Evidence map›Paper›PMID 42821139›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2026

Does sleep matter for recovery after stroke? Functional severity shapes the association between sleep and functional outcome during inpatient stroke rehabilitation.

Serena Scarpelli, Valentina Alfonsi, Maurizio Gorgoni, Erika Di Matteo, Natasha Manili, Ludovica Annarumma, Elisa Pellegrini, Camilla Mattei, Giovanni Morone, Mariella Pazzaglia and 2 more

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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

12 authors.

Serena ScarpelliDepartment of Psychology, Sapienza University of Rome, Via dei Marsi 78, 00185, Rome, Italy. serena.scarpelli@uniroma1.it.ORCID http://orcid.org/0000-0002-9260-7111
Valentina AlfonsiDepartmental Faculty of Medicine and Surgery, UniCamillus-Saint Camillus International University of Health Sciences, Rome, Italy.
Maurizio GorgoniDepartment of Psychology, Sapienza University of Rome, Via dei Marsi 78, 00185, Rome, Italy.
Erika Di MatteoDepartment of Psychology, Sapienza University of Rome, Via dei Marsi 78, 00185, Rome, Italy.
Natasha ManiliDepartment of Psychology, Sapienza University of Rome, Via dei Marsi 78, 00185, Rome, Italy.
Ludovica AnnarummaDepartment of Psychology, Sapienza University of Rome, Via dei Marsi 78, 00185, Rome, Italy.
Elisa PellegriniDepartment of Psychology, Sapienza University of Rome, Via dei Marsi 78, 00185, Rome, Italy.
Camilla MatteiDepartment of Psychology, Sapienza University of Rome, Via dei Marsi 78, 00185, Rome, Italy.
Giovanni MoroneDepartment of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
Mariella PazzagliaDepartment of Psychology, Sapienza University of Rome, Via dei Marsi 78, 00185, Rome, Italy.
Luigi De GennaroDepartment of Psychology, Sapienza University of Rome, Via dei Marsi 78, 00185, Rome, Italy.
Marco IosaDepartment of Psychology, Sapienza University of Rome, Via dei Marsi 78, 00185, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSleep disturbances are common after stroke and have been associated with rehabilitation outcomes. The clinical meaning of post-stroke sleep duration remains unclear, as longer sleep may be associated with different clinical and functional states, including greater disability. This exploratory study investigated the relationship between sleep and functional outcome during stroke rehabilitation, and the moderating role of baseline functional status.

methodsTwenty-nine patients with stroke underwent a 10-day longitudinal monitoring protocol during rehabilitation. Functional independence and motor performance were assessed at the beginning (T0) and the end (T1) of the observation period using the Barthel Index, 10-Meter Walk Test, and 9-Hole Peg Test. Sleep was assessed throughout the monitoring period using sleep diaries, and actigraphy .

resultsFunctional independence improved from T0 to T1, whereas motor performance did not significantly change. In unadjusted analyses, longer actigraphy-derived total sleep time and longer self-reported total time in bed were correlated with lower Barthel Index scores at T1. Moderation analyses adjusted for prior rehabilitation days showed that longer total sleep time was positively associated with Barthel Index at T1 only in patients with higher baseline independence, while longer time in bed was positively associated at average and higher baseline levels.

conclusionsThe associations between sleep duration or time in bed and later post-rehabilitation functional independence vary according to baseline functional status. Given the small sample size and observational design, these findings should be interpreted cautiously and considered preliminary and hypothesis-generating.

Indexed as

Recovery of FunctionSleepSleep Wake DisordersStrokeStroke RehabilitationActigraphyAgedFemaleHumansInpatientsLongitudinal StudiesMaleMiddle AgedSeverity of Illness IndexSleep DurationTreatment OutcomeActigraphyBarthel indexRehabilitationSleep durationSstroke

Identifiers

PMID42821139
PMCPMC13630849

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.