在高中体育运动中,脑震荡后的症状呈现和解决的决定因素
Avinash Chandran1, Adrian J Boltz1,2, Landon B Lempke3
1Datalys Center for Sports Injury Research and Prevention, Indianapolis, USA.
Research in sports medicine (Print)
|October 23, 2024
概括
高中运动员的体育相关脑震荡 (SRC) 是常见的. 头痛和头是最常见的,某些症状与其他症状密切相关,可能会延长恢复时间.
科学领域:
- 运动医学 运动医学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 与运动相关的脑震荡 (SRCs) 是高中田径运动的一个重大问题.
- 了解影响SRC症状和恢复的因素对于运动员的健康至关重要.
研究的目的:
- 调查高中运动员中脑震荡症状的决定因素.
- 为了确定不同脑震荡症状之间的关联.
- 在这个人群中确定症状解决时间 (SRT) 的预测因素.
主要方法:
- 来自高中RIO伤害监测系统 (2014/15-2018/19) 的SRC数据的分析.
- 利用通用估计方程来评估共变量预测因子和症状关联.
- 采用多变量顺序逻辑回归来识别SRT预测器.
主要成果:
- 在8,969名SRC中,头痛 (94.3%) 和头 (73.3%) 是报告最多的症状.
- 班级年龄,活动类型和受伤机制是男孩的关键决定因素;体育类型对女孩来说也很重要.
- 难以集中注意力,对光/噪音的敏感性和失方向性显示出最强烈的症状关联.
- 强烈相关症状的支持增加与较长的SRT相关 (aOR=1.35).
结论:
- 结果提供了对高中SRC中的症状表现和相互关系的见解.
- 确定了影响症状发展的关键人口和受伤相关因素.
- 突出了特定症状集群对脑震荡恢复时间的影响.
- 为高中运动员提供改进的副线和临床评估工具的开发提供信息.
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