听觉前庭症状作为美国大学体育协会（NCAA）运动员长期运动性脑震荡的预测指标。
Audiovestibular symptoms as predictors of prolonged sports-related concussion among NCAA athletes.
作者信息
Chorney Stephen R, Suryadevara Amar C, Nicholas Brian D
机构信息
Department of Otolaryngology and Communication Sciences, SUNY Upstate Medical University, Syracuse, New York, U.S.A.
出版信息
Laryngoscope. 2017 Dec;127(12):2850-2853. doi: 10.1002/lary.26564. Epub 2017 Mar 27.
OBJECTIVE
We looked to determine the rates of audiovestibular symptoms following sports-related concussions among collegiate athletes. Further, we assessed the correlation between these symptoms and the time to return to participation in athletic activity.
STUDY DESIGN
Retrospective analysis of the National Collegiate Athletic Association Injury Surveillance System (NCAA-ISS).
METHODS
The NCAA-ISS was queried from 2009 through 2014 for seven men's sports and eight women's sports across divisions 1, 2, and 3. Injuries resulting in concussions were analyzed for audiovestibular symptoms, duration of symptoms, and return to participation times.
RESULTS
From 2009 to 2014, there were 1,647 recorded sports-related concussions, with athletes reporting dizziness (68.2%), imbalance (35.8%), disorientation (31.4%), noise sensitivity (29.9%), and tinnitus (8.5%). Concussion symptoms resolved within 1 day (17.1%), within 2 to 7 days (50.0%), within 8 to 30 days (25.9%), or persisted over 1 month (7.0%). Return to participation occurred within 1 week (38.3%), within 1 month (53.0%), or over 1 month (8.7%). Using Mann-Whitney U testing, overall symptom duration and return to competition time were significantly increased when any of these symptoms were present (P < 0.05). Duration of concussion symptom correlated with dizziness (P = 0.043) and noise sensitivity (P = 0.000), whereas return to participation times correlated with imbalance (P = 0.011) and noise sensitivity (P = 0.000). Dizziness and imbalance (odds ratio: 4.15, confidence interval: 3.20-5.38, P < 0.001) were the two symptoms with the strongest association.
CONCLUSION
Audiovestibular symptoms are common complaints among collegiate athletes sustaining concussions. Dizziness and noise sensitivity correlated with the duration of concussive symptoms, whereas imbalance and noise sensitivity was correlated with prolonged return to competition time.
LEVEL OF EVIDENCE
- Laryngoscope, 127:2850-2853, 2017.
目的
我们试图确定大学生运动员在与运动相关的脑震荡后出现听觉前庭症状的发生率。此外，我们评估了这些症状与恢复参加体育活动时间之间的相关性。
研究设计
对美国国家大学体育协会伤病监测系统（NCAA - ISS）进行回顾性分析。
方法
查询2009年至2014年NCAA - ISS中1、2、3三个分区的7项男子运动和8项女子运动的数据。对导致脑震荡的损伤进行分析，以了解听觉前庭症状、症状持续时间和恢复参赛时间。
结果
2009年至2014年期间，共记录了1647例与运动相关的脑震荡，运动员报告的症状包括头晕（68.2%）、失衡（�5.8%）、定向障碍（31.4%）、噪声敏感（29.9%）和耳鸣（8.5%）。脑震荡症状在1天内缓解（17.1%）、在2至7天内缓解（50.0%）、在8至30天内缓解（25.9%）或持续超过1个月（7.0%）。恢复参赛发生在1周内（38.3%）、1个月内（53.0%）或超过1个月（8.7%）。使用曼 - 惠特尼U检验，当出现任何这些症状时，总体症状持续时间和恢复比赛时间显著延长（P < 0.05）。脑震荡症状持续时间与头晕（P = 0.043）和噪声敏感（P = 0.000）相关，而恢复参赛时间与失衡（P = = 0.011）和噪声敏感（P = 0.000）相关。头晕和失衡（优势比：4.15，置信区间：3.20 - 5.38，P < 0. = 01）是关联最强的两种症状。
结论
听觉前庭症状是遭受脑震荡的大学生运动员常见的主诉。头晕和噪声敏感与脑震荡症状的持续时间相关，而失衡和噪声敏感与恢复比赛时间延长相关。
证据级别
4。《喉镜》，127:2850 - 2853，2017年。
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