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足球中的头球会导致创伤性脑损伤吗?文献综述。

May Heading in Soccer Result in Traumatic Brain Injury? A Review of Literature.

作者信息

Bunc Gorazd, Ravnik Janez, Velnar Tomaz

机构信息

Clinical Department of Neurosurgery, University Medical Centre, Maribor, Slovenia.

出版信息

Med Arch. 2017 Oct;71(5):356-359. doi: 10.5455/medarh.2017.71.356-359.

DOI:10.5455/medarh.2017.71.356-359
PMID:29284906
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5723188/
Abstract

BACKGROUND

Globally, soccer is the most popular team sport, unifying many fans all around the world. The epidemiological studies so far have confirmed that head playing and hitting the ball with head may cause minor head injuries, which exert their effects in a cumulative way.

METHODS

Literature search for this review was conducted and data about traumatic brain injury collected from various sources.

RESULTS

The consequences of head injury are evident as chronic changes in cognition, including disturbances in concentration and slowing of mental and physical agility.

CONCLUSION

Various recommendations have been issued for the prevention of chronic negative cumulative effects of soccer ball head playing. In addition, the professional soccer players are also exposed to more intense craniocerebral trauma, such as concussions and contusions. These patients require treatment of skilled sports physicians, neurologists and neurosurgeons and some may need long to return to the sport scene again.

摘要

背景

在全球范围内,足球是最受欢迎的团队运动,团结了世界各地的众多球迷。迄今为止的流行病学研究证实,头球比赛和用头顶球可能会导致轻微的头部损伤,这些损伤会以累积的方式产生影响。

方法

进行了本次综述的文献检索,并从各种来源收集了有关创伤性脑损伤的数据。

结果

头部损伤的后果表现为认知方面的慢性变化,包括注意力不集中以及精神和身体敏捷性的下降。

结论

已经发布了各种建议,以预防足球头球比赛产生的慢性负面累积影响。此外,职业足球运动员还面临更严重的颅脑创伤,如脑震荡和挫伤。这些患者需要熟练的运动医生、神经科医生和神经外科医生进行治疗,有些人可能需要很长时间才能再次重返赛场。

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本文引用的文献

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Emerging data on the incidence of concussion in football practice at all levels of amateur play.关于各级业余比赛中足球训练脑震荡发生率的新数据。
Phys Sportsmed. 2015 Nov;43(4):333-5. doi: 10.1080/00913847.2015.1081552. Epub 2015 Aug 21.
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Head and neck injuries in professional soccer.头部和颈部在职业足球中的损伤。
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American Medical Society for Sports Medicine position statement: concussion in sport.美国运动医学学会立场声明:运动性脑震荡。
Br J Sports Med. 2013 Jan;47(1):15-26. doi: 10.1136/bjsports-2012-091941.
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Heading in soccer: dangerous play?足球中的头部冲撞:危险行为?
Neurosurgery. 2012 Jan;70(1):1-11; discussion 11. doi: 10.1227/NEU.0b013e31823021b2.
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Chronic traumatic encephalopathy: a potential late effect of sport-related concussive and subconcussive head trauma.慢性创伤性脑病:与运动相关的脑震荡和亚临床脑外伤的潜在迟发性效应。
Clin Sports Med. 2011 Jan;30(1):179-88, xi. doi: 10.1016/j.csm.2010.09.007.
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Do minor head impacts in soccer cause concussive injury? A prospective case-control study.足球运动中的轻微头部撞击会导致脑震荡损伤吗?一项前瞻性病例对照研究。
Neurosurgery. 2009 Apr;64(4):719-25; discussion 725. doi: 10.1227/01.NEU.0000340681.12949.6D.
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Minor head trauma in soccer and serum levels of S100B.足球运动中的轻微头部创伤与S100B血清水平
Neurosurgery. 2008 Jun;62(6):1297-305; discussion 1305-6. doi: 10.1227/01.neu.0000333301.34189.3d.
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Concussion in professional football: biomechanics of the struck player--part 14.职业橄榄球运动中的脑震荡:被撞击球员的生物力学——第14部分
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Effects of heading exposure and previous concussions on neuropsychological performance among Norwegian elite footballers.头球暴露和既往脑震荡对挪威精英足球运动员神经心理表现的影响。
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