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A Middle Cerebral Artery Occlusion Technique for Inducing Post-stroke Depression in Rats
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Depression symptoms best explained insomnia complaints after stroke - a cross-sectional study
Ruani Araújo Tenório1, Patrick Roberto Avelino1, Luciano Fonseca Lemos de Oliveira2
1Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.
Journal of Bodywork and Movement Therapies
|September 16, 2025
Summary
Insomnia is common after stroke, affecting one-third of patients. Depression significantly contributes to these sleep issues, highlighting the need for integrated assessment and treatment during stroke rehabilitation.
Area of Science:
- Neurology
- Sleep Medicine
- Rehabilitation Science
Background:
- Sleep disturbances are prevalent post-stroke, impacting functional recovery.
- Approximately 70% in acute and 40% in chronic phases report sleep issues.
Purpose of the Study:
- To determine the prevalence of insomnia complaints in stroke survivors.
- To identify clinical factors associated with insomnia post-stroke, including age, functional and walking capacity, fatigue, depression, and quality of life.
Main Methods:
- Exploratory cross-sectional study design.
- Insomnia complaints measured using the Insomnia Severity Index (ISI).
- Logistic regression analysis to assess the influence of demographic and clinical variables.
Main Results:
- 31% of the 90 participants reported insomnia complaints.
- Depression symptoms were the strongest predictor, explaining 73% of insomnia complaints (OR: 1.2).
Conclusions:
- Insomnia is a significant issue for one-third of stroke survivors.
- Depression is a key modifiable factor associated with insomnia post-stroke.
- Routine assessment of insomnia and depression is recommended during stroke rehabilitation to enhance patient outcomes.
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