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澳大利亚职业运动项目中脑震荡的诊断与管理综述。

A review of concussion diagnosis and management in Australian professional sporting codes.

机构信息

Discipline of Orthoptics, Graduate School of Health, University of Technology Sydney, Sydney, Australia.

The University of Sydney, Save Sight Institute, Discipline of Ophthalmology, Sydney Medical School, Sydney, Australia.

出版信息

Phys Sportsmed. 2020 Feb;48(1):1-7. doi: 10.1080/00913847.2019.1624656. Epub 2019 Jun 5.

Abstract

: The recognition and management of concussion has become a major health concern across all sports. Despite recent attention, concussion assessment and return-to-play protocols appear to be highly variable between leading professional sporting bodies across Australia. Without readily available guidelines, players at all levels may be at risk of suboptimal management following in-game trauma. The purpose of this study was to explore the publicly available concussion guidelines of the major Australian sporting codes with an aim to identify potential opportunities to develop a national sporting consensus.: Internet sites of the major sporting organizations within Australia were accessed between June 2018 to July 2018. Sites were reviewed for information pertaining to an available concussion protocol or guidelines including; concussion definition, player education documentation, requirement of baseline testing, standard concussion diagnostic measures, use of sideline testing and removal from play guidelines, return-to-play, minimum return-to-play intervals and the implementation of external evaluation of potential concussion cases.: Twelve sites were visited. There was consensus between many of the sporting organizations in terms of concussion definition, removal of play and sideline testing protocols. A step-wise return-to-play protocol was prevalent across most sports. A number of sporting sites however did not have readily available information.: There is notable room for the development of concussion guidelines in Australian sport. Researchers and sporting organizations need to continuously amend current protocols to ensure this reflects best evidence-based practice.

摘要

: 识别和管理脑震荡已成为所有运动项目的主要健康关注点。尽管最近引起了关注,但澳大利亚主要职业体育机构之间的脑震荡评估和重返赛场协议似乎存在很大差异。由于缺乏现成的指南,各级运动员在比赛中受伤后可能无法得到最佳的管理。本研究旨在探讨澳大利亚主要运动项目的公开脑震荡指南,旨在确定制定国家运动共识的潜在机会。: 2018 年 6 月至 7 月期间,访问了澳大利亚主要体育组织的互联网网站。对网站进行了审查,以获取有关可用脑震荡协议或指南的信息,包括:脑震荡定义、运动员教育文件、基线测试要求、标准脑震荡诊断措施、使用场外测试和离场指南、重返赛场、最小重返赛场间隔以及实施对潜在脑震荡病例的外部评估。: 访问了 12 个网站。在脑震荡定义、离场和场外测试协议方面,许多体育组织之间存在共识。大多数运动项目都采用逐步重返赛场的协议。然而,一些体育网站没有提供现成的信息。: 澳大利亚体育界在制定脑震荡指南方面有很大的发展空间。研究人员和体育组织需要不断修改现行协议,以确保这反映了最佳的循证实践。

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