Register-Mihalik Johna K, Kay Melissa C
Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Injury Prevention Research Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Matthew Gfeller Sport-Related Traumatic Brain Injury Research Center, Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Curriculum in Human Movement Science, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Neurol Clin. 2017 Aug;35(3):387-402. doi: 10.1016/j.ncl.2017.03.009.
Concussion is a complex injury that requires a multimodal assessment to identify and manage the resulting dysfunction. To appropriately manage concussion, clinicians must be aware of the accompanying pathophysiology and dysfunction that occurs following the injury. The current best practice model of care includes symptom, motor, and neurocognitive assessment and management. Furthermore, clinicians should be aware that lifetime accumulation of head impacts may also play a role in neurologic presentation and response to concussion. This article reviews recent evidence concerning terminology, pathophysiology, epidemiology, and best practices in concussion management and potential long-term and cumulative implications of concussion.
脑震荡是一种复杂的损伤，需要进行多模式评估以识别和处理由此产生的功能障碍。为了妥善处理脑震荡，临床医生必须了解损伤后随之而来的病理生理学和功能障碍。当前最佳的护理实践模式包括症状、运动和神经认知评估与管理。此外，临床医生应意识到头部撞击的终生累积也可能在神经症状表现和对脑震荡的反应中起作用。本文综述了有关脑震荡管理中的术语、病理生理学、流行病学和最佳实践以及脑震荡潜在的长期和累积影响的最新证据。
