Department of Neurology, Michigan NeuroSport, University of Michigan, Ann Arbor, MI 48103, USA.
Br J Sports Med. 2013 Apr;47(5):299-303. doi: 10.1136/bjsports-2013-092257.
The purpose of this critical review is to summarise the evidence for the following technologies/strategies related to diagnosing or managing sports-related concussion: quantitative EEG, functional neuroimaging, head impact sensors, telemedicine and mobile devices.
MEDLINE, PubMed, Cochrane Controlled Trials Registers, SportDiscus, EMBASE, Web of Science and ProQuest databases. Primary search keywords were concussion, sports concussion and mild traumatic brain injury. The keywords used for secondary, topic specific searches were quantitative electroencephalography, qEEG, functionalMRI, magnetoencephalography, near-infrared spectroscopy, positron emission tomography, single photon emissionCT, accelerometer, impact sensor, telemetry, remote monitoring, robotic medicine, telemedicine, mobile device, mobile phone, smart phone and tablet computer.
The primary search produced 8567 publications. The secondary searches produced nine publications that presented original data, included a comparison group in the study design and involved sports-related concussion. Four studies spoke to the potential of qEEG as a diagnostic or management tool, while five studies addressed the potential of fMRI to be used in the same capacity.
Emerging technologies and novel approaches that aid in sports concussion diagnosis and management are being introduced at a rapid rate. While some technologies show promise, their clinical utility remains to be established.
本综述的目的是总结以下与诊断或管理与运动相关的脑震荡相关的技术/策略的证据：定量脑电图、功能神经影像学、头部冲击传感器、远程医疗和移动设备。
MEDLINE、PubMed、Cochrane 对照试验登记处、SportDiscus、EMBASE、Web of Science 和 ProQuest 数据库。主要搜索关键词是脑震荡、运动性脑震荡和轻度创伤性脑损伤。用于二次、专题特定搜索的关键词是定量脑电图、qEEG、功能 MRI、脑磁图、近红外光谱、正电子发射断层扫描、单光子发射 CT、加速度计、冲击传感器、遥测、远程监测、机器人医学、远程医疗、移动设备、移动电话、智能手机和平板电脑。
主要搜索产生了 8567 篇出版物。二次搜索产生了九篇原始数据的出版物，这些研究设计包括对照组，涉及与运动相关的脑震荡。四项研究探讨了 qEEG 作为诊断或管理工具的潜力，而五项研究则探讨了 fMRI 用于相同目的的潜力。
有助于运动性脑震荡诊断和管理的新兴技术和新方法正在迅速推出。虽然一些技术显示出了希望，但它们的临床实用性仍有待确定。
