The Impact of Sleep Disorders on Functional Recovery and Participation Following Stroke: A Systematic Review and Meta-Analysis
| Autor: | Makenzie Hauger, Pierce Boyne, George D. Fulk, Karen J. Klingman, Samantha Romano, Jonathan Thomas, Raktim Ghosh, Amy R. Slutzky |
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| Rok vydání: | 2020 |
| Předmět: |
Sleep Wake Disorders
medicine.medical_specialty Community participation 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Physical medicine and rehabilitation medicine Humans 030212 general & internal medicine Stroke Sleep disorder business.industry Stroke Rehabilitation General Medicine Recovery of Function Functional recovery medicine.disease Sleep in non-human animals Meta-analysis Concomitant Quality of Life Patient Participation business 030217 neurology & neurosurgery |
| Zdroj: | Neurorehabilitation and neural repair. 34(11) |
| ISSN: | 1552-6844 4201-9125 |
| Popis: | Background Adequate sleep is vital for health and quality of life. People with stroke and a concomitant sleep disorder may have poorer outcomes than those without a sleep disorder. Objective To systematically evaluate the published literature to determine the impact of sleep disorders on physical, functional recovery at the activity and participation level after stroke. Methods A systematic review was conducted using PubMed, CINAHL, Scopus, and PsycINFO. Studies were selected that reported outcomes on physical, functional recovery at the activity and participation levels in participants with stroke and a diagnosed sleep disorder. A meta-analysis was performed on included studies that reported Barthel Index (BI) and modified Rankin Scale (mRS) scores. Results: A total of 33 studies were included in the systematic review with 9 of them in the meta-analysis. The mean mRS score was 0.51 points higher in participants with stroke and sleep disorders versus participants with stroke without sleep disorder [95% CI: 0.23-0.78]. The mean BI score was 10.2 points lower in participants with stroke and sleep disorders versus participants with stroke without sleep disorder [95% CI: −17.9 to −2.6]. Conclusions People with stroke and a sleep disorder have greater functional limitations and disability than those without a sleep disorder. Rehabilitation professionals should screen their patients with stroke for potential sleep disorders and further research is needed to develop sleep and rehabilitation interventions that can be delivered in combination. PROSPERO registration number: CRD42019125562. |
| Databáze: | OpenAIRE |
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