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选择性运动功能障碍在与战斗有关的轻度TBI服务成员的纵向评估

David Coppel¹, Jason Barber¹, Nancy R Temkin¹

¹Department of Neurological Surgery, University of Washington, Seattle, WA 98104-2499, USA.

Military medicine

|September 14, 2024

概括

患有轻度创伤性脑损伤 (TBI) 的服务人员表现出持续的运动功能缺陷,长期影响粗细运动技能. 这些亚临床运动减速效应可能会增加战士的风险,并需要进一步的干预.

科学领域:

神经科学是一个神经科学.
军事医学军事医学
创伤学创伤学创伤学

背景情况:

服务人员的轻度创伤性脑损伤 (TBI) 通常集中在神经行为和认知结果上.
对战斗机功能至关重要的运动能力的影响仍然不太了解.
需要对战后TBI后的运动功能进行纵向评估.

研究的目的:

评估美国军事人员的纵向运动功能,有或没有战斗中持续的轻度TBI.
评估轻度TBI对粗细运动能力的潜在长期影响.
为了确定战斗人员TBI后的任务关键功能变化.

主要方法:

从轻度TBI (EVOLVE) 研究中长度结局评估的数据中获取数据.
分析了1,5年和10年随访的纵向人口统计,神经心理和运动数据.
雇员等级回归和混合效应等级回归,调整相关共变量.

主要成果:

在1,5或10年后的各组中没有发现显著的认知表现差异.
与所有时间点的对照组相比,TBI组的毛发动机功能在两组中都显著减缓.
精细运动功能在1岁和5岁时表现出显著差异,在10岁时差异减少.

结论:

爆炸性和非爆炸性TBI组始终表现出较慢的总运动性能随着时间的推移.
运动减速可能代表TBI后的亚临床但显著的变化.
运动功能缺陷可能会增加战士的风险,并可能受益于有针对性的干预措施.

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