在儿科脑震荡中返回游戏指南:当前文献的系统审查
Emily L Isch1, Kristen Schillinger2, Judith N Monzy1
1Department of General Surgery, Thomas Jefferson University Hospital, Philadelphia, PA.
The Journal of craniofacial surgery
|November 1, 2024
概括
儿科脑震荡回归 (RTP) 协议存在很大差异. 需要标准化指导方针,考虑性别和体育等因素,以确保年轻运动员在脑震荡后安全恢复.
科学领域:
- 神经学 神经学
- 运动医学 运动医学
- 儿科 儿科 儿科
背景情况:
- 儿童脑震荡是一个主要的公共卫生问题,在17岁时影响到18%的儿童.
- 目前的青少年运动脑震荡回归 (RTP) 协议缺乏标准化,因年龄,运动和地点而异.
- 本综述综合了现有文献,为儿科脑震荡RTP指南提供基于证据的建议.
研究的目的:
- 审查和综合当前关于儿童脑震荡的回归游戏 (RTP) 准则的文献.
- 确定影响年轻运动员RTP协议的关键因素.
- 为改善儿童和青少年脑震荡管理提供基于证据的建议.
主要方法:
- 在PubMed的系统文献搜索中使用MeSH术语:"回归游戏"",儿科脑震荡"和"轻度创伤性脑损伤".
- 包括2000年1月至2023年12月期间发表的研究,重点关注5-17岁的RTP协议.
- 使用纽卡斯尔-太华尺度和柯克兰偏差风险工具对45项选定的研究进行质量评估.
主要成果:
- 基于运动员的年龄,性别和运动项目的RTP协议中观察到显著的变化.
- 常见的协议包括初始休息,然后逐步恢复活动.
- 女运动员通常需要更长的恢复期;多学科护理和早期干预,如前庭治疗,可以改善结果.
结论:
- 对于标准化,基于证据的RTP指导方针存在极大需求,以解决儿科脑震荡管理中的不一致问题.
- 未来的研究应该优先考虑开发适用于全球的协议.
- 考虑性别特异性因素,体育特异性需求和早期治疗干预措施对于优化年轻运动员康复至关重要.
相关概念视频
Guidelines and Strategies for Safe Computer Charting
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
Disorders of the Nervous Tissue
Nervous tissue is a vital component of the human body's communication system, enabling us to perceive and respond to stimuli. However, like all other tissues, it is vulnerable to disorders and diseases that can significantly impact our neurological functioning.
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
Reflex Activity
A reflex activity is an automatic, involuntary response to specific stimuli. It is a part of our survival mechanism, designed to protect us from potential harm. For example, when a bright light suddenly shines into our eyes, we instinctively close them or look away. This is a simple reflex activity orchestrated by the nervous system without conscious thought or effort.
A reflex exam is a diagnostic procedure performed by a healthcare professional to evaluate the functionality of a patient's...
A reflex exam is a diagnostic procedure performed by a healthcare professional to evaluate the functionality of a patient's...
Brain Imaging
Brain imaging technologies provide critical insights into both the structure and function of the human brain, enabling medical professionals and researchers to diagnose, study, and treat neurological disorders or psychiatric disorders more effectively.
These technologies include computerized axial tomography (CAT or CT scans), positron-emission tomography (PET scans), magnetic resonance imaging (MRI), functional magnetic resonance imaging (fMRI), and Transcranial Magnetic Stimulation (TMS).
These technologies include computerized axial tomography (CAT or CT scans), positron-emission tomography (PET scans), magnetic resonance imaging (MRI), functional magnetic resonance imaging (fMRI), and Transcranial Magnetic Stimulation (TMS).
Encephalitis ll: Pathophysiology
Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...


