Division of Pediatric Physical Medicine and Rehabilitation, Department of Pediatrics, Ochsner Clinic Medical Center, New Orleans, LA, USA.
PM R. 2011 Oct;3(10 Suppl 2):S369-79. doi: 10.1016/j.pmrj.2011.07.015.
Sports-related concussions are common among pediatric and adolescent athletes, yet a scarcity of age-specific research often has meant that practitioners use guidelines developed for collegiate or adult populations. This situation is changing, as more studies are being published about this population that bears special attention because of the immaturity of the developing brain. This article describes existing knowledge about the epidemiology and etiology of concussions in youth athletes; discusses issues related to assessment, clinical management, and return to activity; examines special concerns related to the effects of concussion on the developing brain; and discusses prevention and education initiatives related to concussion in youth athletes.
运动相关性脑震荡在儿科和青少年运动员中很常见,但由于缺乏针对特定年龄段的研究,医生通常会使用为大学生或成人制定的指南。这种情况正在发生变化,因为越来越多的研究针对这一人群,因为发育中的大脑不成熟,这一人群需要特别关注。本文介绍了关于青少年运动员脑震荡的流行病学和病因学的现有知识;讨论了与评估、临床管理和重返活动相关的问题;研究了与脑震荡对发育中大脑的影响相关的特殊问题;并讨论了与青少年运动员脑震荡相关的预防和教育措施。