Acute Changes in Sleep Stages Following Concussion in Collegiate Athletes: A Pilot Study.

IF 2.6 2区 医学 Q1 SPORT SCIENCES
Catherine C Donahue, Laura E Barnes, Jay N Hertel, Jacob E Resch
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引用次数: 0

Abstract

Context: Sleep has been suggested to be a modifier of recovery following a concussion and is associated with greater symptomatology and number of days until symptom resolution. However, the physiological mechanism for why sleep disturbances occur remains poorly understood. Alterations in time spent in stages of a sleep cycle following a concussion may contribute to recovery.

Objective: The purpose of our study was to use a non-invasive, sensor-derived measure of sleep stages to determine differences between collegiate athletes with or without a concussion, acutely following injury (<72 hours).

Design: Case-control.

Setting: Division 1 collegiate athletics.

Participants: Division 1 Collegiate athletes diagnosed with a concussion were compared to healthy-matched controls based on health history, demographics and sport.

Interventions: Individuals in both groups were provided with and instructed to wear an OURA ring actigraphy device, nightly, within 72 hours of their concussion.

Main outcome measures: Differences in sensor-derived time spent in Light, Deep, rapid eye- movement (REM) sleep, time awake, and total sleep time between groups.

Results: A total of 18 athletes were included in our analyses (9 concussed, 9 controls) with an average age of 19.3+ 1.3 years. Individuals with a concussion spent less time in deep sleep (113.1±33.1 vs 134.4±51.1 minutes, p=0.03), and more time awake (90.22±30.0 vs 49.28±11.5 minutes, p=0.02) compared to individuals without a concussion. No significant differences were found for time spent in total sleep time, Light or REM sleep.

Conclusion: Acutely following concussion, individuals may demonstrate changes in sleep stages. Our results suggest that time spent in different stages of sleep may be a potential mechanism underlying recovery from concussion. Our results provide an important step in using wearable sensors to better understand sleep disturbances following concussion to help mitigate risk of a prolonged recovery.

大学生运动员脑震荡后睡眠阶段的急性变化:一项初步研究。
背景:睡眠被认为是脑震荡后恢复的调节因素,并且与更大的症状和症状消退前的天数有关。然而,睡眠障碍发生的生理机制仍然知之甚少。脑震荡后睡眠周期各阶段时间的改变可能有助于恢复。目的:我们研究的目的是使用一种非侵入性的、传感器衍生的睡眠阶段测量方法来确定大学生运动员在急性损伤后是否有脑震荡的差异(设计:病例对照)。环境:大学体育1区。根据健康史、人口统计和运动情况,将诊断为脑震荡的大学运动员与健康匹配的对照组进行比较。干预措施:为两组患者提供并指导他们在脑震荡后72小时内每晚佩戴OURA环活动记录仪。主要结果测量:两组之间传感器产生的浅、深、快速眼动(REM)睡眠时间、清醒时间和总睡眠时间的差异。结果:共有18名运动员纳入我们的分析(9名脑震荡运动员,9名对照组),平均年龄19.3+ 1.3岁。与没有脑震荡的人相比,脑震荡患者的深度睡眠时间更短(113.1±33.1分钟vs 134.4±51.1分钟,p=0.03),清醒时间更长(90.22±30.0分钟vs 49.28±11.5分钟,p=0.02)。总的睡眠时间、浅睡眠或快速眼动睡眠时间没有发现显著差异。结论:急性脑震荡后,个体可能表现出睡眠阶段的变化。我们的研究结果表明,不同阶段的睡眠时间可能是脑震荡恢复的潜在机制。我们的研究结果为使用可穿戴传感器更好地了解脑震荡后的睡眠障碍提供了重要的一步,以帮助减轻长时间恢复的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Athletic Training
Journal of Athletic Training 医学-运动科学
CiteScore
5.30
自引率
6.10%
发文量
106
审稿时长
6 months
期刊介绍: The mission of the Journal of Athletic Training is to enhance communication among professionals interested in the quality of health care for the physically active through education and research in prevention, evaluation, management and rehabilitation of injuries. The Journal of Athletic Training offers research you can use in daily practice. It keeps you abreast of scientific advancements that ultimately define professional standards of care - something you can''t be without if you''re responsible for the well-being of patients.
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