1Department of Neurosurgery and Neurotraumatology, Regional Specialised Hospital No. 4, Bytom, Poland.
2Faculty of Medicine, Jagiellonian University Medical College, Kraków, Poland; and.
J Neurosurg Pediatr. 2021 Oct 15;29(1):1-9. doi: 10.3171/2021.7.PEDS21127. Print 2022 Jan 1.
The objective of this study was to assess the relevance of shunted hydrocephalus in regard to participation by young patients in physical education (PE) classes. Students diagnosed with this condition are very often restricted in PE classes owing to the lack of official and well-defined guidelines. However, the medical literature suggests that there is no relationship between the disease and risk of sport-related injuries. In this study, the authors intended to evaluate not only the accuracy of this statement, but also to explore the factors that delay or foreclose return to exercise.
The analysis was conducted on patients aged < 18 years with a diagnosis of shunt-treated hydrocephalus who received follow-up for a minimum of 1 year. Collected medical data were examined for factors limiting participation in PE at school. Indicators of both sport-related injuries and conditions acceptable for return to exercise were gathered during follow-up visits.
In this study, 72.72% of patients attended sport activities in schools. The group based on return to PE class differed significantly in the occurrence of neurological deficits, as well as presence of comorbidities. In univariate analysis, the authors identified these parameters as risk factors limiting participation in PE. On the contrary, etiology of hydrocephalus, type of shunting device, number of shunt malfunctions, and presence of epilepsy did not significantly influence sport engagement.
This study shows that many patients with shunt-treated hydrocephalus can safely participate in PE. Presence of neurological deficits before and after neurosurgical treatment, as well as presence of comorbidities, are factors that negatively impact the possibility of a patient returning to physical activity. Sport-related injuries do occur, but at a low incidence.
本研究旨在评估分流性脑积水与年轻患者参加体育课（PE）的相关性。患有这种疾病的学生经常因为缺乏正式和明确的指导方针而在体育课上受到限制。然而，医学文献表明，该疾病与运动相关损伤的风险之间没有关系。在这项研究中，作者不仅旨在评估该说法的准确性，还旨在探讨延迟或排除重返运动的因素。
对接受分流治疗的脑积水且随访时间至少 1 年的<18 岁患者进行了分析。对收集的医疗数据进行了检查，以确定限制在校参加体育课的因素。在随访期间收集了与运动相关的损伤和可接受的重返运动的指标。
在这项研究中，72.72%的患者参加了学校的体育活动。重返体育课的患者组在神经功能缺损的发生以及合并症的存在方面存在显著差异。在单因素分析中，作者确定了这些参数是限制参加体育课的危险因素。相反，脑积水的病因、分流装置的类型、分流故障的次数以及癫痫的存在均未显著影响运动参与度。
本研究表明，许多分流治疗的脑积水患者可以安全地参加体育课。神经功能缺损的存在无论是在神经外科治疗之前还是之后，以及合并症的存在，都是影响患者恢复身体活动能力的负面因素。运动相关损伤确实会发生，但发生率较低。
