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Health

How important is sleep in neurorehabilitation?

20. June 2022 ● 3 min. Reading time

Studies show that sleep after a stroke or traumatic brain injury (TBI) is an important factor in neurorehabilitation. Healthy sleep promotes neuroplasticity, improves the ability to learn and memorize, and optimizes motor performance.

Stroke and traumatic brain injury: What does sleep have to do with it?

Following a stroke or a traumatic brain injury, many patients report poor sleep or develop sleep disorders such as insomnia, sleep-disordered breathing, or restless leg syndrome. Sleep disorders may have a negative impact on rehabilitation and the recovery of functional abilities.

Sufficient and restful sleep is important for short-term and long-term recovery after the acute and subacute phase of a stroke. A study showed that balanced sleep patterns can positively impact the cognitive abilities of patients.

Promoting sleep should be part of rehabilitation following a stroke or a traumatic brain injury. Cognitive behavior therapy can help patients manage the new situation and develop strategies for a healthy sleep-wake cycle.

Additionally, simple sleep hygiene tricks can help to improve sleep in neurological rehabilitation and therefore quality of life.

9 Tips for restful Sleep:

Turn off potential sources of noise. Smartphones, tablets, and similar items should not be kept in the bedroom. At a hospital or a rehabilitation facility, put your smartphone into a drawer.
Close curtains, blinds, or shutters and remove blinking lights, such as blinking alarm clocks, from the field of vision.
Create a pleasant atmosphere where you sleep. When at home, use curtains or natural textiles to create a comfortable environment. At a hospital, items or pictures from home can increase comfort.
Check side effects of medication. Some medications can affect sleep. Discuss options for improving your sleep with your doctor.
Do not consume caffeine, alcohol, and heavy food in the evening.
Reduce the amount of time spent in front of screens. Especially in the hour before going to bed, quiet activities like reading or listening to music foster restful sleep.
When possible, spend at least half an hour per day outside. Natural light helps the body regulate the sleep-wake cycle.
Find a night-time ritual. Regular rituals signal the body that it is time to relax. A warm bath, reading, relaxing music, or easy mobilization exercises can be an option.
Don´t panic if you have trouble sleeping. Distraction methods, such as focusing on the breath or learning relaxation techniques can help.

After suffering a stroke or traumatic brain injury, it is normal for it to take some time for sleep to return to its natural rhythm. Listen carefully to your body and give it time to regenerate.

If your problems persist, discuss options for improving your sleep with your doctor.

Authorn: Michaela Partel

Sources:

Narrative review of sleep and stroke, 2020

Sleep Medicine: Stroke and Sleep, 2018

The role of sleep in recovery following ischemic stroke: A review of human and animal data, 2016

Treatments for sleep disturbances in individuals with acquired brain injury: A systematic review, 2021

Fatigue and sleep disturbance following traumatic brain injury–their nature, causes, and potential treatments, 2012

Correlation between sleep and cognitive functions after hemispheric ischaemic stroke, 2008

Evolution of sleep and sleep EEG after hemispheric stroke, 2002

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How important is sleep in neurorehabilitation?

Stroke and traumatic brain injury: What does sleep have to do with it?

9 Tips for restful Sleep:

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