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The effects of sleep quality and sleep quantity on concussion baseline assessment

机译:睡眠质量和睡眠量对脑震荡基线评估的影响

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OBJECTIVE:: Proper concussion assessment is imperative for properly caring for athletes who sustain traumatic brain injuries. Decreased sleep quality and sleep quantity affect cognition and may threaten the validity of clinical measures often used as a part of the concussion assessment. The purpose of this study was to determine if sleep quality or sleep quantity affects performance on clinical measures of concussion. DESIGN:: Prospective cohort design. SETTING:: Clinical research center. PARTICIPANTS:: One hundred fifty-five college student-athletes (57 females, 98 males; age = 18.8 ± 0.8 years; mass = 78.4 ± 19.6 kg; height = 177.4 ± 12.3 cm). INTERVENTIONS:: We performed preseason baseline testing by using a well-accepted and multifaceted protocol inclusive of neurocognition, balance performance, and symptom reporting. Information related to sleep quality and sleep quantity was also collected during preseason baseline testing. MAIN OUTCOME MEASURES:: The CNS Vital Signs battery (computerized neurocognitive test), Sensory Organization Test (computerized dynamic posturography), and a Graded Symptom Checklist (symptom evaluation) were used. RESULTS:: Subjects with a low sleep quantity the night before baseline reported both a greater number of symptoms and higher total symptom severity score. No clinically significant effects for sleep quality were observed. CONCLUSIONS:: Sleep-deprived athletes reporting for baseline testing should be rescheduled for testing after a normal night's sleep. 2013 by Lippincott Williams & Wilkins.
机译:目的:正确的脑震荡评估对于正确照顾遭受颅脑外伤的运动员至关重要。睡眠质量和睡眠量的下降会影响认知,并可能威胁经常用作脑震荡评估一部分的临床措施的有效性。这项研究的目的是确定睡眠质量或睡眠量是否会影响脑震荡的临床表现。设计::前瞻性队列设计。地点::临床研究中心。参与者:155名大学生运动员(57名女性,98名男性;年龄= 18.8±0.8岁;质量= 78.4±19.6 kg;身高= 177.4±12.3 cm)。干预::我们通过使用公认的多方面协议(包括神经认知,平衡表现和症状报告)来进行季前基线测试。在季前基线测试期间还收集了与睡眠质量和睡眠量有关的信息。主要观察指标:使用中枢神经系统生命体征电池(计算机神经认知测试),感觉组织测试(计算机动态体位成像)和症状分级表(症状评估)。结果:基线前一天晚上睡眠量低的受试者报告了更多的症状和更高的总症状严重程度评分。没有观察到对睡眠质量的临床显着影响。结论:报告基线测试的睡眠不足的运动员应在正常的夜晚睡眠后重新安排测试时间。 Lippincott Williams&Wilkins,2013年。

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