Effect of Sleep Duration and Concussion History on Neurocognitive Testing Symptoms for Post-injury States.

IF 2.1 3区医学 Q2 ORTHOPEDICS Clinical Journal of Sport Medicine Pub Date : 2024-12-11 DOI:10.1097/JSM.0000000000001323

Bahie Ezzat, Eugene Hrabarchuk, Michael Lemonick, Frederika Rentzeperis, Roshini Kalagara, Muhammad Ali, Matthew T Carr, Alexander J Schupper, Hanya M Qureshi, Sujay Ratna, Cole Brown, Gabriel Dara, Alex Gometz, Mark Lovell, Tanvir F Choudhri

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Abstract

Objective: Evaluate the influence of sleep duration and concussion history on postconcussion symptoms in adolescent athletes.

Design: Observational retrospective study using the Immediate Post-Concussion Assessment and Cognitive Testing and Post-Concussion Symptom Scale (PCSS). Multivariable linear regression assessed sleep hours against 22 PCSS symptoms, controlling for demographic and health variables.

Setting: Urban concussion centers in Colorado and Florida, 2009 to 2019.

Participants: 11 564 student-athletes aged 12 to 22, categorized by concussion history.

Interventions: Analysis of sleep duration and concussion history in relation to neurocognitive and psychiatric symptom severity.

Main outcome measures: Primary outcomes included neurocognitive, psychiatric, and total symptom scores. Secondary outcomes were specific PCSS symptoms.

Results: Among 5349 student-athletes, 2671 (49.9%) had no prior concussions and 2678 (50.1%) had 1 or more. For those without prior concussions, sleep was negatively associated with age (β = -0.18, 95% confidence interval [CI], -0.22 to -0.13, P < 0.0001), vomiting (β = -0.22, 95% CI, -0.38 to -0.05, P = 0.012), and difficulty concentrating (β = -0.11, 95% CI, -0.19 to -0.35, P = 0.005). In athletes with a history of concussion, less sleep correlated with decreased age (β = -0.11, 95% CI, -0.14 to -0.07, P < 0.0001), headache (β = -0.065, 95% CI, -0.12 to -0.01, P = 0.031), irritability (β = -0.08, 95% CI, -0.15 to -0.01, P = 0.021), and difficulty concentrating (β = -0.08, 95% CI, -0.15 to -0.01, P = 0.031) but increased sensitivity to light (β = 0.10, 95% CI, 0.001-0.137, P = 0.048), numbness/tingling (β = 0.15, 95% CI, 0.04-0.26, P = 0.008), and feeling slowed down (β = 0.13, 95% CI, 0.05-0.21, P = 0.001).

Conclusion: Sleep duration and concussion history are associated with variations in postconcussion symptom severity among adolescent athletes. This data underscore the need for individualized management strategies based on sleep patterns and concussion history.

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睡眠时间和脑震荡史对损伤后状态神经认知测试症状的影响

目的：探讨睡眠时间和脑震荡病史对青少年运动员脑震荡后症状的影响。设计：观察性回顾性研究，采用脑震荡后立即评估和认知测试以及脑震荡后症状量表（PCSS）。多变量线性回归评估了睡眠时间与22种PCSS症状的关系，控制了人口统计学和健康变量。背景：2009年至2019年，科罗拉多州和佛罗里达州的城市脑震荡中心。参与者：11 564名12至22岁的学生运动员，按脑震荡病史分类。干预措施：分析睡眠时间和脑震荡史与神经认知和精神症状严重程度的关系。主要结局指标：主要结局包括神经认知、精神病学和总症状评分。次要结局是特定的PCSS症状。结果：5349名学生运动员中，2671人（49.9%）无脑震荡病史，2678人（50.1%）有1次及以上脑震荡病史。对于先前没有脑震荡的患者，睡眠与年龄（β = -0.18, 95%可信区间[CI]， -0.22至-0.13,P < 0.0001）、呕吐（β = -0.22, 95% CI, -0.38至-0.05,P = 0.012）和注意力难以集中（β = -0.11, 95% CI, -0.19至-0.35,P = 0.005）负相关。在运动员脑震荡的历史,更少的睡眠与减少年龄(β= -0.11,95% CI, -0.14 - -0.07, P < 0.0001),头痛(β= -0.065,95% CI, -0.12 - -0.01, P = 0.031),易怒(β= -0.08,95% CI, -0.15 - -0.01, P = 0.021),、难以集中注意力(β= -0.08,95% CI, -0.15 - -0.01, P = 0.031),但增加对光线敏感(β= 0.10,95% CI, 0.001 - -0.137, P = 0.048),麻木或刺痛(β= 0.15,95% CI, 0.04 - -0.26, P = 0.008),感觉变慢（β = 0.13, 95% CI, 0.05-0.21, P = 0.001）。结论：睡眠时间和脑震荡病史与青少年运动员脑震荡后症状严重程度的差异有关。这些数据强调了基于睡眠模式和脑震荡病史的个性化管理策略的必要性。

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

Clinical Journal of Sport Medicine 医学-生理学

CiteScore

4.70

自引率

7.40%

发文量

185

审稿时长

6-12 weeks

期刊介绍： Clinical Journal of Sport Medicine is an international refereed journal published for clinicians with a primary interest in sports medicine practice. The journal publishes original research and reviews covering diagnostics, therapeutics, and rehabilitation in healthy and physically challenged individuals of all ages and levels of sport and exercise participation.