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美国运动医学医学会关于运动中脑震荡的立场声明。

American Medical Society for Sports Medicine Position Statement on Concussion in Sport.

作者信息

Harmon Kimberly G, Clugston James R, Dec Katherine, Hainline Brian, Herring Stanley A, Kane Shawn, Kontos Anthony P, Leddy John J, McCrea Michael A, Poddar Sourav K, Putukian Margot, Wilson Julie C, Roberts William O

机构信息

Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington.

Family Medicine and Neurology, University of Florida, Gainesville, Florida.

出版信息

Clin J Sport Med. 2019 Mar;29(2):87-100. doi: 10.1097/JSM.0000000000000720.

Abstract

Sport-related concussion (SRC) is a common injury in recreational and organized 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 health care 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 formed a writing group to review the existing literature on SRC, update its previous position statement, and 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- and long-term risks of SRC and repetitive head impact exposure, SRC prevention strategies, and potential future directions for SRC research. The American Medical Society for Sports Medicine is committed to best clinical practices, evidence-based research, and educational initiatives that positively impact the health and safety of athletes.

摘要

运动相关脑震荡(SRC)是休闲运动和有组织运动中常见的损伤。在过去30年里,我们对SRC的科学认识取得了重大进展,这反过来推动了SRC诊断、评估和管理临床指南的发展。除了越来越需要知识渊博的医疗保健专业人员为患有SRC的运动员提供循证护理外,媒体关注和立法也提高了人们对围绕SRC的许多问题和未知情况的认识,在某些情况下还引发了恐惧。美国运动医学学会成立了一个写作小组,以审查关于SRC的现有文献,更新其先前的立场声明,并解决有关SRC的当前证据和知识空白。缺乏基于明确结果的数据具有挑战性,需要依靠与临床经验和患者价值观相结合的最佳现有证据。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和重复性头部撞击暴露的短期和长期风险、SRC预防策略以及SRC研究未来可能的方向。美国运动医学学会致力于最佳临床实践、循证研究和教育倡议,以积极影响运动员的健康和安全。

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