The relationship between accelerometer-measured sleep and next day ecological momentary assessment symptom report during sport-related concussion recovery

Trbovich, Alicia; Howie, Erin K.; Elbin, R.J.; Ernst, Nathan; Collins, Michael W.; Kontos, Anthony P.

doi:10.1016/j.sleh.2021.03.006

Cited by 8 publications

(4 citation statements)

References 37 publications

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“…In general, compliance with data collection in prospective studies that have used EMAs has been reported as high [52], and that EMAs can reduce recall bias through using real-time data collection [23,34,47]. While participant responses using EMAs are considered to be more reliable than retrospective studies [22,31,48], several study authors did identify as a potential barrier the reliability of information from participants obtained using EMAs [20,23,27,37,42,46,47]. For some participant information, such as health service use (e.g.…”

Section: Discussionmentioning

confidence: 99%

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Synthesis of evidence on the use of ecological momentary assessments to monitor health outcomes after traumatic injury: rapid systematic review

Mitchell

Goggins

Lystad

2022

BMC Med Res Methodol

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Background With the increasing use of mobile technology, ecological momentary assessments (EMAs) may enable routine monitoring of patient health outcomes and patient experiences of care by health agencies. This rapid review aims to synthesise the evidence on the use of EMAs to monitor health outcomes after traumatic unintentional injury. Method A rapid systematic review of nine databases (MEDLINE, Web of Science, Embase, CINAHL, Academic Search Premier, PsychINFO, Psychology and Behavioural Sciences Collection, Scopus, SportDiscus) for English-language articles from January 2010–September 2021 was conducted. Abstracts and full-text were screened by two reviewers and each article critically appraised. Key information was extracted by population characteristics, age and sample size, follow-up time period(s), type of EMA tools, physical health or pain outcome(s), psychological health outcome(s), general health or social outcome(s), and facilitators or barriers of EMA methods. Narrative synthesis was undertaken to identify key EMA facilitator and barrier themes. Results There were 29 articles using data from 25 unique studies. Almost all (84.0%) were prospective cohort studies and 11 (44.0%) were EMA feasibility trials with an injured cohort. Traumatic and acquired brain injuries and concussion (64.0%) were the most common injuries examined. The most common EMA type was interval (40.0%). There were 10 key facilitator themes (e.g. feasibility, ecological validity, compliance) and 10 key barrier themes (e.g. complex technology, response consistency, ability to capture a participant’s full experience, compliance decline) identified in studies using EMA to examine health outcomes post-injury. Conclusions This review highlighted the usefulness of EMA to capture ecologically valid participant responses of their experiences post-injury. EMAs have the potential to assist in routine follow-up of the health outcomes of patients post-injury and their use should be further explored.

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Section: Discussionmentioning

confidence: 99%

“…For the post-injury cohorts in this review, only three studies collected biometric data using EMA, with heart rate [39,40] and sleep and movement activity [31] recorded. Biometric data collection measures can be felt by some participants to be intrusive [54], but may become more frequently used over time.…”

Section: Discussionmentioning

confidence: 99%

Synthesis of evidence on the use of ecological momentary assessments to monitor health outcomes after traumatic injury: rapid systematic review

Mitchell

Goggins

Lystad

2022

BMC Med Res Methodol

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“…An acceptable-quality retrospective cohort study 31 found that aerobic exercise (self-initiated or physician prescribed) started 3, 5, 7 and 14 days after injury was associated with a respective 36.5% (HR 0.63; 95% CI 0.53-0.76), 59.5% (HR 0.41; 95% CI 0.28-0.58), 73.2% (HR 0.27; 95% CI 0.16-0.45) and 88.9% (HR 0.11; 95% CI 0.06-0.22) prolonged time to return to sport (RTS) versus initiating exercise within 1 day of SRC (p<0.001). An acceptable-quality retrospective study 32 of early (<16 days from injury) supervised (in-clinic) aerobic versus nonearly supervised aerobic exercise (≥16 days from injury) showed that early exercise participants were cleared for RTS sooner (26.5±11.2 vs 35.1±26.5 days; p=0.02).…”

Section: Prescribed Aerobic Exercise Treatment Early (Within 14 Days)...mentioning

confidence: 99%

“…An acceptable-quality prospective cohort study 58 of college-age students showed that those with worse sleep quality after SRC took longer to recover than those with good sleep quality, and postinjury global sleep quality scores correlated with days to symptom recovery (p=0.007). An acceptable-quality prospective cohort study 59 within 72 hours of SRC measured total sleep time (TST, time spent asleep) and sleep efficiency (ratio of TST to total time between in-bed and out-of-bed times, reported as a percentage, SE%) during the 2 weeks following enrolment. Reduced TST and SE% were associated with more symptoms the next day, especially late in the day.…”

Section: Sleep After Srcmentioning

confidence: 99%

Rest and exercise early after sport-related concussion: a systematic review and meta-analysis

et al. 2023

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ObjectiveTo synthesise the evidence regarding the risks and benefits of physical activity (PA), prescribed aerobic exercise treatment, rest, cognitive activity and sleep during the first 14 days after sport-related concussion (SRC).DesignMeta-analysis was performed for PA/prescribed exercise interventions and a narrative synthesis for rest, cognitive activity and sleep. Risk of bias (ROB) was determined using the Scottish Intercollegiate Guidelines Network and quality assessed using Grading of Recommendations, Assessment, Development and Evaluations.Data sourcesMEDLINE, Embase, APA PsycInfo, Cochrane Central Register of Controlled Trials, CINAHL Plus and SPORTDiscus. Searches were conducted in October 2019 and updated in March 2022.Eligibility criteriaOriginal research articles with sport-related mechanism of injury in >50% of study sample and that evaluated how PA, prescribed exercise, rest, cognitive activity and/or sleep impact recovery following SRC. Reviews, conference proceedings, commentaries, editorials, case series, animal studies and articles published before 1 January 2001 were excluded.Results46 studies were included and 34 had acceptable/low ROB. Prescribed exercise was assessed in 21 studies, PA in 15 studies (6 PA/exercise studies also assessed cognitive activity), 2 assessed cognitive activity only and 9 assessed sleep. In a meta-analysis of seven studies, PA and prescribed exercise improved recovery by a mean of −4.64 days (95% CI −6.69, –2.59). After SRC, early return to light PA (initial 2 days), prescribed aerobic exercise treatment (days 2–14) and reduced screen use (initial 2 days) safely facilitate recovery. Early prescribed aerobic exercise also reduces delayed recovery, and sleep disturbance is associated with slower recovery.ConclusionEarly PA, prescribed aerobic exercise and reduced screen time are beneficial following SRC. Strict physical rest until symptom resolution is not effective, and sleep disturbance impairs recovery after SRC.PROSPERO registration numberCRD42020158928.

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Sleep and injury prevention in athletes

Kline,

McConnell

2024

Sleep and Sport

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The relationship between accelerometer-measured sleep and next day ecological momentary assessment symptom report during sport-related concussion recovery

Cited by 8 publications

References 37 publications

Synthesis of evidence on the use of ecological momentary assessments to monitor health outcomes after traumatic injury: rapid systematic review

Synthesis of evidence on the use of ecological momentary assessments to monitor health outcomes after traumatic injury: rapid systematic review

Rest and exercise early after sport-related concussion: a systematic review and meta-analysis

Sleep and injury prevention in athletes

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