Matthew Alan Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, 209 Fetzer Hall, CB#8700, Chapel Hill, NC 27599-8700, USA.
Clin Sports Med. 2011 Jan;30(1):89-102, ix. doi: 10.1016/j.csm.2010.09.004.
Although neuropsychological testing has proven to be a valuable tool in concussion management, it is most useful when administered as part of a comprehensive assessment battery that includes grading of symptoms and clinical balance tests. A thorough sideline and clinical examination by the certified athletic trainer and team physician is considered an important first step in the management of concussion. The evaluation should be conducted in a systematic manner, whether on the field or in the clinical setting. The evaluation should include obtaining a history for specific details about the injury (eg, mechanism, symptomatology, concussion history), followed by assessing neurocognitive function and balance, which is the focus of this article. The objective measures from balance testing can provide clinicians with an additional piece of the concussion puzzle, remove some of the guesswork in uncovering less obvious symptoms, and assist in determining readiness to return safely to participation.
虽然神经心理学测试已被证明是管理脑震荡的一种有价值的工具，但当它作为包括症状分级和临床平衡测试的综合评估组合的一部分进行时，它最为有用。经过认证的运动训练师和队医进行全面的场外和临床检查被认为是管理脑震荡的重要第一步。评估应系统地进行，无论是在现场还是在临床环境中。评估应包括获取有关损伤的具体细节的病史（例如，机制，症状，脑震荡史），然后评估神经认知功能和平衡，这是本文的重点。平衡测试的客观指标可以为临床医生提供脑震荡拼图的另一部分，消除发现不太明显症状时的一些猜测，并有助于确定安全重返参与的准备情况。
