青少年的症状集群和休息心血管自主措施:从急性脑震荡到恢复
Wenjie Ji1, Haley M Chizuk2, John J Leddy1,2
1Department of Rehabilitation Science, School of Public Health and Health Professions, State University of New York at Buffalo, Buffalo, New York, USA.
Physiological reports
|November 3, 2024
概括
青少年体育相关脑震荡 (SRC) 在受伤后早期不会显著改变静止心血管自主神经系统 (ANS) 功能. 康复后,注意到一些ANS变化,但它们的临床意义仍然有限.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 运动医学 运动医学
背景情况:
- 与运动相关的脑震荡 (SRC) 与自主神经系统 (ANS) 功能障碍有关.
- 了解青少年SRC中的心血管ANS活动对于诊断和康复评估至关重要.
研究的目的:
- 与对照人群相比,研究SRC青少年的静止心血管ANS功能.
- 分析伤害后早期和临床康复后的ANS活动.
- 为了将ANS功能与症状严重程度和恢复时间相关联.
主要方法:
- 通过心率变化 (HRV),缩血压变化 (SBPV) 和巴罗反射灵敏度 (BRS) 评估心血管ANS功能.
- 使用脑震荡后症状量表来评估症状.
- 根据持续时间对恢复结果进行分类.
主要成果:
- 在SRC和控制组之间没有发现HRV,SBPV或BRS的显著差异.
- 康复后,SRC参与者与对照人群相比,显示出较高的低频SBPV.
- 在症状期间,LF SBPV与症状严重程度相关,HF HRV与情感症状相反相关.
结论:
- 在青少年运动员中,SRC后,休息心血管ANS功能在很大程度上没有发生急性变化.
- 在青少年SRC中,ANS活动显示出有限的诊断和预后潜力.
- 观察到的ANS和症状之间的相关性与对照组没有显著不同,限制了解释.
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