在注意力缺陷/多动障碍的学生运动员中,基线影响综合分数
Eugene I Hrabarchuk1, Theodore Hannah2, Roshini Kalagara1
1Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
概括
患有注意力缺陷/多动症障碍 (ADHD) 的学生运动员在基线报告了更多的脑震荡症状. 虽然初步分析显示ADHD运动员的冲动控制较差,但在调整后,这并不显著,影响了脑震荡测试的解释.
科学领域:
- 运动医学 运动医学
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 患有ADHD的运动员面临着更高的脑震荡风险.
- 像ImPACT这样的标准脑震荡评估可能会受到诸如ADHD等先前存在的疾病的影响.
- 了解基线认知差异对于在这个人群中准确诊断脑震荡至关重要.
研究的目的:
- 调查与没有ADHD的学生运动员之间受伤前认知基线分数的差异.
- 评估ADHD对即时脑震荡后评估和认知测试 (ImPACT) 复合分数的影响.
主要方法:
- 分析了2009年至2019年期间,来自7454名学生运动员 (12至22岁) 的11,563次季前影响评估.
- 用多变量线性回归来比较276名多动症患者和6920名对照患者.
- 对于多次比较 (a = 0.008) 应用了邦费罗尼校正,以评估ADHD对六个ImPACT复合分数的影响.
主要成果:
- 统一分析显示,ADHD与较高的症状得分 (PCSS) 和较差的冲动控制有关.
- 多变量分析证实了ADHD和较高的症状得分之间的联系.
- 在调整多次比较后,ADHD和对照组之间的冲动控制得分的差异在统计学上并不显著.
结论:
- 与非ADHD同龄人相比,患有ADHD的学生运动员报告了更多的基线脑震荡症状.
- 虽然单变量分析表明ADHD运动员的冲动控制受损,但在统计调整后,这一发现没有持续.
- 这些发现强调了在对ADHD的学生运动员进行脑震荡评估时考虑基线症状负担的重要性.
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