J Adolesc Health. 2013 Sep;53(3):311-3. doi: 10.1016/j.jadohealth.2013.06.018.
The incidence of sports related concussion appears to be increasing, raising alarm over long-term consequences of these head injuries on cognitive function in youth. The American Academy of Neurology (AAN) has recently revised its position statement on concussion in sports, reflecting the burgeoning scientific evidence on its epidemiology, neurophysiology and prognosis. The AAN, along with other scientific organizations addressing concussion policy, has abandoned the use of algorithms for assigning a grade to concussions and instead stresses an individualized approach to concussion management. Recent evidence suggests that children and adolescents may be more susceptible to concussions from head blows, and may take longer to recover, than adults. Young women in certain sports also appear to be more susceptible to concussion than young men. The AAN recommends a more conservative approach to management of sports concussion in children and adolescents. Under no circumstances should a young athlete be allowed to participate in sport while still symptomatic. The use of standardized assessment tools is recommended to aid the healthcare provider in assessing the young athlete's recovery.
运动相关性脑震荡的发病率似乎正在上升，这引发了人们对这些头部损伤对年轻人认知功能的长期后果的担忧。美国神经病学学会 (AAN) 最近修订了其关于运动性脑震荡的立场声明，反映了其在流行病学、神经生理学和预后方面不断涌现的科学证据。AAN 与其他处理脑震荡政策的科学组织一起，放弃了使用算法对脑震荡进行分级的做法，而是强调对脑震荡管理采取个体化方法。最近的证据表明，儿童和青少年可能比成年人更容易受到头部冲击的脑震荡，而且恢复的时间可能更长。某些运动项目中的年轻女性似乎比年轻男性更容易受到脑震荡的影响。AAN 建议在管理儿童和青少年的运动性脑震荡时采取更为保守的方法。在任何情况下，都不应该允许有症状的年轻运动员参加运动。建议使用标准化评估工具来帮助医疗保健提供者评估年轻运动员的恢复情况。
