Dvorak Jiri, McCrory Paul, Kirkendall Donald T
Schulthess Klinik and FIFA Medical Assessment and Research Centre, Zurich, Switzerland.
Br J Sports Med. 2007 Aug;41 Suppl 1(Suppl 1):i44-6. doi: 10.1136/bjsm.2007.037960. Epub 2007 May 11.
Although all injuries in sports are a concern for participants, head injuries are particularly troublesome because of the potential for long-term cognitive deficits. To prevent any specific injury, it is important to understand the basic frequency and incidence of injury and then the mechanism of injury. Once these are established, prevention programmes can be tested to see if the rate of injury changes. A primary problem with head injuries is recognising that the injury has occurred. Many athletes are not aware of the seriousness of concussive injury, thus this type of injury is probably under-reported. Once the diagnosis of a concussion is made, the next difficult decision is when to return a player to the game. These two management issues dominate the continuing development of understanding of concussive head injury. This paper explores the known gender differences between head injuries and highlights the areas that need to be considered in future research.
尽管体育活动中的所有损伤都让参与者担忧，但头部损伤因其可能导致长期认知缺陷而格外棘手。为预防任何特定损伤，了解损伤的基本频率和发生率，进而了解损伤机制很重要。一旦确定了这些，就可以测试预防方案，看看损伤率是否发生变化。头部损伤的一个主要问题是认识到损伤已经发生。许多运动员并未意识到脑震荡损伤的严重性，因此这类损伤可能报告不足。一旦做出脑震荡诊断，下一个艰难的决定就是何时让运动员重返比赛。这两个管理问题主导着对脑震荡性头部损伤认识的持续发展。本文探讨了已知的头部损伤性别差异，并强调了未来研究中需要考虑的领域。
