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功能良好的多次脑震荡运动员的电生理异常。

Electrophysiological abnormalities in well functioning multiple concussed athletes.

作者信息

Thériault Martin, De Beaumont Louis, Gosselin Nadia, Filipinni Melissa, Lassonde Maryse

机构信息

Centre de Recherche en Neuropsychologie et Cognition, Université de Montréal, Canada.

出版信息

Brain Inj. 2009 Oct;23(11):899-906. doi: 10.1080/02699050903283189.

Abstract

OBJECTIVE

The present study was aimed at characterizing the short- and long-term effects of multiple concussions using an electrophysiological approach.

METHOD

Participants for this study were recruited from college football teams. They included athletes who never sustained concussions compared to two groups of asymptomatic multiple concussed athletes, one that sustained their last concussion within the year and the other more than 2 years prior to testing. All participants were submitted to an auditory three-tone Oddball paradigm while event-related potentials (ERP) were recorded.

RESULTS

Results from ERP recordings reveal significantly reduced P3a and P3b amplitudes in the recent concussed group in the three-tone task compared to control athletes. In contrast, athletes who sustained their concussions more than 2 years prior to testing had equivalent P3a and P3b amplitude to that of controls.

CONCLUSION

These findings suggest that, despite functioning normally in their daily lives, concussed athletes still show subtle neuronal changes in information processing. Thus, the persistence of sub-clinical abnormalities on ERP components despite normal overt functioning may indicate sub-optimal compensation in multiple concussed athletes and leave them vulnerable to subsequent concussions.

摘要

目的

本研究旨在采用电生理方法描述多次脑震荡的短期和长期影响。

方法

本研究的参与者从大学橄榄球队招募。他们包括从未遭受过脑震荡的运动员,以及两组无症状的多次脑震荡运动员,一组在一年内遭受了最后一次脑震荡,另一组在测试前两年多遭受了脑震荡。所有参与者在记录事件相关电位(ERP)时接受听觉三音Oddball范式测试。

结果

ERP记录结果显示,与对照运动员相比,近期脑震荡组在三音任务中的P3a和P3b波幅显著降低。相比之下,在测试前两年多遭受脑震荡的运动员的P3a和P3b波幅与对照组相当。

结论

这些发现表明,尽管脑震荡运动员在日常生活中功能正常,但仍显示出信息处理方面细微的神经元变化。因此,尽管明显功能正常,但ERP成分上亚临床异常的持续存在可能表明多次脑震荡运动员的代偿不理想,并使他们易受后续脑震荡的影响。

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