Gouttebarge Vincent, Ahmad Imtiaz, Iqbal Zafar, Orhant Emmanuel, Rosenbloom Craig, Sas Kristof, Kerkhoffs Gino M M J
Amsterdam UMC, University of Amsterdam, Department of Orthopaedic Surgery, Amsterdam Movement Sciences, Meibergdreef 9, Amsterdam, Netherlands.
Section Sports Medicine, University of Pretoria, Pretoria, South Africa.
BMJ Open Sport Exerc Med. 2021 Jun 3;7(2):e001086. doi: 10.1136/bmjsem-2021-001086. eCollection 2021.
The objective was to explore the view and thoughts of physicians working in professional football about several aspects (eg, education and use of video footages) likely to enhance concussions' recognition and on-field management.
An observational study based on a cross-sectional design by means of an electronic survey was conducted among physicians working for a professional football club in Belgium, England or France.
A total of 96 physicians (95% male; mean age: 44 years) completed the survey. Nearly all participants (95%) were in favour of informational sessions about concussion for players or technical staff. Only 5%-10% of the participants mentioned that they had felt pressured by the technical staff or players not to substitute a player with a (potential) concussion. Most participants were in favour of an additional permanent concussion substitution and a temporary concussion substitution. Four out of five participants reported that the availability of instant video footages (side-line) would ease the recognition of concussion.
A better recognition and on-field management of concussions in professional football can only be achieved with a holistic approach, including adequate laws of the football game and protocols. Especially, regular education of players and technical staff should be made mandatory while the medical teams should be provided side-line with instant video footages.
本研究旨在探讨职业足球领域的医生对于可能有助于提高脑震荡识别和现场处理能力的几个方面（如教育及视频片段的使用）的看法和想法。
通过电子调查问卷，对在比利时、英格兰或法国的职业足球俱乐部工作的医生开展了一项基于横断面设计的观察性研究。
共有96名医生（95%为男性；平均年龄44岁）完成了调查。几乎所有参与者（95%）都赞成针对球员或技术人员开展脑震荡知识讲座。只有5%-10%的参与者表示，他们曾感受到来自技术人员或球员的压力，要求他们不要替换疑似脑震荡的球员。大多数参与者赞成增设永久性脑震荡替换规则和临时性脑震荡替换规则。五分之四的参与者表示，即时（场边）视频片段有助于脑震荡的识别。
职业足球中脑震荡的更好识别和现场处理只能通过整体方法来实现，包括适当的足球比赛规则和规程。特别是，应对球员和技术人员进行定期强制教育，同时应为医疗团队提供场边即时视频片段。
