运动性脑震荡知识与临床实践：对具有运动认证的整脊医生的调查。
Sport Concussion Knowledge and Clinical Practices: A Survey of Doctors of Chiropractic With Sports Certification.
作者信息
Moreau William J, Nabhan Dustin C, Walden Taylor
机构信息
Managing Director, United States Olympic Committee, Colorado Springs, CO; Associate Professor, Southern California University of Health Sciences, Whittier, CA.
Associate Director, United States Olympic Committee, Colorado Springs, CO; Visiting Scholar, Southern California University of Health Sciences, Whittier, CA.
出版信息
J Chiropr Med. 2015 Sep;14(3):169-75. doi: 10.1016/j.jcm.2015.08.003. Epub 2015 Nov 18.
OBJECTIVE
The purpose of this study is to describe the knowledge base and clinical practices regarding concussion by sports-certified doctors of chiropractic.
METHODS
A 21-item survey was distributed to the 312 attendees of the 2014 American Chiropractic Board of Sports Physicians Sports Sciences Symposium. Results were measured by frequency analysis and descriptive statistics for all surveys completed by sports-certified chiropractors.
RESULTS
Seventy-six surveys were returned by sports-certified doctors of chiropractic. All (N = 76) 100% of respondents believe that the evaluation of concussion should be performed by a health care provider with training in concussion. The respondents actively assess and manage concussion in adults (96%), adolescents (95%), and children (75%). A majority (79%) of respondents believe that the Sideline Concussion Assessment Tool-3 represents a current standard of care for the sideline evaluation of the athlete who possibly has sustained a sport concussion. Most respondents agreed or strongly agreed that manual therapies may be appropriate in certain circumstances in adults (80%) and minors (80%).
CONCLUSION
This cross section of certified sports chiropractors strongly believes that the evaluation of concussion should be performed by a health care provider with specific training in concussion. A high percentage of the sports-certified chiropractors who responded assess and manage sport concussion in their practice, and many of them endorse the use of the Sideline Concussion Assessment Tool-3 as a sideline assessment tool.
目的
本研究旨在描述经运动认证的整脊医生关于脑震荡的知识基础和临床实践。
方法
向2014年美国整脊运动医师委员会运动科学研讨会的312名与会者发放了一份包含21个条目的调查问卷。对经运动认证的整脊医生完成的所有调查问卷进行频率分析和描述性统计来衡量结果。
结果
经运动认证的整脊医生返回了76份调查问卷。所有（N = 76）100%的受访者认为脑震荡的评估应由接受过脑震荡培训的医疗保健提供者进行。受访者积极评估和管理成人（96%）、青少年（95%）和儿童（75%）的脑震荡。大多数（79%）受访者认为《场边脑震荡评估工具-3》代表了对可能遭受运动性脑震荡的运动员进行场边评估的当前护理标准。大多数受访者同意或强烈同意在某些情况下，手法治疗可能适用于成人（80%）和未成年人（80%）。
结论
这一认证运动整脊医生群体强烈认为脑震荡的评估应由接受过脑震荡专项培训的医疗保健提供者进行。回复的经运动认证的整脊医生中有很大比例在其临床实践中评估和管理运动性脑震荡，并且他们中的许多人认可将《场边脑震荡评估工具-3》用作场边评估工具。
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