运动相关脑震荡的门诊管理、恢复学习、恢复比赛

Outpatient Management of Sport-Related Concussion, Return to Learn, Return to Play.

作者信息

Kriz Peter K, MacDonald James P

机构信息

Division of Sports Medicine, Department of Pediatrics, Warren Alpert Medical School, Brown University, Rhode Island Hospital/Hasbro Children's Hospital, Providence, RI, USA; Division of Sports Medicine, Department of Orthopedics, Warren Alpert Medical School, Brown University, Rhode Island Hospital/Hasbro Children's Hospital, Providence, RI, USA. Electronic address: https://twitter.com/DrPKrizBrownU.

Division of Sports Medicine, Department of Pediatrics, Ohio State University, College of Medicine, Nationwide Children's Hospital, Columbus, OH, USA.

出版信息

Clin Sports Med. 2021 Jan;40(1):65-79. doi: 10.1016/j.csm.2020.08.015.

DOI:10.1016/j.csm.2020.08.015

PMID:33187614

Abstract

Outpatient sports-related concussion (SRC) management continues to evolve as evidence emerges supporting a multidisciplinary approach to the clinical assessment of SRC. Early active rehabilitation has replaced strict cognitive and physical rest. With this paradigm shift in management, pragmatic approaches are highly sought by busy clinicians that provide direction to individualized treatment, which can potentially expedite symptom resolution. Treatment strategies that address domain-based symptom constellations continue to be developed by clinician researchers. Although the optimal timing and dose of these domain-specific therapies has yet to be determined, future directions of SRC treatment will answer these and other questions regarding SRC management.

摘要

随着越来越多的证据支持采用多学科方法对运动相关脑震荡（SRC）进行临床评估，门诊SRC管理也在不断发展。早期积极康复已取代了严格的认知和身体休息。随着这种管理模式的转变，忙碌的临床医生迫切需要实用的方法来指导个体化治疗，这有可能加快症状的缓解。临床研究人员不断开发针对基于领域的症状群的治疗策略。尽管这些针对特定领域疗法的最佳时机和剂量尚未确定，但SRC治疗的未来方向将解答这些以及其他有关SRC管理的问题。