Anderson Scott, Schnebel Brock
Department of Intercollegiate Athletics, University of Oklahoma, 180 West Brooks Street, Norman, OK, 73019, USA.
The Department of Orthopedic Surgery and Rehabilitation, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Curr Pain Headache Rep. 2016 Jul;20(7):46. doi: 10.1007/s11916-016-0575-7.
Contact sport holds inherent risk of traumatic injury to participant athletes. Neurologic injury, from trauma, portends significant potential for morbidity and mortality. The in-game sideline presents a challenging setting for injury evaluation. Athletic trainers and team physicians should understand general principles of the neurologic evaluation and apply a systematic approach that allows an organized evaluation of and differential diagnosis of neurologic injury. Athlete welfare demands an immediate, accurate diagnosis followed by targeted management. Management provides appropriate referral, timely treatment, and appropriate return-to-play decision. Management begins with recognition.
接触性运动对参与的运动员存在创伤性损伤的固有风险。创伤导致的神经损伤预示着显著的发病和死亡可能性。比赛中的场边环境对损伤评估具有挑战性。运动训练师和队医应了解神经评估的一般原则,并采用一种系统方法,以便对神经损伤进行有组织的评估和鉴别诊断。运动员的福祉需要立即、准确的诊断,随后进行针对性的管理。管理包括适当的转诊、及时的治疗以及适当的重返比赛决策。管理始于识别。