The effect of time-of-day and sleep deprivation on postural control: A systematic review. 2022

Mohammad Izadi, and Ewan Thomas, and Abbey C Thomas, and Marianna Bellafiore
Sport and Exercise Research Unit, Department of Psychology, Educational Sciences and Human Movement, University of Palermo, Palermo, Italy. Electronic address: mohammadhosein.izadifarhadi@unipa.it.

Postural control (PC) can be affected by circadian rhythm and sleep deprivation, whereby it has been reported the result of PC measurement in clinical and experimental situations can be influenced by both factors. It has been suggested sleepiness can result in deficiency in PC, which in turn can lead to occupational accidents and subsequent injuries. This is while no study critically reviews or summarizes findings surrounding this topic in the literature. Is there any significant effect of sleep deprivation and circadian rhythm on PC variables among healthy individuals? PubMed, Web of Science, Scopus, and Embase were used to detect relevant studies. Only studies that examined the effect of time of day and/or sleep loss on PC among healthy individuals were included in this systematic review. Forty-nine studies were included based on the inclusion criteria. Both circadian rhythm and sleep loss had a significant effect on PC, whereas there are inconsistent findings for optimal postural control regarding time of day. In terms of sleep deprivation, all investigations indicated that sleep loss deteriorates PC. The current systematic review represents a significant effect of circadian rhythm and sleep deprivation on PC, whereby it is suggested that clinicians and researchers consider these factors when measuring PC since it may affect the result of research and clinical test. Moreover, PC may be worsened through sleeplessness; however, some studies revealed there is no linear relationship between time of wakefulness and deteriorating PC due to the influence of circadian rhythm. Hence, while PC, as an objective tool, can help to detect those who are sleep deprived, which in turn can lead to prevent possible musculoskeletal injuries, further studies are needed to reveal more understanding about the effect of sleep loss and circadian rhythm on PC.

UI MeSH Term Description Entries
D002940 Circadian Rhythm The regular recurrence, in cycles of about 24 hours, of biological processes or activities, such as sensitivity to drugs or environmental and physiological stimuli. Diurnal Rhythm,Nyctohemeral Rhythm,Twenty-Four Hour Rhythm,Nycthemeral Rhythm,Circadian Rhythms,Diurnal Rhythms,Nycthemeral Rhythms,Nyctohemeral Rhythms,Rhythm, Circadian,Rhythm, Diurnal,Rhythm, Nycthemeral,Rhythm, Nyctohemeral,Rhythm, Twenty-Four Hour,Rhythms, Circadian,Rhythms, Diurnal,Rhythms, Nycthemeral,Rhythms, Nyctohemeral,Rhythms, Twenty-Four Hour,Twenty Four Hour Rhythm,Twenty-Four Hour Rhythms
D004856 Postural Balance A POSTURE in which an ideal body mass distribution is achieved. Postural balance provides the body carriage stability and conditions for normal functions in stationary position or in movement, such as sitting, standing, or walking. Postural Control,Posture Balance,Posture Control,Posture Equilibrium,Balance, Postural,Musculoskeletal Equilibrium,Postural Equilibrium,Balance, Posture,Control, Postural,Control, Posture,Equilibrium, Musculoskeletal,Equilibrium, Postural,Equilibrium, Posture,Postural Controls,Posture Balances,Posture Controls,Posture Equilibriums
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012890 Sleep A readily reversible suspension of sensorimotor interaction with the environment, usually associated with recumbency and immobility. Sleep Habits,Sleeping Habit,Sleeping Habits,Habit, Sleep,Habit, Sleeping,Habits, Sleep,Habits, Sleeping,Sleep Habit
D012892 Sleep Deprivation The state of being deprived of sleep under experimental conditions, due to life events, or from a wide variety of pathophysiologic causes such as medication effect, chronic illness, psychiatric illness, or sleep disorder. Inadequate Sleep,Insufficient Sleep,Insufficient Sleep Syndrome,REM Sleep Deprivation,Sleep Debt,Sleep Fragmentation,Sleep Insufficiency,Deprivation, REM Sleep,Deprivation, Sleep,Fragmentation, Sleep,Insufficiencies, Sleep,Insufficiency, Sleep,Insufficient Sleep Syndromes,Sleep Deprivation, REM,Sleep Insufficiencies,Sleep, Inadequate,Sleep, Insufficient,Syndrome, Insufficient Sleep
D014851 Wakefulness A state in which there is an enhanced potential for sensitivity and an efficient responsiveness to external stimuli. Wakefulnesses

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