Stein Cynthia J, MacDougall Robert, Quatman-Yates Catherine C, Myer Gregory D, Sugimoto Dai, Dennison Roberta J, Meehan William P
*Division of Sports Medicine, Department of Orthopaedics, Boston Children's Hospital, Boston, Massachusetts; †Division of Occupational and Physical Therapy, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; ‡Division of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; §Sports Medicine Biodynamics Center and Human Performance Laboratory, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; ¶Departments of Pediatrics and Orthopaedic Surgery, College of Medicine, University of Cincinnati, Cincinnati, OH; ‖The Micheli Center for Sports Injury Prevention, Waltham, Massachusetts; and #Tufts University Family Medicine Residency at Cambridge Health Alliance, Malden, Massachusetts.
Clin J Sport Med. 2016 Sep;26(5):386-90. doi: 10.1097/JSM.0000000000000268.
Few studies have examined the experience and concerns of the concussed athlete. The purpose of this study was to identify the most pressing concerns of athletes with concussion.
Cross-sectional survey of athletes who presented for evaluation of a new sport-related concussion during an 8-month period.
Tertiary-level sports medicine division of a large academic pediatric medical center.
One hundred twenty one patients (67 male, 54 female) aged 8 to 18 years who had sustained a sport-related concussion participated in the study by responding to "What is the worst thing for you about having a concussion?" on the study questionnaire. Questionnaires were completed in the clinic waiting room before the visit with a provider.
Inductive content analysis was used to identify themes in the responses to the study question.
Age, sex, sport played at the time of the current injury, history of previous concussion, known contacts with concussion, and subjective report of worst aspect of concussion.
Seventy respondents (57.9%) cited symptoms, and 68 (56.2%) reported loss of activity as the worst part of concussion, including 17 (14.0%) who listed both symptoms and loss of activity.
Over half of concussed athletes indicate that the most distressing part of the injury is loss of activities, which may result from symptoms of the injury itself and/or the prescribed treatment.
Health care providers should not underestimate the degree to which symptoms and loss of activities affect young athletes' general well-being. In addition to the negative impact of concussion symptoms, there is an obvious cost of physical, cognitive, and social activity restrictions for patients recovering from sport-related concussions that should be explicitly addressed.
很少有研究探讨脑震荡运动员的经历和担忧。本研究的目的是确定脑震荡运动员最迫切的担忧。
对在8个月期间前来评估新的与运动相关脑震荡的运动员进行横断面调查。
一家大型学术儿科医疗中心的三级运动医学科。
121名年龄在8至18岁之间、遭受与运动相关脑震荡的患者（67名男性，54名女性）参与了该研究，他们通过回答研究问卷上的“对你来说，脑震荡最糟糕的事情是什么？”来参与。问卷在与医生就诊前在诊所候诊室完成。
采用归纳性内容分析法确定对研究问题回答中的主题。
年龄、性别、当前受伤时所从事的运动、既往脑震荡史、已知的脑震荡接触情况以及脑震荡最糟糕方面的主观报告。
70名受访者（57.9%）提到症状，68名（56.2%）报告活动受限是脑震荡最糟糕的部分，其中17名（14.0%）同时列出了症状和活动受限。
超过一半的脑震荡运动员表示，受伤最令人痛苦的部分是活动受限，这可能是由损伤本身的症状和/或规定的治疗导致的。
医疗保健提供者不应低估症状和活动受限对年轻运动员总体幸福感的影响程度。除了脑震荡症状的负面影响外，对于从与运动相关脑震荡中恢复的患者，身体、认知和社交活动受限明显有代价，应明确加以解决。
