Lamothe Meghan A, Erickson Jillian, Emami Kouros
HSS Rehabilitation, Hospital for Special Surgery, New York, NY, USA.
UC Health Steadman Hawkins Clinic Denver, University of Colorado Health, Englewood, CO, USA.
HSS J. 2024 Aug;20(3):402-408. doi: 10.1177/15563316241238014. Epub 2024 Mar 18.
Sports-related concussion continues to be a rapidly growing public health concern in nearly all sports, and at all levels, in children and adolescents. Evidence-based clinical guidelines are constantly evolving but those specific to the pediatric population are less robust. There are nuances to treatment of the developing pediatric brain in the context of mild traumatic brain injury (mTBI). The purposes of this review are to (1) analyze the differences in concussion symptom presentation and recovery in children versus adults, (2) describe the role of the physical therapist in management of pediatric concussion, (3) examine current recommendations for return to participation in school and return to sport, and (4) highlight the psychological implications of concussion in the young athlete. We find that additional research is needed in nearly all aspects of concussion in the young athletic population. The current evidence stresses the importance of an active approach to recovery using a stepwise progression.
在儿童和青少年中，几乎所有运动项目、各个水平上，与运动相关的脑震荡一直是一个迅速增长的公共卫生问题。基于证据的临床指南不断发展，但针对儿科人群的指南尚不健全。在轻度创伤性脑损伤（mTBI）背景下，发育中的儿科大脑的治疗存在细微差别。本综述的目的是：（1）分析儿童与成人脑震荡症状表现和恢复情况的差异；（2）描述物理治疗师在儿科脑震荡管理中的作用；（3）审视当前关于重返学校和恢复运动的建议；（4）强调脑震荡对年轻运动员的心理影响。我们发现，在年轻运动员人群脑震荡的几乎所有方面都需要更多研究。目前的证据强调了采用逐步进展的积极恢复方法的重要性。
