基于办公室的脑震荡康复评估：一种用于脑震荡评估和管理的新型临床工具。
Concussion Office Based Rehabilitation Assessment: A Novel Clinical Tool for Concussion Assessment and Management.
作者信息
Katz Matthew, Lenoski Stephane, Ali Haitham, Craton Neil
机构信息
Department of Family Medicine, Sport and Exercise Medicine, University of Manitoba, Winnipeg, MB R3T 2N2, Canada.
出版信息
Brain Sci. 2020 Aug 27;10(9):593. doi: 10.3390/brainsci10090593.
The Concussion Office Based Rehabilitation Assessment (COBRA) is a novel tool constructed to ensure a comprehensive assessment of patients who may have sustained a concussion. The SCAT-5 (Sport Concussion Assessment Tool) has long been the gold standard for concussion assessment, however, it was designed as a sideline tool and its utility can be seen to decrease after a few days post-concussion. It also does not prompt evaluation of all the phenotypes of concussion. As such, the COBRA was created to assess the majority of potential manifestations of concussion in the office setting a day or two after an injury has been sustained. The COBRA utilizes the eight phenotypes of concussion as a guide to assess each of the potential biopsychosocial features that can be associated with these injuries and can be used to guide evidence-based treatments. Through early identification of concussion phenotypes, the clinician may start optimal treatment and hopefully prevent prolonged recovery and persisting symptoms.
基于办公室的脑震荡康复评估（COBRA）是一种全新的工具，旨在确保对可能遭受脑震荡的患者进行全面评估。长期以来，SCAT-5（运动脑震荡评估工具）一直是脑震荡评估的金标准，然而，它是作为一种场边工具设计的，在脑震荡发生几天后其效用会降低。它也不会促使对脑震荡的所有表型进行评估。因此，COBRA的创建是为了在受伤一两天后的办公室环境中评估脑震荡的大多数潜在表现。COBRA利用脑震荡的八种表型作为指导，来评估可能与这些损伤相关的每一个潜在的生物心理社会特征，并可用于指导循证治疗。通过早期识别脑震荡表型，临床医生可以开始最佳治疗，并有望防止恢复时间延长和症状持续。
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