Effect of Cognitive Training on Sleeping Disorders in Stroke: A Randomized Controlled Trial.

Mahmoud, Lama Saad El-Din; Gomaa, Maged Aladrousy; Alshimy, Ahmed Magdy · Am J Phys Med Rehabil · 2025

rct · Level II

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Abstract

The aim of the study was to investigate the effect of cognitive training on sleeping disorders in poststroke. Forty stroke patients who suffered from sleep difficulties were split into two equal groups at random: the study group had cognitive training plus instructional sleep hygiene therapy for 4 wks, whereas the control group just received instructional sleep hygiene therapy for three sessions a week. The Mini-Mental State Examination, Pittsburgh Sleep Quality Index, and Epworth Sleeping Scale were used to evaluate the patients both before and after treatment. The study demonstrated a statistically significant improvement impact in the study group compared to the control group on the Mini-Mental State Examination, Pittsburgh Sleep Quality Index, and Epworth Sleeping Scale ( P < 0.05). After a stroke, cognitive training significantly improved the rehabilitation of sleep disturbances.

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