Guskiewicz Kevin M
Sports Medicine Research Laboratory, 211 Fetzer, CB#8700, University of North Carolina, Chapel Hill, NC 27599-8700, USA.
Curr Sports Med Rep. 2003 Feb;2(1):24-30. doi: 10.1249/00149619-200302000-00006.
Despite the increased amount of research being conducted in the area of sport-related concussion, there is still a limited understanding regarding its effect on the injured brain's ability to control motor functions and coordination. This review determines the efficacy of postural stability testing as an adjunct to concussion assessment of athletes. Multiple studies, using both sophisticated force plate technology, as well as those using less sophisticated clinical balance tests, have identified postural stability deficits lasting several days following sport-related concussion. It appears that postural stability testing provides a useful tool for objectively assessing the motor domain of neurologic functioning, and should be considered a reliable and valid adjunct to the assessment of athletes suffering from concussion. Although symptom severity, neurocognitive function, and postural stability are often affected initially following concussion, they are not necessarily related or even affected to the same degree. Each of these should be considered when attempting to make return-to-play decisions following concussion.
尽管在与运动相关的脑震荡领域进行的研究数量有所增加，但对于其对受伤大脑控制运动功能和协调能力的影响仍了解有限。本综述确定了姿势稳定性测试作为运动员脑震荡评估辅助手段的有效性。多项研究，既使用了复杂的测力板技术，也使用了不太复杂的临床平衡测试，均已确定与运动相关的脑震荡后姿势稳定性缺陷会持续数天。姿势稳定性测试似乎为客观评估神经功能的运动领域提供了一种有用的工具，并且应被视为对脑震荡运动员进行评估的可靠且有效的辅助手段。虽然脑震荡后最初症状严重程度、神经认知功能和姿势稳定性通常都会受到影响，但它们不一定相关，甚至受到的影响程度也不尽相同。在试图做出脑震荡后重返比赛的决定时，应考虑上述每一项因素。
