Eckner James T, Kutcher Jeffrey S
1Department of Physical Medicine & Rehabilitation, University of Michigan, Ann Arbor, MI; 2Department of Neurology, University of Michigan, Ann Arbor, MI.
Curr Sports Med Rep. 2010 Jan-Feb;9(1):8-15. doi: 10.1249/JSR.0b013e3181caa778.
Sports-related concussion remains a diagnostic and management challenge for the sports medicine practitioner. Numerous symptom scales and sideline assessment tools are available for team physicians and athletic trainers to objectively assess this difficult injury. The purpose of this article is to update the reader on literature published within the past year relevant to concussion symptom scales and sideline assessment tools. A critical evaluation of pertinent articles is presented. We conclude that multiple symptom scales and assessment tools are available, with no single tool showing clear superiority. Many tools remain based more on expert opinion than rigorous scientific evaluation. A multifaceted approach to sports concussion is advised. The sports medicine practitioner must not rely on any one tool in managing concussion and must be aware of the strengths and limitations of whichever method is chosen to incorporate into a concussion evaluation and management plan.
与运动相关的脑震荡对运动医学从业者来说仍然是一个诊断和管理方面的挑战。团队医生和运动训练师可以使用众多症状量表和场边评估工具来客观评估这种棘手的损伤。本文的目的是向读者介绍过去一年中发表的与脑震荡症状量表和场边评估工具相关的文献。文中对相关文章进行了批判性评价。我们得出的结论是，有多种症状量表和评估工具可供使用，但没有一种工具显示出明显的优越性。许多工具更多地基于专家意见，而非严格的科学评估。建议采用多方面的方法来处理运动性脑震荡。运动医学从业者在管理脑震荡时绝不能依赖任何一种工具，并且必须了解无论选择哪种方法纳入脑震荡评估和管理计划时其优点和局限性。
