早期有针对性的心率炼是安全的,并且可能在急性脑震荡的服务人员中加速恢复职责,初步研究表明
Mohammad Nadir Haider1, Wesley R Cole2, Barry S Willer3
1Department of Orthopedics, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, New York, USA.
Brain injury
|February 8, 2024
概括
将运动耐受性评估和干预添加到服务人员的脑震荡恢复指南中是可行的. 这种方法可能会缩短脑震荡后的恢复时间.
科学领域:
- 运动医学 运动医学
- 神经学 神经学
- 军人卫生保健 军人卫生保健
背景情况:
- 服务人员的脑震荡管理通常遵循逐步恢复活动的临床建议 (PRA-CR).
- 运动不耐受是脑震荡后的常见并发症,影响恢复时间表.
研究的目的:
- 评估将运动耐受性评估和干预整合到现有的脑震荡协议中的可行性,以对急性脑震荡的服务人员进行评估.
- 评估这种综合方法对恢复时间的影响.
主要方法:
- 一个非随机的试点试验,涉及急性脑震荡的军人.
- 一个实验组 (ERG) 接受了水牛脑震荡行进测试 (BCMT),并与PRA-CR.一起每天接受有针对性的炼.
- 一个对照组 (SCG) 接受了标准护理,数据是在ERG启动之前提取的.
主要成果:
- 在最初的查访问中,BCMT在100%的参与者中发现了运动不耐受.
- 没有报告BCMT或运动干预的不良影响.
- 与SCG (23.7天) 相比,ERG的估计恢复时间显著缩短 (17.0天) (p=0.039).
结论:
- 运动耐受性评估是可行的,可以纳入脑震荡管理策略.
- 这些发现支持了运动干预对加速服务人员脑震荡后恢复的潜在有效性.
- 需要进一步的最终随机对照试验来证实这些结果.
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