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儿童脑震荡的识别与康复:一种社区提供的、基于证据的解决方案。

Child concussion recognition and recovery: a community delivered, evidenced-based solution.

作者信息

Clarke Cathriona, Anderson Vicki, Babl Franz E, Rausa Vanessa C, Davis Gavin A, Barnett Peter, Crichton Ali, Takagi Michael, Hearps Stephen J C, Davies Katie, McKinlay Audrey, Anderson Nicholas, Kwan Vivian, Kanagalingam Sanji, Ceregra Gabi, Petris Anita, Darling Simone, Clifton Patrick, Harcourt Peter

机构信息

Clinical Sciences Research, Murdoch Children's Research Institute, Melbourne, Australia.

Royal Children's Hospital, Melbourne, Australia.

出版信息

Ann Transl Med. 2020 May;8(9):595. doi: 10.21037/atm.2020.03.50.

DOI:10.21037/atm.2020.03.50
PMID:32566622
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7290523/
Abstract

Pediatric concussion is a growing health concern. Concussion is generally poorly understood within the community. Many parents are unaware of the signs and varying symptoms of concussion. Despite the existence of concussion management and return to play guidelines, few parents are aware of how to manage their child's recovery and return to activities. Digital health technology can improve the way this information is communicated to the community. A multidisciplinary team of pediatric concussion researchers and clinicians translated evidence-based, gold-standard guidelines and tools into a smartphone application with recognition and recovery components. HeadCheck is a community facing digital health application developed in Australia (not associated with HeadCheck Health) for management of concussion in children aged 5-18 years. The application consists of (I) a sideline concussion check and (II) symptom monitoring and symptom-targeted psychoeducation to assist the parent manage their child's safe return to school, exercise and sport. The application was tested with target end users as part of the development process. HeadCheck provides an accessible platform for disseminating best practice evidence. It provides feedback to help recognize a concussion and symptoms of more serious injuries and assists parents guide their child's recovery.

摘要

小儿脑震荡是一个日益受到关注的健康问题。脑震荡在社区中普遍未得到充分理解。许多家长并不了解脑震荡的体征和各种症状。尽管存在脑震荡管理和重返运动指南,但很少有家长知道如何管理孩子的康复以及如何让孩子恢复活动。数字健康技术可以改善向社区传达此类信息的方式。一个由小儿脑震荡研究人员和临床医生组成的多学科团队将基于证据的、金标准指南和工具转化为一个具有识别和康复组件的智能手机应用程序。HeadCheck是一款面向社区的数字健康应用程序,在澳大利亚开发(与HeadCheck Health无关),用于管理5至18岁儿童的脑震荡。该应用程序包括:(一)场边脑震荡检查,以及(二)症状监测和针对症状的心理教育,以帮助家长管理孩子安全重返学校、锻炼和运动。在开发过程中,该应用程序对目标终端用户进行了测试。HeadCheck提供了一个传播最佳实践证据的便捷平台。它提供反馈,以帮助识别脑震荡和更严重损伤的症状,并协助家长指导孩子康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f51/7290523/391b0265457b/atm-08-09-595-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f51/7290523/7c0765524e2c/atm-08-09-595-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f51/7290523/d20be13d8f2d/atm-08-09-595-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f51/7290523/792061c7d3ed/atm-08-09-595-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f51/7290523/daacee1a7a8e/atm-08-09-595-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f51/7290523/391b0265457b/atm-08-09-595-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f51/7290523/7c0765524e2c/atm-08-09-595-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f51/7290523/d20be13d8f2d/atm-08-09-595-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f51/7290523/792061c7d3ed/atm-08-09-595-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f51/7290523/daacee1a7a8e/atm-08-09-595-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f51/7290523/391b0265457b/atm-08-09-595-f5.jpg

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本文引用的文献

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Sport-Related Concussion in Children and Adolescents.儿童和青少年与运动相关的脑震荡。
Pediatrics. 2018 Dec;142(6). doi: 10.1542/peds.2018-3074. Epub 2018 Nov 12.
2
Natural Progression of Symptom Change and Recovery From Concussion in a Pediatric Population.儿童脑震荡症状变化和恢复的自然进程。
JAMA Pediatr. 2019 Jan 1;173(1):e183820. doi: 10.1001/jamapediatrics.2018.3820. Epub 2019 Jan 7.
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A Review of Smartphone Applications for Persons With Traumatic Brain Injury: What Is Available and What Is the Evidence?智能手机应用程序在创伤性脑损伤患者中的应用综述:有哪些可用的以及有哪些证据?
J Head Trauma Rehabil. 2019 Mar/Apr;34(2):E45-E51. doi: 10.1097/HTR.0000000000000425.
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What is the difference in concussion management in children as compared with adults? A systematic review.儿童与成人的脑震荡管理有何不同?系统评价。
Br J Sports Med. 2017 Jun;51(12):949-957. doi: 10.1136/bjsports-2016-097415. Epub 2017 Apr 28.
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Br J Sports Med. 2017 Jun;51(11):838-847. doi: 10.1136/bjsports-2017-097699. Epub 2017 Apr 26.
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The Sport Concussion Assessment Tool 5th Edition (SCAT5): Background and rationale.《运动性脑震荡评估工具第五版》(SCAT5):背景与原理。
Br J Sports Med. 2017 Jun;51(11):848-850. doi: 10.1136/bjsports-2017-097506. Epub 2017 Apr 26.
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Br J Sports Med. 2017 Jun;51(11):859-861. doi: 10.1136/bjsports-2017-097492. Epub 2017 Apr 26.
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The Concussion Recognition Tool 5th Edition (CRT5): Background and rationale.第五版脑震荡识别工具(CRT5):背景和原理。
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Validation of a Score to Determine Time to Postconcussive Recovery.用于确定脑震荡后恢复时间的评分系统的验证
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