焦虑在运动不耐症和自主神经系统功能障碍中脑震荡后的作用
Aaron J Zynda1, Alicia M Trbovich2, Faith Kehinde2
1Department of Orthopaedic Surgery, University of Pittsburgh Medical Center Sports Medicine Concussion Program, University of Pittsburgh, Pittsburgh, PA, USA. ajz61@pitt.edu.
概括
患有焦虑症的成年人,无论是先前存在的还是受伤后的,都表现出自主神经系统反应的改变,在水牛脑震荡自行车测试 (BCBT) 中完成的阶段较少. 在解释运动不耐受性测试结果时,临床医生应考虑焦虑.
科学领域:
- 神经科学是一个神经科学.
- 运动医学 运动医学
- 心理学 心理学 心理学
背景情况:
- 焦虑是脑震荡后的一个常见的并发症.
- 自主神经系统 (ANS) 在对运动的生理反应中起着至关重要的作用.
- 了解焦虑如何影响脑震荡后的ANS反应对于准确的诊断和管理至关重要.
研究的目的:
- 为了比较自主神经系统 (ANS) 响应使用水牛脑震荡自行车测试 (BCBT) 在成人脑震荡后患者.
- 为了研究患有和没有先前和后伤害焦虑症的患者之间的差异.
主要方法:
- 横截面队列研究涉及106名成年参与者 (18-49岁) 来自脑震荡随机对照试验.
- 参与者完成了BCBT,测量包括心率,血压和感知到的劳动力.
- 评估的结果是完成BCBT阶段的数量和生理反应.
主要成果:
- 参与者有先前存在的焦虑,显示在测试期间扩张性血压增加和感知到的劳动力.
- 既有先前存在的焦虑和后受伤的焦虑组完成显着较少的BCBT阶段比那些没有焦虑.
- 在先前存在的焦虑症组中,观察到对透静血压和感知到的炼的显著的分组时间相互作用.
结论:
- 预先存在的和受伤后的焦虑与脑震荡后的运动生理反应的改变有关.
- 焦虑会影响像BCBT这样的运动不耐受性测试的表现.
- 临床医生必须在解释基于运动的脑震荡评估结果时考虑焦虑的存在.
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