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Association Between Sleep Quality and Recovery Following Sport-Related Concussion in Pediatrics

Jane S Chung1,2, Aaron J Zynda1, Nyaz Didehbani2

  • 11 Texas Scottish Rite Hospital for Children, Dallas, TX, USA.

Journal of Child Neurology
|May 23, 2019
PubMed

Insights

Poor sleep quality in young athletes with concussions is linked to worse symptoms and longer recovery times. Identifying athletes with poor sleep early can help predict prolonged recovery after a sport-related concussion.

Area of Science:

  • Sports Medicine
  • Neurology
  • Pediatrics

Background:

  • Sport-related concussions are common in pediatric athletes.
  • Sleep disturbances are frequently reported after concussion but their impact on recovery is not fully understood.

Purpose of the Study:

  • To investigate the association between sleep quality, symptom severity, and recovery duration in pediatric athletes after a sport-related concussion.

Main Methods:

  • Data from the North Texas Concussion Network Prospective Registry (ConTex) was analyzed.
  • Pediatric athletes (≤18 years) diagnosed with sport-related concussion were categorized into good sleep quality (GS) and poor sleep quality (PS) groups based on the Pittsburgh Sleep Quality Index.
  • Symptom severity and recovery time were compared between the GS and PS groups.

Main Results:

  • The poor sleep quality group (PS) exhibited significantly higher median total symptom scores at 3-month follow-up (3.0 vs 0.0, P < .01).
  • Athletes with poor sleep quality took significantly longer to recover, with a median of over 2 weeks longer than the good sleep quality group (35.0 days vs 20.0 days, P < .01).

Conclusions:

  • Poor sleep quality is strongly associated with increased symptom severity and prolonged recovery time following sport-related concussion in pediatric athletes.
  • Early identification of poor sleep quality in concussed athletes may serve as a predictor for prolonged recovery.

Keywords:
brainconcussionoutcomepediatricsleep

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