一个系统的审查和元分析调查拳击中头部创伤
Robert R Donnelly1,2, Ukadike Chris Ugbolue1,2, Yang Gao3
1Faculty of Sports Science, Ningbo University, Ningbo, China.
概括
这次审查显示,与其他战斗运动相比,拳击显著增加了脑震荡风险. 拳击手表现出高水平的神经问题,如大脑缩和认知障碍,突出体育的固有危险.
科学领域:
- 神经学 神经学
- 运动医学 运动医学
- 神经心理学 神经心理学
背景情况:
- 拳击,尽管存在身体创伤的固有风险,仍然是运动员和观众的热门运动.
- 了解拳击对神经和神经心理的影响对于运动员安全和体育法规至关重要.
研究的目的:
- 系统地审查和元分析拳击对大脑的急性和慢性神经和神经心理影响.
- 将拳击中的脑震荡率与其他战斗运动进行比较.
- 评估头盔在缓解与拳击有关的头部创伤方面的有效性.
主要方法:
- 系统审查和元分析遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 包括研究报告的身体慢性异常,神经精神和神经系统疾病在业余和职业拳击手.
- 对拳击头盔安全益处的数据分析.
主要成果:
- 与其他战斗运动相比,拳击运动员的脑震荡风险明显高 (风险比率[RR]:0.253与RR:0.065,P<0.001).
- 拳击手的神经异常的患病率包括洞腔隔膜透光 (23.30%),大脑缩 (30.41%),痴呆/记忆丧失 (61.79%),认知障碍 (51.43%) 和异常扫描结果 (52.29%).
- 头盔的使用与业余比赛中停赛的风险增加有关 (赔率比 [OR]:1.75对0.53,P <0.050).
结论:
- 拳击是一项危险的运动,有可能导致严重的,改变生活的神经系统后果.
- 关于头盔在缓解拳击中头部创伤方面的有效性数据有限.
- 未来的研究应该优先研究头盔在减少与拳击有关的头部伤害方面的作用.
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