检查有运动相关性脑震荡既往史的大学生运动员的急性症状。
Examining Acute Symptoms After Sport-Related Concussion in Collegiate Athletes With Preinjury Migraines.
机构信息
Vanderbilt Sports Concussion Center, Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
College of Osteopathic Medicine, University of New England, Biddeford, Maine.
出版信息
Clin J Sport Med. 2024 Sep 1;34(5):404-410. doi: 10.1097/JSM.0000000000001233. Epub 2024 May 23.
OBJECTIVE
To examine whether a personal history of migraines is associated with worse acute symptom burden after sport-related concussion (SRC).
DESIGN
Retrospective cohort study.
SETTING
National Collegiate Athletic Association Division III collegiate programs.
PARTICIPANTS
Collegiate athletes from a prospective concussion surveillance system between 09, 2014, and 01, 2023.
INTERVENTION
Preinjury migraines (yes/no) were self-reported by athletes.
MAIN OUTCOME MEASURES
Post-Concussion Symptom Scale (PCSS) were collected within 3 days postinjury. Mann-Whitney U tests compared total PCSS scores and individual symptom scores between athletes with and without preinjury migraines. Chi-squared tests were used to compare proportions of athletes endorsing individual symptoms (ie, item score ≥1) between 2 groups. Multivariable regression analyzed potential predictors of PCSS scores.
RESULTS
Of 1190 athletes with SRC, 93 (7.8%) reported a preinjury history of migraines. No significant difference in total PCSS scores was found between athletes with and without preinjury migraines (22.0 ± 16.4 vs 20.5 ± 15.8, U = 48 719.0, P = 0.471). Athletes with preinjury migraines reported greater severity of "sensitivity to light" (1.59 ± 1.59 vs 1.23 ± 1.41, P = 0.040) and "feeling more emotional" (0.91 ± 1.27 vs 0.70 ± 1.30; P = 0.008) and were more likely to endorse "feeling more emotional" (45.2% vs 29.5%, P = 0.002). No differences were found across all other symptoms, including headaches (migraine = 87.1% vs no migraine = 86.3%, P = 0.835). In a multivariable model, a history of migraine was not a significant predictor of acute PCSS scores, but those with a history of psychological disorders (β = 0.12, P <0 .001) and greater number of days to symptom evaluation (β = 0.08, P = 0.005) had higher PCSS scores.
CONCLUSIONS
Collegiate athletes with a pre-existing history of migraines did not have higher acute symptom burden after SRC.
目的
探讨偏头痛病史是否与运动相关脑震荡（SRC）后急性症状负担加重有关。
设计
回顾性队列研究。
地点
美国全国大学体育协会第三分部的学院项目。
参与者
2014 年 9 月至 2023 年 1 月期间通过前瞻性脑震荡监测系统的大学生运动员。
干预措施
运动员自我报告有/无预发性偏头痛。
主要观察指标
伤后 3 天内收集脑震荡后症状量表（PCSS）。采用曼-惠特尼 U 检验比较有/无预发性偏头痛的运动员之间的总 PCSS 评分和个体症状评分。采用卡方检验比较两组中个体症状（即项目评分≥1）的运动员比例。多变量回归分析 PCSS 评分的潜在预测因素。
结果
在 1190 名 SRC 运动员中，93 名（7.8%）报告有预发性偏头痛史。有/无预发性偏头痛的运动员之间的总 PCSS 评分无显著差异（22.0±16.4 比 20.5±15.8，U=48719.0，P=0.471）。有预发性偏头痛的运动员报告“对光敏感”（1.59±1.59 比 1.23±1.41，P=0.040）和“感觉更情绪化”（0.91±1.27 比 0.70±1.30；P=0.008）的严重程度更高，并且更有可能报告“感觉更情绪化”（45.2%比 29.5%，P=0.002）。其他所有症状（包括头痛[偏头痛=87.1%比无偏头痛=86.3%，P=0.835]）均无差异。在多变量模型中，偏头痛病史不是急性 PCSS 评分的显著预测因素，但有心理障碍病史（β=0.12，P<0.001）和症状评估天数较多（β=0.08，P=0.005）的患者 PCSS 评分较高。
结论
有预发性偏头痛史的大学生运动员在 SRC 后急性症状负担没有增加。
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