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一种针对与运动相关脑震荡后运动员临床护理的全面、有针对性的方法。

A comprehensive, targeted approach to the clinical care of athletes following sport-related concussion.

作者信息

Collins Michael W, Kontos Anthony P, Reynolds Erin, Murawski Christopher D, Fu Freddie H

机构信息

Department of Orthopaedic Surgery, UPMC Sports Medicine Concussion Program, 3200 South Water Street, Pittsburgh, PA, 15203, USA.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2014 Feb;22(2):235-46. doi: 10.1007/s00167-013-2791-6. Epub 2013 Dec 12.

Abstract

PURPOSE

The purpose of this paper is to discuss risk and prognostic factors for concussion outcomes, review comprehensive approaches to assessment, and describe a new method for conceptualizing treatment for sport-related concussion using clinical experience.

METHODS

Based on the current literature of sport-related concussion and clinical experience, an approach for conceptualizing concussion care using clinical trajectories and targeted treatments was developed.

RESULTS

A comprehensive approach to assessment and targeted treatments for sport-related concussion was developed using specific clinical trajectories.

CONCLUSION

Sport-related concussions are heterogeneous and require an individualized clinical approach. The use of a comprehensive approach for assessing specific clinical trajectories following a sport-related concussion will help clinicians better conceptualize this injury. Clinicians can then match targeted treatment pathways to specific clinical trajectories to accelerate safe return to play for athletes following a sport-related concussion.

摘要

目的

本文旨在探讨脑震荡预后的风险和预后因素,回顾综合评估方法,并利用临床经验描述一种用于概念化运动相关脑震荡治疗的新方法。

方法

基于当前运动相关脑震荡的文献和临床经验,开发了一种利用临床轨迹和针对性治疗来概念化脑震荡护理的方法。

结果

利用特定的临床轨迹,开发了一种运动相关脑震荡的综合评估和针对性治疗方法。

结论

运动相关脑震荡具有异质性,需要个体化的临床方法。采用综合方法评估运动相关脑震荡后的特定临床轨迹,将有助于临床医生更好地理解这种损伤。然后,临床医生可以将针对性的治疗途径与特定的临床轨迹相匹配,以加速运动相关脑震荡后运动员安全重返赛场。

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