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推进脑震荡相关讨论:前高中和大学学生运动员的经历

Making Headway for Discussions About Concussions: Experiences of Former High School and Collegiate Student-Athletes.

作者信息

Oddo Anthony, O'Conor Ellen, Shore Sarah, Piraino Mary, Gibney Kyla, Tsao Jack, Stanfill Ansley Grimes

机构信息

Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, United States.

Department of Neurology, College of Medicine, University of Tennessee Health Science Center, Memphis, TN, United States.

出版信息

Front Neurol. 2019 Jul 5;10:698. doi: 10.3389/fneur.2019.00698. eCollection 2019.

DOI:10.3389/fneur.2019.00698
PMID:31333560
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6624741/
Abstract

In order to better understand how to identify and treat student-athletes who experience concussions, better insight into reporting behavior of athletes is needed. This study aims to identify information influencing athletes' attitudes toward reporting their concussions and the perceived trajectory of their recovery both athletically and academically. Twenty-five former high school and collegiate athletes who experienced concussions in a wide variety of sports, organizational levels, and time periods gave insight through structured, qualitative interviews. A number of factors regarding education about concussions, proper diagnosis of concussions, and motivational pressures within high school and collegiate athletics were assessed. Eight major themes were identified regarding the participants' experiences with sport-related concussion: optimism bias, invisibility of the injury, diagnostic barriers, desire to play, external support and pressures, uncertainty of long-term prognosis, generational factors, and protection of future athletes. The findings support that underreporting of concussions among those players interviewed is related to misperceived risk, lack of education, and a struggle between internal and external pressures to play through injury. However, those who did seek medical and academic support, often did receive the necessary aid.

摘要

为了更好地理解如何识别和治疗遭受脑震荡的学生运动员,需要对运动员的报告行为有更深入的了解。本研究旨在确定影响运动员报告脑震荡态度的信息,以及他们在运动和学业方面恢复的感知轨迹。25名曾在各种运动项目、组织级别和时间段经历过脑震荡的前高中和大学运动员通过结构化的定性访谈提供了见解。评估了有关脑震荡教育、脑震荡正确诊断以及高中和大学体育中的动机压力等若干因素。关于参与者与运动相关脑震荡的经历,确定了八个主要主题:乐观偏差、损伤的不可见性、诊断障碍、参赛意愿、外部支持和压力、长期预后的不确定性、代际因素以及对未来运动员的保护。研究结果表明,接受采访的运动员中脑震荡报告不足与风险认知错误、缺乏教育以及带伤参赛的内外压力之间的矛盾有关。然而,那些确实寻求医疗和学业支持的人通常确实得到了必要的帮助。

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From the CDC: A qualitative study of middle and high school professionals' experiences and views on concussion: Identifying opportunities to support the return to school process.美国疾病控制与预防中心:一项针对中、高等学校专业人员对脑震荡的经历和看法的定性研究:确定支持重返学校过程的机会。
J Safety Res. 2019 Feb;68:223-229. doi: 10.1016/j.jsr.2018.10.010. Epub 2018 Nov 3.
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Primum non nocere: a call for balance when reporting on CTE.首要的是不伤害:关于慢性创伤性脑病(CTE)报道时呼吁保持平衡。
Lancet Neurol. 2019 Mar;18(3):231-233. doi: 10.1016/S1474-4422(19)30020-1. Epub 2019 Feb 12.
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What can family medicine providers learn about concussion non-disclosure from former collegiate athletes?家庭医学从业者能从前大学生运动员那里了解到哪些关于脑震荡未披露的情况?
BMC Fam Pract. 2018 Jul 27;19(1):128. doi: 10.1186/s12875-018-0818-2.
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Adolescents and health-related behaviour: using a framework to develop interventions to support positive behaviours.青少年与健康相关行为:运用一个框架来制定干预措施以支持积极行为。
Pilot Feasibility Stud. 2018 Apr 2;4:69. doi: 10.1186/s40814-018-0259-7. eCollection 2018.
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The current state of biomarkers of mild traumatic brain injury.轻度创伤性脑损伤生物标志物的现状。
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Factors Associated With Playing Through a Sport-Related Concussion.与运动相关脑震荡后继续参赛相关的因素。
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Clinicopathological Evaluation of Chronic Traumatic Encephalopathy in Players of American Football.美式橄榄球运动员慢性创伤性脑病的临床病理评估
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Evaluation of Implementation of Massachusetts Sports Concussion Regulations: Results of Focus Groups With School Nurses and Athletic Trainers.马萨诸塞州运动性脑震荡法规实施情况评估:学校护士和运动训练师焦点小组的结果
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Development, implementation and assessment of a concussion education programme for high school student-athletes.针对高中学生运动员的脑震荡教育计划的制定、实施与评估。
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