Sleep disturbances in athletic concussion

Jaffee, Michael S.; Winter, W; Jones, Christine C.; Ling, Geoffrey

doi:10.3109/02699052.2014.983978

Cited by 62 publications

(29 citation statements)

References 48 publications

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“…Of course, there is a great deal of overlap between these symptom clusters, with bidirectional interactions making it difficult to discern causality (e.g., disturbed sleep can both cause and be caused by headaches and irritability). Importantly, the centrality of sleep to mTBI is further evidenced in recovery, with sleep-related processes being increasingly implicated in the neuroplastic recovery from postmTBI symptoms [14].…”

Section: Mild Tbimentioning

confidence: 99%

Sleep, Sleep Disorders, and Mild Traumatic Brain Injury. What We Know and What We Need to Know: Findings from a National Working Group

et al. 2016

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Disturbed sleep is one of the most common complaints following traumatic brain injury (TBI) and worsens morbidity and long-term sequelae. Further, sleep and TBI share neurophysiologic underpinnings with direct relevance to recovery from TBI. As such, disturbed sleep and clinical sleep disorders represent modifiable treatment targets to improve outcomes in TBI. This paper presents key findings from a national working group on sleep and TBI, with a specific focus on the testing and development of sleep-related therapeutic interventions for mild TBI (mTBI). First, mTBI and sleep physiology are briefly reviewed. Next, essential empirical and clinical questions and knowledge gaps are addressed. Finally, actionable recommendations are offered to guide active and efficient collaboration between academic, industry, and governmental stakeholders.

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Section: Mild Tbimentioning

confidence: 99%

Sleep, Sleep Disorders, and Mild Traumatic Brain Injury. What We Know and What We Need to Know: Findings from a National Working Group

et al. 2016

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“…poorer sleep has been reported for individual sports like cycling compared team sports like football and basketball) (Lastella et al 2015). Concussion has been associated with disrupted sleep, suggesting professional American football players and other collision sport athletes at risk for brain trauma may also be at greater risk of adverse outcomes secondary to sleep deprivation (Jaffee et al 2015). In the previously described Schwenk survey study of retired American football athletes, individuals reporting both high levels of depression and chronic pain were 32 times more likely to report trouble sleeping as “very common,” which was the most significantly elevated risk of all transition to retirement problems investigated (Schwenk et al 2007).…”

Section: Sleep Disturbancesmentioning

confidence: 99%

Factors Influencing Clinical Correlates of Chronic Traumatic Encephalopathy (CTE): a Review

et al. 2016

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Chronic traumatic encephalopathy (CTE) is a neuropathologically defined disease reportedly linked to a history of repetitive brain trauma. As such, retired collision sport athletes are likely at heightened risk for developing CTE. Researchers have described distinct pathological features of CTE as well a wide range of clinical symptom presentations, recently termed traumatic encephalopathy syndrome (TES). These clinical symptoms are highly variable, non-specific to individuals described as having CTE pathology in case reports, and are often associated with many other factors. This review describes the cognitive, emotional, and behavioral changes associated with 1) developmental and demographic factors, 2) neurodevelopmental disorders, 3) normal aging, 4) adjusting to retirement, 5) drug and alcohol abuse, 6) surgeries and anesthesia, and 7) sleep difficulties, as well as the relationship between these factors and risk for developing dementia-related neurodegenerative disease. We discuss why some professional athletes may be particularly susceptible to many of these effects and the importance of choosing appropriate controls groups when designing research protocols. We conclude that these factors should be considered as modifiers predominantly of the clinical outcomes associated with repetitive brain trauma within a broader biopsychosocial framework when interpreting and attributing symptom development, though also note potential effects on neuropathological outcomes. Importantly, this could have significant treatment implications for improving quality of life.

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“…Sleep disturbances are reported in 30% to 80% of individuals following a concussion and range from an increased need for sleep (hypersomnia) to difficulty falling asleep or maintaining sleep (insomnia) . Insomnia is a highly prevalent symptom following concussion that can last for months after injury . Sleep disturbances can be due to axonal damage that occurs during the concussive injury resulting in dysregulation of the sleep and arousal centers in the brain, including the suprachiasmatic nucleus, hypothalamus, retino‐hypothalamic tract, and the reticular activating system .…”

Section: Introductionmentioning

confidence: 99%

“…Evidence suggests that sleep disturbances may be related to poorer recovery following a concussion. Cross‐sectional studies have shown that sleep impairments following a concussion have been strongly associated with increased headache, dizziness, decreased cognitive performance, and return to work . In addition, adequate sleep duration and quality have been shown to be important for immune function, pain modulation, tissue repair, cognitive function, and cardiovascular, metabolic, and neurologic health.…”

Section: Introductionmentioning

confidence: 99%

Sleep Disturbances in the Acute Stage of Concussion are Associated With Poorer Long‐Term Recovery: A Systematic Review

Ludwig

D’Silva

Vaduvathiriyan

et al. 2020

PM&R

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Objective: To examine the association between sleep during the acute stage of concussion and long-term outcomes. Literature Survey: Literature searches were performed 1 July 2018 to 1 August 2018 in Ovid MEDLINE, CINAHL, and Web of Science, along with hand searching for gray literature and cited references. Of the 610 search results, 359 unique references were reviewed after duplicates were removed. Methodology: Two reviewers independently reviewed and came to consensus on which titles/abstracts met inclusion/exclusion criteria (n = 23). The 23 full-text articles were assessed independently by the same two reviewers for eligibility. Consensus was achieved, leaving four articles for quality assessment and data extraction. One person extracted relevant data from each study using a standard data-extraction table. The data extraction table was reviewed by two reviewers and consensus was achieved for completeness and accuracy. Quality appraisal was conducted to assess the risk for potential bias and quality of included articles. Synthesis: Two of the articles included children younger than 16 years old and two included a wide age range. In general, poorer sleep was associated with poorer outcomes following concussion at reassessments across any age population. In addition, poorer sleep in the acute stage of concussion was associated with poorer long-term outcomes and recovery. Conclusions: The variability in sleep assessments used, symptoms assessed, length of time to reassessments, and comparator group included made data synthesis challenging. The use of standard valid and reliable sleep assessments is recommended. Future studies may consider if addressing sleep disturbances early following concussion will improve longer-term outcomes.

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Sleep disturbances in athletic concussion

Cited by 62 publications

References 48 publications

Sleep, Sleep Disorders, and Mild Traumatic Brain Injury. What We Know and What We Need to Know: Findings from a National Working Group

Sleep, Sleep Disorders, and Mild Traumatic Brain Injury. What We Know and What We Need to Know: Findings from a National Working Group

Factors Influencing Clinical Correlates of Chronic Traumatic Encephalopathy (CTE): a Review

Sleep Disturbances in the Acute Stage of Concussion are Associated With Poorer Long‐Term Recovery: A Systematic Review

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