Murata Nathan M, Oshiro Ross S, Furutani Troy, Mashima Pauline, Thibault Emily, Lew Henry L
Hawai'i Concussion Awareness and Management Program, Department of Kinesiology and Rehabilitation Science, College of Education, University of Hawai'i at Manoa, Honolulu, HI (NMM, RSO, TF).
Department of Communication Science and Disorders, John A Burns School of Medicine, University of Hawai'i at Manoa, Honolulu, HI (PM, ET, HLL).
Hawaii J Med Public Health. 2019 May;78(5):155-162.
Concussion, also referred to as mild traumatic brain injury (mTBI), is caused by a direct or indirect blow to the head or body causing the brain to move rapidly within the skull, resulting in immediate, but temporary, brain dysfunction. Developing awareness and promoting concussion education can reduce the number of short and long-term injuries associated with sports and non-sports related concussions in Hawai'i. The purpose of this study was two-fold: (1) to describe the number of concussions in 67 Hawai'i high school athletic programs using the ImPACT database; and (2) to describe which contact and collision sports had the highest rate of concussions in 67 Hawai'i high schools. This was a retrospective study that described the number of concussions generated across school years 2010-2016, concussion data across 14 contact sports, and athletic exposure rating for the 14 contact sports. Data were analyzed and aggregated from a data-bank associated with the Hawai'i Concussion Awareness and Management program. Findings suggest that for Hawai'i high school student athletes' concussions increased from 2010-2013 with a gradual decrease from 2014-2016, specific sports had higher number of concussions (eg, football), and when evaluating concussion rate per 1000 exposures, girls' judo was the highest. These findings stress the need for continued data collection, monitoring, education/awareness and research that will reduce the number of concussions among student athletes.
脑震荡，也被称为轻度创伤性脑损伤（mTBI），是由头部或身体受到直接或间接撞击导致大脑在颅骨内快速移动引起的，会导致即刻但短暂的脑功能障碍。提高认识并推广脑震荡教育可以减少夏威夷与运动和非运动相关脑震荡有关的短期和长期损伤的数量。本研究的目的有两个：（1）使用ImPACT数据库描述夏威夷67个高中体育项目中的脑震荡数量；（2）描述夏威夷67所高中中哪些接触性和碰撞性运动的脑震荡发生率最高。这是一项回顾性研究，描述了2010 - 2016学年期间产生的脑震荡数量、14项接触性运动的脑震荡数据以及这14项接触性运动的运动暴露率。数据是从与夏威夷脑震荡意识与管理项目相关的数据库中分析和汇总而来的。研究结果表明，对于夏威夷高中学生运动员来说，脑震荡数量在2010 - 2013年有所增加，在2014 - 2016年逐渐减少，特定运动（如橄榄球）的脑震荡数量较多，并且在评估每1000次暴露的脑震荡发生率时，女子柔道是最高的。这些发现强调了持续进行数据收集、监测、教育/宣传和研究的必要性，以减少学生运动员中的脑震荡数量。
