Treatment of Post-Concussion Sleep Disturbances in Children and Adults: A Scoping Review
Abstract
Objective: To provide a comprehensive summary of the existing literature that describes treatment options for post-concussion sleep disturbances in children and adults.
Context: Studies have shown that 30%-70% of individuals who sustain a concussion develop a post-injury sleep disturbance. The presence of sleep disturbance contributes to prolonged recovery from concussion and poorer long-term outcomes. Thus, identifying effective treatments for post-concussion sleep disturbances is essential to reduce the burden of persisting post-concussion symptoms.
Design: Scoping review.
Methods: A systematic literature search was conducted in MEDLINE, Embase, CINAHL, Web of Science, and ProQuest Dissertations & Theses Global. Two reviewers screened titles and abstracts, then full-text articles against the inclusion and exclusion criteria. Primary studies that investigated at least 1 treatment for post-concussion sleep disturbances were included.
Results: Of the 3660 articles yielded from the initial search, 19 were included in this review. The most commonly studied intervention was CBT (n = 3), followed by blue-light therapy (n = 2), photobiomodulation (n = 2), and melatonin (n = 2). Other treatments included an educational intervention, trauma-focused psychotherapy, 2 novel forms of psychotherapy, acoustic neuromodulation, multisensory integration therapy, gabapentin, hand self-shiatsu, interdisciplinary rehabilitation, and music therapy. The most common study design was a randomized…
How strong is the evidence?
Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence. Reported size: 13 participants or records.
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