Grady Matthew F
Sports Medicine and Performance Center, Children's Hospital of Philadelphia, King of Prussia, PA, USA.
Curr Probl Pediatr Adolesc Health Care. 2010 Aug;40(7):154-69. doi: 10.1016/j.cppeds.2010.06.002.
Concussion in the adolescent athlete is a common sports and recreation injury. Traditional management of concussion in this age group has focused on sport return-to-play decisions. However, new research on mild traumatic brain injury has dramatically changed the management of concussion. During the acute healing phase, physical and cognitive rest are crucial for healing. In the school-aged athlete, new concepts, such as complete brain rest, have made school management decisions as important as sport return-to-play decisions. Despite tremendous improvements in the understanding of concussion, most of the research has been done in young adults. The lack of prospective studies in early adolescent student athletes limits definitive management recommendations. This article reviews the current understanding of the epidemiology, pathophysiology, and clinical presentation of concussion and discusses the unique factors involved in clinical management of concussion in the adolescent student-athlete.
青少年运动员脑震荡是一种常见的运动和娱乐损伤。该年龄组脑震荡的传统管理重点在于决定运动员能否重返赛场。然而，关于轻度创伤性脑损伤的新研究极大地改变了脑震荡的管理方式。在急性愈合阶段，身体和认知休息对康复至关重要。对于学龄运动员而言，诸如完全脑部休息等新概念使学校管理决策与运动员重返赛场的决策同样重要。尽管在脑震荡的认识方面有了巨大进步，但大多数研究是在年轻人中进行的。缺乏对青少年早期学生运动员的前瞻性研究限制了明确的管理建议。本文综述了目前对脑震荡的流行病学、病理生理学和临床表现的认识，并讨论了青少年学生运动员脑震荡临床管理中涉及的独特因素。
