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大学生运动员运动相关性脑震荡(SRC)后症状、神经认知和眼动功能以及学业能力的恢复:系统评价。

Recovery of symptoms, neurocognitive and vestibular-ocular-motor function and academic ability after sports-related concussion (SRC) in university-aged student-athletes: a systematic review.

机构信息

School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.

Institute of Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, UK.

出版信息

Brain Inj. 2022 Mar 21;36(4):455-468. doi: 10.1080/02699052.2022.2051740. Epub 2022 Apr 4.

DOI:10.1080/02699052.2022.2051740
PMID:35377822
Abstract

BACKGROUND

Physiological differences between a maturing and matured brain alters how Sports-Related Concussion (SRC) affects different age groups; therefore, a review specific to university-aged student-athletes is needed.

OBJECTIVES

Determine time to recovery for symptom burden, neurocognitive and Vestibular-Ocular-Motor (VOM) function and academic impact in university-aged student-athletes.

METHODS

Searches were conducted in PubMed, SpringerLink, PsycINFO, Science Direct, Scopus, Cochrane, Web of Science and EMBASE. Articles were included if they contained original data collected within 30 days in university-aged student-athletes, analysed SRC associated symptoms, neurocognitive or VOM function or academic ability and published in English. Two reviewers independently reviewed sources, using the Oxford Classification of Evidence-Based Medicine (CEBM) and the Downs and Black checklist, and independently extracting data before achieving consensus.

RESULTS

58 articles met the inclusion criteria. Recovery of symptoms occurred by 7 and 3-5.3 days for neurocognition. The evidence base did not allow for a conclusion on recovery time for VOM function or academic ability. Few papers investigated recovery times at specified re-assessment time-points and have used vastly differing methodologies.

CONCLUSIONS

To fully understand the implication of SRC on the university-aged student-athlete' studies using a multi-faceted approach at specific re-assessments time points are required.Systematic review registration number: CRD42019130685.

摘要

背景

成熟大脑和发育中大脑的生理差异改变了运动相关性脑震荡(SRC)对不同年龄组的影响;因此,需要针对大学生运动员进行专门的审查。

目的

确定大学生运动员的症状负担、神经认知和前庭眼动(VOM)功能以及学业影响的恢复时间。

方法

在 PubMed、SpringerLink、PsycINFO、Science Direct、Scopus、Cochrane、Web of Science 和 EMBASE 中进行了检索。如果文章包含在 30 天内在大学生运动员中收集的原始数据,分析 SRC 相关症状、神经认知或 VOM 功能或学业能力,并以英文发表,则将其纳入。两位审稿人独立审查来源,使用牛津循证医学分类(CEBM)和唐斯和布莱克清单,并在达成共识之前独立提取数据。

结果

有 58 篇文章符合纳入标准。神经认知的症状恢复发生在 7 天和 3-5.3 天。证据基础不允许对 VOM 功能或学业能力的恢复时间得出结论。很少有论文在特定的重新评估时间点上调查恢复时间,并使用了截然不同的方法。

结论

为了全面了解 SRC 对大学生运动员学习的影响,需要使用多方面的方法在特定的重新评估时间点进行研究。系统评价登记号:CRD42019130685。

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