Electroencephalographic Changes in Sleep During Acute and Subacute Phases After Sports-Related Concussion

dc.contributor.authorStevens, D.J.
dc.contributor.authorAppleton, S.
dc.contributor.authorBickley, K.
dc.contributor.authorHoltzhausen, L.
dc.contributor.authorAdams, R.
dc.date.issued2023
dc.descriptionPublished: 19 April 2023
dc.description.abstractPurpose: Little is known about sleep after a concussion, a form of mild traumatic brain injury. Given the importance of sleep for both maintaining brain health and recovery from injury, we sought to examine sleep acutely and subacutely after concussion. Methods: Athletes who experienced a sports-related concussion were invited to participate. Participants underwent overnight sleep studies within 7 days of the concussion (acute phase), and again eight-weeks after the concussion (subacute phase). Changes in sleep from both the acute and subacute phases were compared to population normative values. Additionally, changes in sleep from acute to subacute phase were analysed. Results: When compared to normative data, the acute and subacute phases of concussion showed longer total sleep time (p < 0.005) and fewer arousals (p < 0.005). The acute phase showed longer rapid eye movement sleep latency (p = 0.014). The subacute phase showed greater total sleep spent in Stage N3% (p = 0.046), increased sleep efficiency (p < 0.001), shorter sleep onset latency (p = 0.013), and reduced wake after sleep onset (p = 0.013). Compared to the acute phase, the subacute phase experienced improved sleep efficiency (p = 0.003), reduced wake after sleep onset (p = 0.02), and reduced latencies for both stage N3 sleep (p = 0.014) and rapid eye movement sleep (p = 0.006). Conclusion: This study indicated sleep during both the acute and subacute phases of SRC was characterised by longer and less disrupted sleep, along with improvements in sleep from the acute to subacute phases of SRC.
dc.description.statementofresponsibilityDavid J Stevens, Sarah Appleton, Kelsey Bickley, Louis Holtzhausen, Robert Adams
dc.identifier.citationNature and Science of Sleep, 2023; 15:267-273
dc.identifier.doi10.2147/nss.s397900
dc.identifier.issn1179-1608
dc.identifier.issn1179-1608
dc.identifier.orcidAppleton, S. [0000-0001-7292-9714]
dc.identifier.orcidAdams, R. [0000-0002-7572-0796]
dc.identifier.urihttps://hdl.handle.net/2440/148189
dc.language.isoen
dc.publisherDove Medical Press
dc.relation.grantNHMRC
dc.rights© 2023 Stevens et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms. php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
dc.source.urihttps://doi.org/10.2147/nss.s397900
dc.subjectmild traumatic brain injury; somnolence; neural trauma; nocturnal activity
dc.titleElectroencephalographic Changes in Sleep During Acute and Subacute Phases After Sports-Related Concussion
dc.typeJournal article
pubs.publication-statusPublished

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