1Department of Surgery,University of Manitoba,Winnipeg,Manitoba,Canada.
4Pan Am Concussion Program,Winnipeg,Manitoba,Canada.
Can J Neurol Sci. 2018 Jul;45(4):424-431. doi: 10.1017/cjn.2018.30. Epub 2018 Jul 3.
The objective of this study was to evaluate the feasibility and implementation of a standardized medically supervised concussion protocol established between a city-wide AAA hockey league and a multi-disciplinary concussion program.
We conducted a retrospective review of injury surveillance, clinical and healthcare utilization data from all athletes evaluated and managed through the Winnipeg AAA Hockey concussion protocol during the 2016-2017 season. We also conducted post-season email surveys of head coaches and parents responsible for athletes who competed in the same season.
During the 2016-2017 season, 28 athletes were evaluated through the medically supervised concussion protocol, with two athletes undergoing evaluation for repeat injuries (a total of 30 suspected injuries and consultations). In all, 96.7% of the athletes managed through the concussion protocol were captured by the league-designated Concussion Protocol Coordinator and 100% of eligible athletes underwent complete medical follow-up and clearance to return to full hockey activities. Although 90% of responding head coaches and 91% of parents were aware of the concussion protocol, survey results suggest that some athletes who sustained suspected concussions were not managed through the protocol. Head coaches and parents also indicated that athlete education and communication between medical and sport stakeholders were other elements of the concussion protocol that could be improved.
Successful implementation of a medically supervised concussion protocol for youth hockey requires clear communication between sport stakeholders and timely access to multi-disciplinary experts in traumatic brain and spine injuries. Standardized concussion protocols for youth sports may benefit from periodic evaluations by sport stakeholders and incorporation of national guideline best practices and resources.
本研究旨在评估全市青少年曲棍球联盟与多学科脑震荡项目之间建立的标准化医学监督脑震荡方案的可行性和实施情况。
我们对通过温尼伯青少年曲棍球脑震荡协议进行评估和管理的所有运动员的伤害监测、临床和医疗保健利用数据进行了回顾性分析。我们还对同一赛季参加比赛的头部教练和运动员家长进行了赛后电子邮件调查。
在 2016-2017 赛季，有 28 名运动员通过医学监督脑震荡方案进行了评估，其中有 2 名运动员因重复受伤接受了评估（共 30 例疑似受伤和咨询）。所有通过脑震荡方案管理的运动员中，有 96.7%被联盟指定的脑震荡方案协调员捕获，所有符合条件的运动员都接受了完整的医疗随访，并获准返回全面的曲棍球活动。尽管 90%的头部教练和 91%的家长了解脑震荡方案，但调查结果表明，一些遭受疑似脑震荡的运动员并未通过该方案进行管理。头部教练和家长还表示，运动员教育和医疗与运动利益相关者之间的沟通是脑震荡方案中其他可以改进的方面。
成功实施青少年曲棍球的医学监督脑震荡方案需要运动利益相关者之间的明确沟通，以及及时获得创伤性脑和脊柱损伤的多学科专家的支持。青少年运动的标准化脑震荡方案可能受益于运动利益相关者的定期评估，并结合国家指南最佳实践和资源。
