Department of Clinical Medicine and Neuroscience, CUNY School of Medicine, New York, NY, United States; Department of Medicine, Section of Internal Medicine and Neurology, White Plains Hospital, White Plains, NY, United States.
Handb Clin Neurol. 2023;196:475-494. doi: 10.1016/B978-0-323-98817-9.00001-6.
Mild traumatic brain injury (mTBI) and concussion are equivalent terms for the sequela of injury to the head that disrupts brain functioning. Various forces may be causative from seemingly innocuous bumps to the head resulting from sports-related injuries to more severe blows to the head. However, the postconcussive motor, cognitive, emotional, and psychosocial sequelae can be just as devastating and long lasting, leading to loss of independent function and safe performance of activities. Taken together, they pose a significant challenge to recovery, requiring a multifaceted dynamic rehabilitative strategy. The current systems of health care pose challenges to suboptimal management of sports-related concussion (SRC) that goes beyond the acute injury, and into the school setting, failing to be identified by school staff, and inconsistencies in communicating medical information regarding school modifications, follow-up health services, or concussion-related educational services. Children who sustain SRC at different ages face different challenges. Young children face increased vulnerability due to SRC that coincides with periods of brain motor maturation and development.
轻度创伤性脑损伤(mTBI)和脑震荡是头部受伤后扰乱大脑功能的后遗症的等效术语。各种力都可能是致病的,从看似无害的头部碰撞到运动相关的损伤,再到更严重的头部冲击。然而,脑震荡后的运动、认知、情绪和心理社会后遗症同样具有破坏性和持久性,导致独立功能丧失和活动的安全执行。总的来说,它们对康复构成了重大挑战,需要采用多方面的动态康复策略。目前的医疗保健系统对运动相关脑震荡(SRC)的管理存在挑战,不仅限于急性损伤,还涉及到学校环境,学校工作人员无法识别,在沟通有关学校调整、后续健康服务或与脑震荡相关的教育服务的医疗信息方面也存在不一致性。不同年龄段的儿童遭受 SRC 面临着不同的挑战。幼儿由于 SRC 而面临更大的脆弱性,因为 SRC 与大脑运动成熟和发育的时期相吻合。