Parker Tonya M, Osternig Louis R, van Donkelaar Paul, Chou Li-Shan
Department of Human Physiology, 1240 University of Oregon, Eugene, OR 97403, USA.
Med Eng Phys. 2008 Oct;30(8):959-67. doi: 10.1016/j.medengphy.2007.12.006. Epub 2008 Feb 1.
Current literature provides only limited information regarding performance on dynamic motor tasks following concussion. However, recent investigations have suggested that participation in contact sports may have a negative effect on cognitive function without the existence of a medically diagnosed concussion. The purpose of this study was to examine balance control during gait in concussed and uninjured athletes and non-athletes. Twenty-eight Grade 2 concussed individuals (14 athletes and 14 non-athletes) and 28 uninjured matched controls (14 athletes and 14 non-athletes) were assessed for their gait performance within 48 h, 5, 14, and 28 days post-injury under conditions of divided and undivided attention. Athletes, whether concussed or not, walked slower and swayed more and faster than non-athletes. Athletes consistently demonstrated gait imbalance even in the absence of concussion. The findings of this study support the supposition that participation in high-impact sports has a measurable and possibly detrimental effect on balance control in the absence of a medically diagnosed concussion.
目前的文献中关于脑震荡后动态运动任务表现的信息有限。然而,最近的调查表明,参与接触性运动可能会对认知功能产生负面影响,即使没有医学诊断的脑震荡。本研究的目的是检查脑震荡和未受伤的运动员及非运动员在步态中的平衡控制。28名二级脑震荡患者(14名运动员和14名非运动员)和28名未受伤的匹配对照组(14名运动员和14名非运动员)在受伤后48小时、5天、14天和28天,在注意力分散和未分散的条件下接受步态表现评估。无论是否脑震荡,运动员都比非运动员走得更慢,摇摆更多、更快。即使在没有脑震荡的情况下,运动员也始终表现出步态不平衡。本研究结果支持这样一种假设,即在没有医学诊断的脑震荡的情况下,参与高冲击力运动对平衡控制有可测量的、可能有害的影响。