@article{ref1,
title="Sleep problems and melatonin prescription after concussion among youth athletes",
journal="Clinical journal of sport medicine",
year="2020",
author="Howell, David R. and Potter, Morgan N. and Provance, Aaron J. and Wilson, Pamela E. and Kirkwood, Michael W. and Wilson, Julie C.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: To examine the effect of sleep disturbances on concussion symptom recovery and to examine the effect of melatonin prescription on symptom improvement among concussed adolescents with sleep problems.   DESIGN: Longitudinal test-retest.   SETTING: Sports medicine clinic.   PARTICIPANTS: Patients aged 8 to 18 years, diagnosed with a concussion, evaluated within 14 days after injury, and evaluated again 15 to 35 days after injury.   INDEPENDENT VARIABLES: We grouped patients based on whether they reported sleep disturbances within 14 days of injury.   MAIN OUTCOME MEASURES: Outcome measures included symptom severity, headache severity, melatonin prescription, and the change in symptom severity between visits.   RESULTS: Two hundred twenty-five patients were included: 36% who reported sleep problems (44% female; age = 14.4 ± 2.0 years; evaluated 7.3 ± 3.8 and 23.2 ± 5.4 days after injury) and 64% who did not (32% female; age = 14.6 ± 2.3 years; evaluated 7.2 ± 3.4 and 23.0 ± 5.3 days after injury). Those with sleep problems reported higher symptom severity than those without across the 2 visits (22.1 ± 14.3 vs 14.6 ± 12.5; P < 0.001). There was no significant difference in the change in symptom severity between visits among those who received [median = 9-point improvement; interquartile range (IQR) = 1-14] and did not (median = 9, IQR = 2-18) receive a melatonin prescription (P = 0.80).   CONCLUSIONS: Sleep problems among pediatric patients within 2 weeks of concussion are associated with more severe symptoms. Melatonin prescription was not associated with faster symptom recovery.<p /> <p>Language: en</p>",
language="en",
issn="1050-642X",
doi="10.1097/JSM.0000000000000803",
url="http://dx.doi.org/10.1097/JSM.0000000000000803"
}