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

机译:睡眠质量和睡眠数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::适当的脑震荡评估对于维持创伤性脑损伤的运动员恰当地照顾。减少睡眠质量和睡眠量影响认知,可能威胁临床措施的有效性,通常用作脑脑评估的一部分。本研究的目的是确定睡眠质量或睡眠量是否会影响脑震荡临床测量的性能。设计::潜在队列设计。设置::临床研究中心。参与者::一百五十五名大学生运动员(57名女性,98名男性;年龄= 18.8±0.8岁;质量= 78.4±19.6千克;高度= 177.4±12.3厘米)。干预措施::我们通过使用良好的接受和多方面的协议进行季前赛基线测试,包括神经认知,平衡性能和症状报告。在季前赛基线测试期间也收集了与睡眠质量和睡眠量相关的信息。主要观察指标:: CNS生命体征电池(计算机化神经认知测试),使用感官组织测试(计算机化动态后术),以及分级症状检查表(症状评估)。结果::睡眠量低的受试者在基线前夜晚报告了症状更大的症状和更高的总症状严重程度。观察到对睡眠质量没有临床显着效果。结论::睡眠剥夺的运动员报告基线测试应在正常的夜晚睡眠后重新安排测试。 2013由Lippincott Williams&Wilkins。

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