Morin Michael, Langevin Pierre, Fait Philippe
Department of Human Kinetics, Université du Québec à Trois-Rivières (UQTR), Trois-Rivières, QC, Canada G9A 5H7; Research Group on Neuromusculoskeletal Dysfunctions (GRAN), UQTR, Trois-Rivières, QC, Canada G9A 5H7.
Cortex Médecine et Réadaptation Concussion Clinic, Quebec City, QC, Canada G1W 0C5; Department of Rehabilitation, Faculty of Medicine, Laval University, Quebec City, QC, Canada G1V 0A6.
J Sports Med (Hindawi Publ Corp). 2016;2016:1590161. doi: 10.1155/2016/1590161. Epub 2016 Jul 26.
Background. There is a lack of scientific evidence in the literature on the involvement of the cervical spine in mTBI; however, its involvement is clinically accepted. Objective. This paper reviews evidence for the involvement of the cervical spine in mTBI symptoms, the mechanisms of injury, and the efficacy of therapy for cervical spine with concussion-related symptoms. Methods. A keyword search was conducted on PubMed, ICL, SportDiscus, PEDro, CINAHL, and Cochrane Library databases for articles published since 1990. The reference lists of articles meeting the criteria (original data articles, literature reviews, and clinical guidelines) were also searched in the same databases. Results. 4,854 records were screened and 43 articles were retained. Those articles were used to describe different subjects such as mTBI's signs and symptoms, mechanisms of injury, and treatments of the cervical spine. Conclusions. The hypothesis of cervical spine involvement in post-mTBI symptoms and in PCS (postconcussion syndrome) is supported by increasing evidence and is widely accepted clinically. For the management and treatment of mTBIs, few articles were available in the literature, and relevant studies showed interesting results about manual therapy and exercises as efficient tools for health care practitioners.
背景。关于颈椎在轻度创伤性脑损伤（mTBI）中的作用，文献中缺乏科学证据；然而，其作用在临床上是被认可的。目的。本文综述了颈椎与mTBI症状、损伤机制以及针对伴有脑震荡相关症状的颈椎治疗效果之间关联的证据。方法。在PubMed、ICL、SportDiscus、PEDro、CINAHL和Cochrane图书馆数据库中，对自1990年以来发表的文章进行关键词搜索。还在相同数据库中搜索了符合标准的文章（原始数据文章、文献综述和临床指南）的参考文献列表。结果。筛选了4854条记录，保留了43篇文章。这些文章用于描述不同的主题，如mTBI的体征和症状、损伤机制以及颈椎的治疗。结论。颈椎参与mTBI后症状和脑震荡后综合征（PCS）的假说得到了越来越多证据的支持，并且在临床上被广泛接受。对于mTBI的管理和治疗，文献中可用的文章很少，相关研究显示手法治疗和运动作为医疗保健从业者的有效工具产生了有趣的结果。
