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美国运动医学学会关于运动性脑震荡的立场声明。

American Medical Society for Sports Medicine position statement on concussion in sport.

机构信息

Departments of Family Medicine and Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington, USA.

Departments of Community Health and Family Medicine and Neurology, University of Florida, Gainesville, Florida, USA.

出版信息

Br J Sports Med. 2019 Feb;53(4):213-225. doi: 10.1136/bjsports-2018-100338.

Abstract

Sport-related concussion (SRC) is a common injury in recreational and organised sport. Over the past 30 years, there has been significant progress in our scientific understanding of SRC, which in turn has driven the development of clinical guidelines for diagnosis, assessment and management of SRC. In addition to a growing need for knowledgeable healthcare professionals to provide evidence-based care for athletes with SRC, media attention and legislation have created awareness and, in some cases, fear about many issues and unknowns surrounding SRC. The American Medical Society for Sports Medicine (AMSSM) formed a writing group to review the existing literature on SRC, update its previous position statement, and to address current evidence and knowledge gaps regarding SRC. The absence of definitive outcomes-based data is challenging and requires relying on the best available evidence integrated with clinical experience and patient values. This statement reviews the definition, pathophysiology and epidemiology of SRC, the diagnosis and management of both acute and persistent concussion symptoms, the short-term and long-term risks of SRC and repetitive head impact exposure, SRC prevention strategies, and potential future directions for SRC research. The AMSSM is committed to best clinical practices, evidence-based research and educational initiatives that positively impact the health and safety of athletes.

摘要

运动相关性脑震荡(SRC)是常见的休闲和竞技性运动损伤。在过去的 30 年中,我们对 SRC 的科学认识取得了重大进展,这反过来又推动了 SRC 的临床诊断、评估和管理指南的制定。除了需要更多了解 SRC 的医疗保健专业人员为 SRC 运动员提供循证护理外,媒体关注和立法也提高了人们对 SRC 相关许多问题和未知因素的认识,在某些情况下还引起了人们的恐惧。美国运动医学学会(AMSSM)成立了一个写作小组,对 SRC 的现有文献进行了回顾,更新了其之前的立场声明,并针对 SRC 的当前证据和知识空白进行了探讨。缺乏基于明确结局的证据是一个挑战,需要依靠最佳的现有证据,并结合临床经验和患者价值观。本声明回顾了 SRC 的定义、病理生理学和流行病学,急性和持续性脑震荡症状的诊断和管理,SRC 和重复头部冲击暴露的短期和长期风险,SRC 预防策略,以及 SRC 研究的潜在未来方向。AMSSM 致力于最佳临床实践、循证研究和教育计划,这些实践、研究和计划积极影响运动员的健康和安全。

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