The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.
Sleep Disturbances in the Acute Stage of Concussion Are Associated With Poorer Long-Term Recovery: A Systematic Review
Abstract
Objective: To examine the association between sleep during the acute stage of concussion and long‐term outcomes. Literature Survey: Literature searches were performed 1 July 2018 to 1 August 2018 in Ovid MEDLINE, CINAHL, and Web of Science, along with hand searching for gray literature and cited references. Of the 610 search results, 359 unique references were reviewed after duplicates were removed. Methodology: Two reviewers independently reviewed and came to consensus on which titles/abstracts met inclusion/exclusion criteria (n = 23). The 23 full‐text articles were assessed independently by the same two reviewers for eligibility. Consensus was achieved, leaving four articles for quality assessment and data extraction. One person extracted relevant data from each study using a standard data‐extraction table. The data extraction table was reviewed by two reviewers and consensus was achieved for completeness and accuracy. Quality appraisal was conducted to assess the risk for potential bias and quality of included articles. Synthesis: Two of the articles included children younger than 16 years old and two included a wide age range. In general, poorer sleep was associated with poorer outcomes following concussion at reassessments across any age population. In addition, poorer sleep in the acute stage of concussion was associated with poorer long‐term outcomes and recovery. Conclusions: The variability in sleep assessments used, symptoms assessed, length of time to reassessments, and comparator group included made data synthesis challenging. The use of standard valid and reliable sleep assessments is recommended. Future studies may consider if addressing sleep disturbances early following concussion will improve longer‐term outcomes.
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“In line with this, whilst some research shows that concussion is linked to worse sleep quality, others do not replicate this [25,28].”
From Concussion Disrupts Sleep in Adolescents: A Systematic Review and Meta-Analysis (2025) · cites this paper as [25]
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“Sleep disruptions following concussion are being increasingly recognised as a major factor in determining concussion sequelae, with sleep symptoms having associations with impaired post-concussion executive function recovery, as well as influencing mental health and physical recovery [25,55].”
From Concussion Disrupts Sleep in Adolescents: A Systematic Review and Meta-Analysis (2025) · cites this paper as [25]
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Sleep-wake disturbances 6 months after traumatic brain injury: a prospective study
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Validity of ImPACT for measuring processing speed following sports-related concussion
Iverson, G. L., Lovell, M. R., & Collins, M. W. (2005) · Journal of Clinical and Experimental Neuropsychology · doi:10.1081/13803390490918435 · Cited by 278
Lippa, S. M., Fonda, J. R., Fortier, C. B., Amick, M. A., Kenna, A., Milberg, W. P., & McGlinchey, R. E. (2015) · Journal of Traumatic Stress · doi:10.1002/jts.21979 · Cited by 156
Psychological and Physiological Markers of Stress in Concussed Athletes Across Recovery Milestones
Hutchison, M. G., Mainwaring, L., Senthinathan, A., Churchill, N., Thomas, S., & Richards, D. (2017) · Journal of Head Trauma Rehabilitation · doi:10.1097/htr.0000000000000252 · Cited by 106
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Cited by
Concussion Disrupts Sleep in Adolescents: A Systematic Review and Meta-Analysis
Noordeen, S., Wang, P., Strazda, A. E., Arany, E. S., Ergisi, M., Yeo, L. J., Popovic, R., Mahendran, A., Khawaja, M., Grover, K., et al. (2025) · Clocks & Sleep · doi:10.3390/clockssleep7030046 · Cited by 2
Lofitou, K., Kouki, E. P., Gavriel, C., Achilleos, H., Themistokleous, V., Bargiotas, P., Haarbauer‐Krupa, J., Paraskevopoulos, E., & Constantinidou, F. (2026) · Brain and Behavior · doi:10.1002/brb3.71556
Metadata
- Authors
- Ludwig, R., D'Silva, L., Vaduvathiriyan, P., Rippee, M. A., & Siengsukon, C.
- Affiliations
- Department of Physical Therapy and Rehabilitation Science University of Kansas Medical Center Kansas City KS
- A.R. Dykes Library University of Kansas Medical Center Kansas City KS
- Department of Neurology University of Kansas Medical Center Kansas City KS
- ORCID
- Ludwig, Rebecca
- Venue
- PM&R
- Publisher
- Wiley
- Published
- 2020-01-30
- Volume
- 12
- Issue
- 5
- Pages
- 500-511
- ISSN
- 1934-1482
- 1934-1563
- Cited by
- 37
- References
- 9
- Language
- en
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.