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确定大脑对抗疾病的健康程度:时机到了吗?

Determining brain fitness to fight: Has the time come?

作者信息

Seifert Tad, Bernick Charles, Jordan Barry, Alessi Anthony, Davidson Jeff, Cantu Robert, Giza Christopher, Goodman Margaret, Benjamin Johnny

机构信息

a 1 Department of Neurology, Norton Healthcare , Louisville, KY, USA.

b 2 Department of Neurology, University of Kentucky , KY, USA.

出版信息

Phys Sportsmed. 2015 Nov;43(4):395-402. doi: 10.1080/00913847.2015.1081551. Epub 2015 Aug 21.

DOI:10.1080/00913847.2015.1081551
PMID:26295482
Abstract

Professional boxing is associated with a risk of chronic neurological injury, with up to 20-50% of former boxers exhibiting symptoms of chronic brain injury. Chronic traumatic brain injury encompasses a spectrum of disorders that are associated with long-term consequences of brain injury and remains the most difficult safety challenge in modern-day boxing. Despite these concerns, traditional guidelines used for return to sport participation after concussion are inconsistently applied in boxing. Furthermore, few athletic commissions require either formal consultation with a neurological specialist (i.e. neurologist, neurosurgeon, or neuropsychologist) or formal neuropsychological testing prior to return to fight. In order to protect the health of boxers and maintain the long-term viability of a sport associated with exposure to repetitive head trauma, we propose a set of specific requirements for brain safety that all state athletic commissions would implement.

摘要

职业拳击存在慢性神经损伤风险,高达20%-50%的前拳击手表现出慢性脑损伤症状。慢性创伤性脑损伤涵盖一系列与脑损伤长期后果相关的病症,仍是现代拳击运动中最严峻的安全挑战。尽管存在这些担忧,但用于指导脑震荡后恢复运动参赛的传统指南在拳击运动中的应用并不一致。此外,很少有体育委员会要求在重返拳坛之前与神经专科医生(即神经科医生、神经外科医生或神经心理学家)进行正式咨询或进行正式的神经心理学测试。为了保护拳击手的健康,并维持这项与反复头部创伤相关运动的长期活力,我们提出了一套所有州体育委员会都应实施的脑安全具体要求。

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Determining brain fitness to fight: Has the time come?确定大脑对抗疾病的健康程度:时机到了吗?
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Brain injury in boxing.拳击运动中的脑损伤。
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引用本文的文献

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Medical retirement from sport after concussions: A practical guide for a difficult discussion.脑震荡后从体育界退役的医学考量:艰难讨论的实用指南
Neurol Clin Pract. 2018 Feb;8(1):40-47. doi: 10.1212/CPJ.0000000000000424.