Parks Andrew, Hogg-Johnson Sheilah
Division of Graduate Studies, Sports Sciences, Canadian Memorial Chiropractic College.
Private Practice.
J Can Chiropr Assoc. 2023 Dec;67(3):246-268.
To identify, appraise and synthesize the evidence of autonomic nervous system (ANS) dysfunction following sport-related concussion in pediatric populations.
A literature search was conducted using MEDLINE (Ovid), SportDiscus (EBSCO), CINAHL (EBSCO), EMBASE (Ovid) and PsycINFO (Ovid). Studies were selected and appraised using the Joanna Briggs Institute (JBI) critical appraisal tools. Data was extracted from the included studies and qualitatively synthesized.
Eleven studies were included in the synthesis. There was variability in the methods used to measure ANS function between studies, and sample populations and time to assessment following concussion varied considerably. There was also variability in the direction of change of ANS function between some studies.
This systematic review identifies that concussion is associated with dysregulation of ANS function in pediatric athletes. We identified some weaknesses in the extant literature which may be due to existing logistical and financial barriers to implementing valid ANS measurements in clinical and sports settings.
识别、评估并综合儿科人群中与运动相关的脑震荡后自主神经系统（ANS）功能障碍的证据。
使用MEDLINE（Ovid）、SportDiscus（EBSCO）、CINAHL（EBSCO）、EMBASE（Ovid）和PsycINFO（Ovid）进行文献检索。使用乔安娜·布里格斯研究所（JBI）的批判性评估工具对研究进行选择和评估。从纳入的研究中提取数据并进行定性综合。
11项研究纳入了综合分析。各研究间测量ANS功能的方法存在差异，脑震荡后的样本人群和评估时间也有很大差异。一些研究中ANS功能变化的方向也存在差异。
本系统评价表明，脑震荡与儿科运动员的ANS功能失调有关。我们发现现有文献存在一些弱点，这可能是由于在临床和体育环境中进行有效的ANS测量存在后勤和资金障碍。
