Stewart Gregory W, McQueen-Borden Emily, Bell Roberta A, Barr Thomas, Juengling Jenifer
Int J Sports Phys Ther. 2012 Aug;7(4):433-47.
Currently, the popular approach to post-concussion management of the athlete relies upon the use of a multidisciplinary team of healthcare providers, all typically coordinated by a physician. That core team is often supplemented by nurses, psychotherapists, coaches, teachers, the athletic director, and, of course, family members. However, access to such a model is frequently limited by financial, geographical, and numerous other factors. In the absence of such resources, a thorough clinical evaluation and management by an available, ongoing healthcare provider, quite often the sports physical therapist, becomes necessary.The authors recommend that the professional who coordinates the athlete's post-concussion healthcare should focus efforts upon a comprehensive assessment and tailored treatment plan specific to the athlete's post-concussive symptoms. Assessment of both pre-morbid function and post-injury physical, cognitive, psychosocial, emotional, and behavioral issues, including the patient's support system, can assist the clinician with identifying specific constraints to sport, academic, social, and vocational activity participation. Hence, the assessment provides structure to the athlete's individualized treatment plan. Successful specialized interventions that address the multi-faceted impairments of sport related concussion frequently require knowledge of resources in a variety of other healthcare professions, in order to facilitate appropriate and necessary treatment referrals.Initial assessment should be followed by repeat monitoring throughout treatment, and spanning a variety of environments, in order to ensure the athlete's full recovery prior to return, not only to sport participation, but also to involvement in social, academic, and/or employment related life activities.
目前，运动员脑震荡后管理的常用方法依赖于多学科医疗团队的协作，通常由一名医生协调。该核心团队常由护士、心理治疗师、教练、教师、体育主任，当然还有家庭成员补充。然而，获得这种模式的机会常常受到经济、地理和许多其他因素的限制。在缺乏这些资源的情况下，由现有的、持续提供医疗服务的人员，通常是运动物理治疗师，进行全面的临床评估和管理就变得必要。作者建议，协调运动员脑震荡后医疗保健的专业人员应专注于全面评估和针对运动员脑震荡后症状的个性化治疗计划。评估病前功能以及受伤后的身体、认知、心理社会、情感和行为问题，包括患者的支持系统，可帮助临床医生识别对运动、学业、社交和职业活动参与的具体限制。因此，评估为运动员的个性化治疗计划提供了框架。成功的专门干预措施要解决与运动相关脑震荡的多方面损伤，通常需要了解各种其他医疗专业的资源，以便促进适当和必要的治疗转诊。初始评估之后应在整个治疗过程中进行重复监测，并涵盖各种环境，以确保运动员在恢复时不仅能完全恢复运动参与，还能参与社交、学业和/或与就业相关的生活活动。
5级。
