运动相关脑震荡后早期开始前庭治疗：一项回顾性队列研究。
Early Initiation of Vestibular Therapy Following Sports-Related Concussions: A Retrospective Cohort Study.
作者信息
Ferry Benjamin, Means Gary, Green Cynthia, Risoli Thomas, Martinez Corina, Vomer Rock P, Reinke Emily, Pyles Courtney, Bytomski Jeffrey
机构信息
Department of Family Medicine, Division of Sports Medicine, Liberty University College of Osteopathic Medicine, Lynchburg, USA.
Department of Family Medicine and Community Health/Department of Orthopaedics, Division of Sports Medicine, Duke University, Durham, USA.
出版信息
Cureus. 2023 May 31;15(5):e39764. doi: 10.7759/cureus.39764. eCollection 2023 May.
BACKGROUND
Vestibular dysfunction is common following sports-related concussions (SRC). Within the current practice, it is theorized that patients with vestibular dysfunction as sequelae of sports-related concussion have a prolonged recovery time compared to those without vestibular dysfunction.
STUDY METHOD
A retrospective, cohort investigation of 282 subjects with sports-related concussions with vestibular dysfunction was conducted at The Sports Medicine Concussion Clinic, Duke University. The primary endpoint was the return-to-play (RTP) date.
RESULTS
For every one-day increase in time from injury to initial vestibular therapy, the geometric mean time from injury to RTP increases by 1.02 days (exp{β}=1.02 days; 95% CI: 1.01, 1.02 days; p<0.001).
CONCLUSION
Our data suggest an association between the timing of vestibular therapy in SRC and a direct relationship to earlier recovery and return to sport.
背景
前庭功能障碍在与运动相关的脑震荡（SRC）后很常见。在当前的实践中，理论上认为，与没有前庭功能障碍的患者相比，作为运动相关脑震荡后遗症的前庭功能障碍患者恢复时间更长。
研究方法
在杜克大学运动医学脑震荡诊所对282名患有与运动相关脑震荡且伴有前庭功能障碍的受试者进行了一项回顾性队列研究。主要终点是恢复比赛（RTP）日期。
结果
从受伤到首次前庭治疗的时间每增加一天，从受伤到RTP的几何平均时间就增加1.02天（指数化β = 1.02天；95%置信区间：1.01，1.02天；p < 0.001）。
结论
我们的数据表明，SRC中前庭治疗的时机与更早恢复和重返运动之间存在关联以及直接关系。
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