Does the presence of acute sleep initiation symptoms impact recovery from sport-related concussion?

IF 1.5 4区医学 Q4 NEUROSCIENCES

Brain injury Pub Date : 2025-07-01 DOI:10.1080/02699052.2025.2525102

Nick De Oliveira, Jai Horsey, Jordan Vanleuven, Kristen L Williams, Scott L Zuckerman, Douglas P Terry

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引用次数: 0

Abstract

Objective: Acute sleep disturbances after sport-related concussions (SRC) may affect recovery. This study assessed how sleep symptoms impact time to return-to-learn (RTL), symptom resolution (SR), and return-to-play (RTP).

Methods: A retrospective cohort study was conducted at a regional sports concussion center (11/2017-04/2022) with adolescents presenting within 3 days of SRC. Participants were dichotomized based on the presence or absence of 'trouble falling asleep' per the Post-Concussion Symptom Scale (PCSS). Mann-Whitney U tests compared outcomes, and multivariable regressions adjusted for PCSS, sex, age, and migraine or psychological history.

Results: Among 116 athletes, 29 (25%) reported sleep initiation symptoms. Median RTL was 4 days (IQR = 3-10) in those with sleep symptoms versus 3 days (IQR = 2-4, p = 0.005) without. Median SR and RTP times were longer for the sleep initiation symptoms group: 15 days (IQR = 7-27) vs. 8 days (IQR = 3-20, p = 0.024) for SR, and 16 days (IQR = 11-29) vs. 13 days (IQR = 6-21, p = 0.048) for RTP. Sleep initiation symptoms were not independent predictors of recovery, but migraine history predicted longer RTL, and prior concussions predicted longer RTP.

Conclusions: Although not independent predictors, acute sleep initiation symptoms were linked to delayed recovery. Strategies to optimize sleep acutely post-concussion may help facilitate timely recovery and improve outcomes.

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急性睡眠启动症状是否会影响运动相关脑震荡的恢复？

目的：运动相关性脑震荡（SRC）后急性睡眠障碍可能影响康复。本研究评估了睡眠症状如何影响重返学习时间（RTL）、症状缓解时间（SR）和重返游戏时间（RTP）。方法：回顾性队列研究在区域运动脑震荡中心进行（2017年11月- 2022年4月），青少年出现SRC 3天内。根据脑震荡后症状量表（PCSS）对参与者是否存在“入睡困难”进行分类。Mann-Whitney U检验比较了结果，并对PCSS、性别、年龄、偏头痛或心理病史进行了多变量回归校正。结果：116名运动员中，29名（25%）报告了睡眠启动症状。有睡眠症状的中位RTL为4天（IQR = 3-10），而无睡眠症状的中位RTL为3天（IQR = 2-4, p = 0.005）。睡眠起始症状组SR和RTP的中位时间更长：SR组为15天（IQR = 7-27）， RTP组为8天（IQR = 3-20, p = 0.024）； RTP组为16天（IQR = 11-29）， RTP组为13天（IQR = 6-21, p = 0.048）。睡眠起始症状并不是恢复的独立预测因素，但偏头痛病史预测较长的RTL，先前的脑震荡预测较长的RTP。结论：虽然不是独立的预测因素，但急性睡眠开始症状与延迟恢复有关。优化脑震荡后急性睡眠的策略可能有助于及时恢复和改善预后。

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

Brain injury 医学-康复医学

CiteScore

3.50

自引率

5.30%

发文量

148

审稿时长

12 months

期刊介绍： Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.