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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Title: CHANGES IN SUBJECTIVE AND OBJECTIVE SLEEP MEASURES DURING RECOVERY IN PEDIATRIC CONCUSSION
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Title: CHANGES IN SUBJECTIVE AND OBJECTIVE SLEEP MEASURES DURING RECOVERY IN PEDIATRIC CONCUSSION

机译：标题：儿科震荡恢复期间主观和客观睡眠措施的变化

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Background: Sleep problems after concussion have been associated with longer recovery times and more severe symptoms. Early research has primarily evaluated sleep via subjective measures; however, actigraphy data may help objectively understand sleep patterns after pediatric concussion. Purposes: Our study examined changes in subjective and objective sleep measures during pediatric concussion recovery. We also evaluated whether sleep measures at initial assessment predict concussion symptom resolution time. Methods: Pediatric patients evaluated within 14 days of concussion were given a commercial activity tracker to be worn full-time, including during sleep, through return-to-play (RTP) clearance. During the initial and RTP assessments, patients completed the Pittsburgh Sleep Quality Index (PSQI), self-reporting sleep duration, time spent in bed, and sleep quality. PSQI score &5 indicates poor sleep quality. Activity tracker-recorded sleep duration and time spent in bed from the first 3 nights after initial assessment and 3 nights prior to the RTP clearance assessment were also used for analysis. Results: Patients (n=32, 15.1±1.7 years, 41% female) completed initial and RTP clearance assessments (Table 1). On the PSQI, patients reported significantly worse overall sleep quality despite longer sleep duration and more time in bed at initial assessment relative to RTP assessment (Table 2). A majority of patients reported PSQI score &5 at both initial and RTP assessments (Table 2). There were no significant differences across time for sleep duration or time in bed as measured by actigraphy (Table 2). Patients perceived that they spent longer in bed compared to objective measures with initial assessment, and perceived longer sleep duration compared to objective measures for both initial and RTP assessments (Table 3). In each regression model, higher symptom severity was significantly associated with longer symptom resolution time (Table 4). In addition, longer time in bed after the initial assessment measured by actigraphy was significantly associated with longer symptom resolution time (Table 4). Conclusion: Patients reported obtaining more sleep and spending longer time in bed at the initial assessment compared to actigraphy measures, and a majority of patients reported poor sleep quality throughout recovery. Concussion symptom duration increased by 1 day for every 13 additional minutes spent in bed, as measured by actigraphy. Increased time in bed may indicate poor sleep habits during recovery. Both subjective and objective assessment of sleep following concussion offer valuable, yet differing, information. Future research assessing the impact of sleep intervention after concussion on symptom resolution should be considered.
机译：背景：脑震荡后睡眠问题与较长的恢复时间和更严重的症状相关。早期研究主要通过主观措施评估睡眠;然而，激光数据可能有助于客观地理解儿科震荡后的睡眠模式。目的：我们的研究在儿科呼查恢复过程中检查了主观和客观睡眠措施的变化。我们还评估了初始评估时睡眠措施是否预测脑震荡症状解决时间。方法：在脑震荡的14天内评估的儿科患者是通过恢复全职的商业活动跟踪器，包括休眠期间，通过返回播放（RTP）清除。在初始和RTP评估期间，患者完成了匹兹堡睡眠质量指数（PSQI），自我报告睡眠持续时间，床上花费时间和睡眠质量。 PSQI得分＆amp; 5表示睡眠质量不佳。活动追踪器记录的睡眠时间和时间在初期评估后的前3个晚上在床上的睡眠时间和时间在RTP间隙评估前3晚也用于分析。结果：患者（n = 32,15.1±1.7岁，41％的女性）完成了初始和RTP清除评估（表1）。在PSQI上，患者报告的睡眠质量明显更差，尽管较长的睡眠持续时间和更多的时间在初步评估中的初期评估，但表2）。大多数患者报告了PSQI得分＆amp; GT; 5在初始和RTP评估中（表2）。通过戏法测量的睡眠持续时间或时间的时间越差（表2）。患者认为它们与初步评估的客观措施相比，它们在床上花了更长时间，并与初始和RTP评估的客观措施相比，感知睡眠持续时间（表3）。在每个回归模型中，较高的症状严重程度与更长的症状分辨率时间显着相关（表4）。此外，通过戏法测量的初始评估后，床上的较长时间与较长的症状解析时间明显相关（表4）。结论：患者在初步评估中获得更多睡眠，并在床上花费较长的时间与戏剧措施相比，大多数患者在整个恢复过程中报告了睡眠质量差。震荡症状持续时间增加了1天，每13分钟在床上花费了1天，通过戏剧性测量。床上的增加时间可能表明恢复过程中的睡眠良好。对脑卒中后睡眠的主观和客观评估都提供有价值但不同的信息。应考虑未来研究评估脑震荡后睡眠干预对症状分辨率的影响。

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