Abstract

Little is known regarding sleep and baseline concussion performance and symptoms in athletes. We explored the effects of self-reported prior night’s sleep quantity on baseline symptoms and computerized neurocognitive testing in high school athletes. A retrospective analysis of 958 high school athletes between the ages of 13–19 years was completed on Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) performance. Participants were categorized into two groups based on self-reported prior night’s sleep quantity: <8 h (n = 524; 55%) and ≥8 h (n = 434; 45%). Measures consisted of baseline total symptom score, symptom factors (vestibular-somatic, sleep-arousal, affective, and cognitive-sensory), and ImPACT composite scores (verbal and visual memory, visual-motor speed, reaction time, and impulse control). Significant differences were found on all baseline symptom factors (ps < .02) and total symptom scores (p < .001) with greater symptom reporting in the <8 h prior night’s sleep group. No group differences were observed between duration and composite scores of verbal memory (p = .49), visual memory (p = .94), visual-motor speed (p = .38), reaction time (p = .50), or impulse control (p = .81). High school athletes who report <8 h of sleep the night prior to baseline concussion testing reported greater symptoms across all symptom factors. Clinicians should consider inadequate sleep the night prior to concussion testing to ensure accurate, valid assessments, especially on symptom reporting scales.

摘要

关于运动员的睡眠和基线脑震荡表现和症状知之甚少。我们探讨了自我报告的前一晚睡眠量对高中运动员基线症状和计算机化神经认知测试的影响。对 958 名 13 至 19 岁的高中运动员的回顾性分析完成了脑震荡后即时评估和认知测试 (ImPACT) 表现。根据自我报告的前一晚睡眠时间将参与者分为两组：<8 小时（n  = 524；55%）和≥8 小时（n = 434; 45%）。测量包括基线总症状评分、症状因素（前庭-躯体、睡眠-觉醒、情感和认知-感觉）和 ImPACT 综合评分（语言和视觉记忆、视觉-运动速度、反应时间和冲动控制）。在所有基线症状因素 ( ps < .02) 和总症状评分 ( p < .001) 上发现了显着差异，并且在前晚睡眠时间少于 8 小时的组中症状报告量更大。在语言记忆 ( p = .49)、视觉记忆 ( p = .94)、视觉运动速度 ( p = .38)、反应时间 ( p = .50) 或脉冲控制 ( p= .81)。在基线脑震荡测试前一晚报告睡眠不足 8 小时的高中运动员报告了所有症状因素的更大症状。临床医生应考虑脑震荡测试前一晚睡眠不足，以确保准确、有效的评估，尤其是在症状报告量表上。