Association Between Sleep Quality and Recovery Following Sport-Related Concussion in Pediatrics

Jane S. Chung, Aaron J. Zynda, Nyaz Didehbani, Cason Hicks, Linda S. Hynan, Shane M. Miller, Kathleen R. Bell, C. Munro Cullum

Research output: Contribution to journalArticlepeer-review

22 Scopus citations


Our objective was to determine the association between sleep quality, symptom severity, and recovery following sport-related concussion in pediatric athletes. A review of data from the North Texas Concussion Network Prospective Registry (ConTex) was performed. Participants were diagnosed with a sport-related concussion and were ≤18 years old. Participants were categorized based on their initial clinic visit Pittsburgh Sleep Quality Index composite score (0-21) into good sleep quality (GS≤5) and poor sleep quality (PS>5) groups. The PS group reported higher median total symptom scores at 3-month follow-up (3.0 vs 0.0, P <.01) and took more than a median of 2 weeks longer to recover compared to the GS group (35.0 days vs 20.0 days, P <.01). Poor sleep quality was strongly associated with greater symptom severity and longer time to recovery following sport-related concussion. Early recognition of concussed athletes with poor sleep quality at initial clinic visit may help predict prolonged recovery.

Original languageEnglish (US)
Pages (from-to)639-645
Number of pages7
JournalJournal of child neurology
Issue number11
StatePublished - Oct 1 2019


  • brain
  • concussion
  • outcome
  • pediatric
  • sleep

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology


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