Sports Concussion Clinic, Division of Sports Medicine, Department of Orthopedics, Children's Hospital Boston, 319 Longwood Avenue, Boston, MA 02115, USA.
Clin Sports Med. 2011 Jan;30(1):115-24, ix. doi: 10.1016/j.csm.2010.08.003.
Clinicians who manage sport-related concussions have excellent guidelines by which most injuries can be managed. Because sport-related concussions typically resolve within a short time frame, most can be managed with physical and cognitive rest alone. However, clinicians who specialize in the assessment and management of this diagnosis encounter patients with prolonged recovery courses, persistent symptoms, and significant deficits in cognitive functioning. These patients require more involved therapy, which may include additional education, academic accommodations, physical therapy, cognitive rehabilitation, and medication. This article reviews the main medical therapies for the management of concussive brain injury.
管理与运动相关的脑震荡的临床医生有很好的指导原则,大多数损伤都可以通过这些原则来管理。由于与运动相关的脑震荡通常在短时间内得到解决,因此大多数情况下仅通过身体和认知休息就可以进行管理。但是,专门从事该诊断评估和管理的临床医生会遇到康复过程漫长、持续存在症状以及认知功能严重缺陷的患者。这些患者需要更深入的治疗,可能包括额外的教育、学术适应、物理治疗、认知康复和药物治疗。本文回顾了管理脑震荡性脑损伤的主要医学治疗方法。