考虑运动员头部受伤后立即进行运动后对 SCAT3 评分的影响。
The consideration of post-exercise impact on SCAT3 scores in athletes immediately following a head injury.
机构信息
Pharmacology, Physiology & Neuroscience, Rutgers Biomedical Health Sciences, Newark, New Jersey, USA.
Biomedical Engineering, New Jersey Institute of Technology, Newark, New Jersey USA.
出版信息
Brain Inj. 2023 Jun 7;37(7):643-654. doi: 10.1080/02699052.2023.2184868. Epub 2023 Mar 24.
METHODS
Symptoms were assessed immediately following completion of a rugby match (median 60 minutes). Players removed from the match for assessment due to a head hit were classified as head injured. Controls completed match without head hit.
RESULTS
209 players (67 female; 33 ± 13 years) participated with 80 experiencing a head injury. Symptom severity was significantly greater in head injured (26.2 ± 17.6) compared with controls (8.9 ± 11.5, P < 0.001). 21% of control players reporting >16 symptom severity, misclassifying them as suspected concussion. There were no significant sex differences. Factor analysis produced four symptom clusters of which Headache was most discriminatory between the head injured (median = 1.7) and controls (median = 0.0).
CONCLUSION
These findings demonstrate that exercise and contact during a game affect symptom assessment, increasing the likelihood of misclassifying players with suspected concussion. Factor characterization of symptoms associated with head injury using an exercised comparison group provides more useful discrimination. These results highlight the necessity for objective measures to diagnose concussions outside of symptom self-report.
方法
比赛结束后（中位数 60 分钟）立即评估症状。因头部撞击而被逐出比赛进行评估的球员被归类为头部受伤。对照组在没有头部撞击的情况下完成比赛。
结果
209 名球员（67 名女性；33±13 岁）参与了比赛，其中 80 名球员头部受伤。与对照组（8.9±11.5，P<0.001）相比，头部受伤的球员（26.2±17.6）的症状严重程度明显更高。21%的对照组球员报告>16 种症状严重程度，错误地将他们归类为疑似脑震荡。性别差异无统计学意义。因子分析产生了四个症状群，其中头痛在头部受伤者（中位数=1.7）和对照组（中位数=0.0）之间的区分最具鉴别力。
结论
这些发现表明，比赛中的运动和接触会影响症状评估，增加将疑似脑震荡的球员错误分类的可能性。使用锻炼对照组对与头部受伤相关的症状进行因子特征分析提供了更有用的鉴别。这些结果强调了在症状自我报告之外使用客观措施来诊断脑震荡的必要性。
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