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  4. Exercise-with-melatonin therapy improves sleep disorder and motor dysfunction in a rat model of ischemic stroke

Exercise-with-melatonin therapy improves sleep disorder and motor dysfunction in a rat model of ischemic stroke

Neural Regeneration Research, 2024 · DOI: https://doi.org/10.4103/1673-5374.385844 · Published: June 1, 2024

NeurologyRehabilitation

Simple Explanation

This study investigates the effects of exercise combined with melatonin on stroke recovery in rats. Researchers found that this combined therapy improved sleep duration, delta power, and delta power rhythm in rats that had experienced a stroke. The therapy also improved motor skills such as coordination, endurance, and grip strength, along with enhancing learning and memory. These improvements were linked to increased activity in specific brain cells and changes in the expression of a glutamate receptor. Overall, the study suggests that exercise and melatonin together can help alleviate sleep disorders and motor dysfunction after a stroke by affecting brain plasticity and glutamate receptor expression.

Study Duration
7 consecutive days
Participants
Male Sprague-Dawley rats (n=8 per group)
Evidence Level
Not specified

Key Findings

  • 1
    Exercise-with-melatonin therapy significantly prolonged sleep duration in the model rats, increased delta power values, and regularized delta power rhythm.
  • 2
    Exercise-with-melatonin therapy improved coordination, endurance, and grip strength, as well as learning and memory abilities.
  • 3
    It led to higher hippocampal CA1 neuron activity and postsynaptic density thickness and lower expression of glutamate receptor 2 than did exercise or melatonin therapy alone.

Research Summary

This study demonstrates that exercise-with-melatonin therapy promotes sleep and has beneficial effects on motor function recovery in a rat model of stroke. This improvement in behavioral performance was associated with enhanced synaptic plasticity, which was induced by elevated expression of GluR2 in the hippocampal CA1. Our results show that sleep improvement plays an important role in the improvement of motor function after stroke.

Practical Implications

Rehabilitation Strategies

Attention should be paid to sleep interventions when designing stroke rehabilitation, keeping in mind that high-quality sleep combined with appropriate exercise is conducive to improving motor function.

Therapeutic Potential

Exercise-with-melatonin therapy could be a promising approach for improving sleep and motor function recovery after stroke.

Synaptic Plasticity

The study highlights the role of synaptic plasticity and GluR2 expression in the recovery process, suggesting potential targets for future therapeutic interventions.

Study Limitations

  • 1
    Elevated melatonin is associated with nocturnal activity in rats, as opposed to humans.
  • 2
    Suitable diurnal animal models must be developed before exercise-with-melatonin therapy can be applied clinically.
  • 3
    The dose and course of melatonin suitable for clinical testing need to be further explored.

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