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Updated: Sep 19, 2025
10:31
A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
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Nightly Sleep Duration and Symptom Burden Over 1 Month Following Pediatric Concussion
Lauren Butterfield1,2, Roger Zemek1,3, Michael M Borghese4
1Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada.
JAMA Network Open
|June 18, 2025
Summary
Adolescents with concussions sleeping over 9.9 hours nightly in the first two weeks experienced higher symptom burden and persistent symptoms. Monitoring sleep duration is crucial for pediatric concussion recovery.
Area of Science:
- Pediatric neurology
- Sleep medicine
- Sports medicine
Background:
- Sleep disturbances are common in youth concussion recovery.
- Longitudinal data on sleep duration and symptom burden is limited.
Purpose of the Study:
- To examine the association between mean nightly sleep duration (1-7 and 1-14 days post-injury) and symptom burden at 1, 2, and 4 weeks after pediatric concussion.
Main Methods:
- A cohort study involving 291 adolescents (ages 10-18) treated for concussion.
- Sleep was measured using accelerometers and daily logs for 2 weeks.
- Symptom burden was assessed using the Health and Behavior Inventory at 1, 2, and 4 weeks.
Main Results:
- Longer sleep durations (e.g., >9.5 hours in week 1, >9.9 hours in weeks 1-2) were linked to increased symptom burden at 1, 2, and 4 weeks.
- Sleep duration over 9.9 hours in the first 2 weeks was associated with a higher likelihood of persistent symptoms at 4 weeks.
Conclusions:
- Excessive sleep duration in early recovery may be associated with prolonged symptoms in adolescents with concussion.
- Clinicians should consider monitoring sleep patterns in youth recovering from concussion.
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