constraint-induced movement therapy; sleep; stroke; BRAZILIAN VERSION; BODY-TEMPERATURE; PERFORMANCE; RECOVERY; METAANALYSIS; VALIDATION; DISABILITY; IMPACT; APNEA;
D O I
10.1097/MRR.0000000000000379
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Our aim was to explore the influence of sleep and circadian preference on upper extremity (UE) rehabilitation in stroke patients after constraint-induced movement therapy (CIMT) in a cross-sectional retrospective observational study. Forty-three patients were selected to complete questionnaires on circadian preference, sleep quality, excessive daytime sleepiness, and risk of obstructive sleep apnea. They had undergone a 10-day standard CIMT program without medical complications and with normal to minimal cognitive dysfunction. All pre- and postrehabilitation scores (patient perception of the quantity and quality of use of the affected UE and self-quantification of motor ability) were analyzed retrospectively. All patients had improved perception of the quantity and quality of use of the affected UE and self-quantified motor ability. Patients with an evening-type chronotype demonstrated less improvement than those with morning and intermediate types. In addition, patients with poor sleep quality showed less improvement in functional ability than those with good sleep quality. Circadian preferences and sleep quality impacted the improvements in motor performance of patients with stroke after CIMT rehabilitation. This is the first study to suggest that rehabilitation sessions must respect the circadian preferences of patients and that sleep quality can affect outcomes. Future studies should investigate the relationship and mechanisms between circadian preference and poor sleep quality and rehabilitation outcomes on a larger scale.
引用
收藏
页码:20 / 27
页数:8
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