McKeever Catherine K, Schatz Philip
Department of Psychology, Drexel University, Philadelphia, PA, USA.
Appl Neuropsychol. 2003;10(1):4-11. doi: 10.1207/S15324826AN1001_2.
The recent literature has focused on the need for appropriate identification, assessment, and management of sports-related concussion. This article addresses current issues in the prevalence and assessment of sports-related concussion. Despite a paucity of research on female athletes and youth athletes, there is evidence that female athletes are at higher risk for injury than males and that concussions may affect children and young adolescents differently than older adolescents and adults. Sideline, baseline, and postconcussion assessments have become prevalent in documenting preinjury and postinjury performance, tracking recovery rates, and assisting return-to-play decisions. New computerized assessment procedures are growing in popularity and use. Future directions in the assessment and management of sports-related concussion include increased research on prevalence rates and effects of concussions for females and youth athletes, educating parents of youth athletes as well as family physicians on the importance of baseline and postconcussion cognitive assessments, and further validation of computerized assessment measures.
近期的文献聚焦于对与运动相关的脑震荡进行恰当识别、评估和管理的必要性。本文探讨了与运动相关的脑震荡在患病率和评估方面的当前问题。尽管针对女性运动员和青少年运动员的研究较少，但有证据表明，女性运动员比男性运动员受伤风险更高，而且脑震荡对儿童和青少年的影响可能与年龄较大的青少年及成年人有所不同。场边评估、基线评估和伤后评估在记录伤前和伤后表现、追踪恢复率以及协助做出重返赛场的决策方面已变得很普遍。新的计算机化评估程序越来越受欢迎且使用广泛。与运动相关的脑震荡评估和管理的未来方向包括：增加对女性和青少年运动员脑震荡患病率及影响的研究；向青少年运动员的家长以及家庭医生普及基线和伤后认知评估的重要性；进一步验证计算机化评估措施。
