Centre for Health, Exercise & Sports Medicine & Brain Research Institute, University of Melbourne, Parkville, Victoria 3010, Australia.
Clin Sports Med. 2011 Jan;30(1):201-8, xi-ii. doi: 10.1016/j.csm.2010.08.002.
The occurrence and management of sports concussion provokes more debate and concern than virtually all other sports injuries combined. In the past 3 decades, clinicians have gone from mostly anecdotal strategies to an international consensus-based approach and the early evolution of evidence-based practice. There is increasing engagement by mainstream neuroscientists in this field, which had previously been dominated by sports team physicians. However, the interchange has largely taken place in the media rather than through scientific journals. Legislators have proposed regulatory measures that restrict medical management of concussion in ways that apply to no other medical condition. This paper examines some of the key areas that are likely to be the focus of research in the next few years.
运动性脑震荡的发生和处理所引起的争议和关注比几乎所有其他运动损伤的总和还要多。在过去的 30 年里,临床医生已经从主要依靠轶事策略发展为基于国际共识的方法和早期的循证实践。主流神经科学家越来越多地参与到这个领域,而这个领域以前主要由运动队医生主导。然而,这种交流主要是在媒体上进行的,而不是通过科学期刊进行的。立法者提出了一些监管措施,以限制对脑震荡的医疗管理,而这种限制适用于其他任何医疗状况。本文探讨了一些可能成为未来几年研究重点的关键领域。