Oliaro Scott, Anderson Scott, Hooker Dan
University of North Carolina at Chapel Hill, Chapel Hill, NC.
J Athl Train. 2001 Sep;36(3):257-262.
To present a new approach in the evaluation and management of concussion from the athletic trainer's perspective. BACKGROUND: The evaluation and management of concussion continues to be a controversial topic among sports medicine professionals. Inconsistent management, lack of objective data, and confusion concerning assessment techniques may lead to inappropriate decisions regarding when to return an athlete to competition after concussion. In this article, we provide recommendations and considerations for the certified athletic trainer in the management of concussion. We also present a quantifiable assessment technique that provides more information on which return-to-play decisions can be made; this technique can be used during the initial sideline examination as well as during subsequent follow-up examinations. RECOMMENDATIONS: Certified athletic trainers and team physicians should consistently use appropriate grading scales. Assessment of concussion should include a symptom checklist, the Balance Error Scoring System, and the Standardized Assessment of Concussion, and the results should be compared with the athlete's normal baseline scores. Follow-up neuropsychological and postural stability testing is recommended. Return-to-play decisions should be based on the grade of concussion, scores on objective tests, and presence of concussive symptoms during exertional activities.
从运动训练师的角度提出一种评估和管理脑震荡的新方法。背景：脑震荡的评估和管理在运动医学专业人员中仍然是一个有争议的话题。管理不一致、缺乏客观数据以及评估技术的混乱可能导致在脑震荡后运动员何时重返比赛的问题上做出不当决定。在本文中，我们为认证运动训练师在脑震荡管理方面提供建议和注意事项。我们还提出了一种可量化的评估技术，该技术能提供更多信息，以便做出重返比赛的决定；此技术可在初始场边检查以及后续随访检查中使用。建议：认证运动训练师和队医应始终使用适当的分级量表。脑震荡评估应包括症状清单、平衡误差评分系统和脑震荡标准化评估，结果应与运动员的正常基线分数进行比较。建议进行随访神经心理学和姿势稳定性测试。重返比赛的决定应基于脑震荡的等级、客观测试的分数以及运动活动期间是否存在脑震荡症状。
