University of Washington School of Medicine, Seattle, Washington, USA.
University of Texas Southwestern School of Medicine, Dallas, Texas, USA.
Br J Sports Med. 2018 Jul;52(14):894-902. doi: 10.1136/bjsports-2018-099203. Epub 2018 Mar 16.
One of the National Football League's (NFL) Head, Neck and Spine Committee's principal goals is to create a 'best practice' protocol for concussion diagnosis and management for its players. The science related to concussion diagnosis and management continues to evolve, thus the protocol has evolved contemporaneously. The Fifth International Conference on Concussion in Sport was held in Berlin in 2016, and guidelines for sports concussion diagnosis and management were revised and refined. The NFL Head, Neck and Spine Committee has synthesised the most recent empirical evidence for sports concussion diagnosis and management including the Berlin consensus statement and tailored it to the game played in the NFL. One of the goals of the Committee is to provide a standardised, reliable, efficient and evidence-based protocol for concussion diagnosis and management that can be applied in this professional sport during practice and game day. In this article, the end-of-season version of the 2017-18 NFL Concussion Diagnosis and Management Protocol is described along with its clinical rationale. Immediate actions for concussion programme enhancement and research are reviewed. It is the Committee's expectation that the protocol will undergo refinement and revision over time as the science and clinical practice related to concussion in sports crystallise.
美国国家橄榄球联盟（NFL）头部、颈部和脊柱委员会的主要目标之一是为其球员制定一个关于脑震荡诊断和管理的“最佳实践”方案。与脑震荡诊断和管理相关的科学在不断发展，因此该方案也在不断发展。第五届国际运动脑震荡会议于 2016 年在柏林举行，对运动脑震荡诊断和管理的指南进行了修订和完善。NFL 头部、颈部和脊柱委员会综合了最新的运动脑震荡诊断和管理的实证证据，包括柏林共识声明，并根据 NFL 的比赛进行了调整。委员会的目标之一是为脑震荡的诊断和管理提供一个标准化、可靠、高效和基于证据的方案，以便在职业运动中在练习和比赛日应用。本文描述了 2017-18 赛季 NFL 脑震荡诊断和管理方案的最终版本及其临床原理。审查了 concussion 项目增强和研究的即时行动。委员会希望随着与运动相关的脑震荡的科学和临床实践的明确化，该方案将随着时间的推移不断改进和修订。
