A Longitudinal Investigation of Sleep and Daytime Wakefulness in Children and Youth With Concussion

ASN Neuro
Catherine Wiseman-HakesIsabelle Gagnon

Abstract

A high proportion of adults who sustain a concussion identify changes in their sleep during the acute stage, typically reporting an increased need for sleep or nonrestful sleep. Our understanding of sleep following concussion is less well understood within a pediatric population. In this study, we investigated the trajectory of sleep and daytime sleepiness in a prospective cohort of 40 children and youth (6-18 years old) with concussion, 40 age-and sex-matched healthy children and youth, and 40 with upper-extremity orthopedic injury. Evaluations occurred during the acute stage (<2 weeks) and at 3-, 6-, and 12-month postinjury using the Sleep Disturbance Scale for Children and the Postconcussion Symptom Scale. There were no significant differences within- or between-group differences in sleep across all four time points with analysis of the groups as a whole. When groups were divided by age (6-11 and 12- < 18 years), there was a significant difference in the ability to initiate sleep for the younger concussed group during the acute stage, compared with healthy controls, as well as significantly greater daytime nap duration that decreased over time. Significant correlations were also found between the frequency and duration of da...Continue Reading

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Citations

Mar 24, 2020·American Journal of Speech-language Pathology·Emily L Morrow, Melissa C Duff
Mar 4, 2021·Seminars in Neurology·Giancarlo J LugoAlcy R Torres
Feb 27, 2021·Frontiers in Neurology·Adam C RaikesWilliam D S Killgore

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