Hänni Sofie, Vedung Fredrik, Tegner Yelverton, Marklund Niklas, Johansson Jakob
Department of Neuroscience, Neurosurgery, Uppsala University, Uppsala, Sweden.
Department of Surgical Sciences, Anesthesiology, Uppsala University, Uppsala, Sweden.
Front Neurol. 2020 Sep 23;11:510800. doi: 10.3389/fneur.2020.510800. eCollection 2020.
There are growing concerns about the short- and long-term consequences of sports-related concussion, which account for about 5-9% of all sports injuries. We hypothesized there may be sex differences in concussion history and concussion-related symptoms, evaluated among elite soccer players in Sweden. Retrospective survey study. Soccer players ( = 1,030) from 55 Swedish elite soccer teams. Questionnaires were completed prior to the start of the 2017 season. Player history of soccer-related concussion (SoRC), symptoms and management following a SoRC were evaluated. Before the start of the season the players completed a baseline questionnaire assessing previous concussions. The Sports Concussion Assessment Tool 3 was included with regard to symptom evaluation. Out of 993 responding players 334 (34.6%) reported a previous SoRC and 103 players (10.4%) reported a SoRC during the past year. After sustaining a SoRC, 114 players (34.2%) reported that they continued their ongoing activity without a period of rest, more commonly female (44.9%) than male players (27.7%; = 0.002). Symptom resolution time was 1 week or less for 61.3% of the players that reported having persisting symptoms. A positive correlation was observed between number of previous concussions and prevalence of three persisting symptoms: fatigue ( < 0.001), concentration/memory issues ( = 0.002) and headache ( = 0.047). About 35% of male and female elite soccer players in Sweden have experienced a previous SoRC, and about 10% experienced a SoRC during the last year. Female players continued to play after a SoRC, without a period of rest, more often than males. A higher risk of persisting symptoms was observed in players with a history of multiple concussions.
人们越来越关注与运动相关的脑震荡的短期和长期后果，这类脑震荡约占所有运动损伤的5%-9%。我们假设，在瑞典的精英足球运动员中，脑震荡病史和与脑震荡相关的症状可能存在性别差异。回顾性调查研究。来自瑞典55支精英足球队的足球运动员（n = 1030）。在2017赛季开始前完成问卷调查。评估足球运动员与足球相关的脑震荡（SoRC）病史、脑震荡后的症状及处理情况。在赛季开始前，球员们完成了一份评估既往脑震荡情况的基线问卷。症状评估采用了运动脑震荡评估工具3。在993名回复问卷的球员中，334名（34.6%）报告有既往SoRC，103名球员（10.4%）报告在过去一年中有SoRC。在发生SoRC后，114名球员（34.2%）报告他们没有休息一段时间就继续进行当前的活动，女性（44.9%）比男性球员（27.7%）更常见（P = 0.002）。报告有持续症状的球员中，61.3%的症状缓解时间为1周或更短。既往脑震荡次数与三种持续症状的患病率之间存在正相关：疲劳（P < 0.001）、注意力/记忆力问题（P = 0.002）和头痛（P = 0.047）。瑞典约35%的男女精英足球运动员有过既往SoRC经历，约10%的人在去年经历过SoRC。女性球员在发生SoRC后比男性更常不休息就继续比赛。有多次脑震荡病史的球员出现持续症状的风险更高。
