Kelly Judy C, Amerson Efland H, Barth Jeffrey T
Department of Psychiatry & Neurobehavioral Sciences, University of Virginia, Charlottesville, VA 22908, USA.
Rehabil Res Pract. 2012;2012:371970. doi: 10.1155/2012/371970. Epub 2012 Mar 27.
Over the past forty years, a tremendous amount of information has been gained on the mechanisms and consequences of mild traumatic brain injuries. Using sports as a laboratory to study this phenomenon, a natural recovery curve emerged, along with standards for managing concussions and returning athletes back to play. Although advances have been made in this area, investigation into recovery and return to play continues. With the increase in combat-related traumatic brain injuries in the military setting, lessons learned from sports concussion research are being applied by the Department of Defense to the assessment of blast concussions and return to duty decision making. Concussion management and treatment for military personnel can be complicated by additional combat related stressors not present in the civilian environment. Cognitive behavioral therapy is one of the interventions that has been successful in treating symptoms of postconcussion syndrome. While we are beginning to have an understanding of the impact of multiple concussions and subconcussive blows in the sports world, much is still unknown about the impact of multiple blast injuries.
在过去的四十年里，人们在轻度创伤性脑损伤的机制和后果方面获得了大量信息。将体育运动作为研究这一现象的实验室，出现了一条自然恢复曲线，以及管理脑震荡和让运动员重返赛场的标准。尽管该领域已取得进展，但对恢复和重返赛场的调查仍在继续。随着军事环境中与战斗相关的创伤性脑损伤的增加，国防部正在将从运动性脑震荡研究中学到的经验应用于爆炸冲击性脑震荡的评估和重返岗位的决策。军事人员的脑震荡管理和治疗可能会因平民环境中不存在的额外战斗相关压力因素而变得复杂。认知行为疗法是成功治疗脑震荡后综合征症状的干预措施之一。虽然我们开始了解在体育界多次脑震荡和亚脑震荡打击的影响，但对于多次爆炸伤的影响仍有很多未知之处。
