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职业男子橄榄球联盟球员的运动性脑震荡评估工具第5版(SCAT5)的规范参考值。

Sport Concussion Assessment Tool-5th Edition (SCAT5) normative reference values for professional men's rugby league players.

作者信息

Gardner Andrew J, Maietta Julia E, Iverson Grant L, Howell David R, Bloomfield Paul, Fuller Gordon W, Jones Ben, Lakisa David R, Ravulo Jioji, Senituli Shane, Terry Douglas P

机构信息

Sydney School of Health Sciences, Faculty of Medicine and Public Health, The University of Sydney, Australia; Carnegie Applied Rugby Research (CARR) Centre, Carnegie School of Sport, Leeds Beckett University, United Kingdom.

Department of Physical Medicine and Rehabilitation, Harvard Medical School, USA; Mass General for Children Sports Concussion Program, USA; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, USA.

出版信息

J Sci Med Sport. 2025 Jul;28(7):535-541. doi: 10.1016/j.jsams.2025.03.002. Epub 2025 Mar 8.

Abstract

OBJECTIVES

To provide normative reference values for the Sport Concussion Assessment Tool - 5 Edition for elite-level male rugby league players.

DESIGN

A descriptive cross-sectional study.

METHODS

Baseline Sport Concussion Assessment Tool - 5 Edition scores were obtained from 1005 National Rugby League players during the 2018 and 2019 preseasons. Normative values were calculated for the Standardized Assessment of Concussion, Symptom Evaluation (i.e., severity and number), and the Modified Balance Error Scoring System for each group and in total. Players self-identified their cultural heritage or ethnicity to be 'Pasifika (Pacific Islander) or Maori' (n = 243; 24.2 %) or 'Indigenous Australian' (n = 82; 8.2 %). Those who identified as any other race, ethnicity, or cultural heritage were combined into a single group (n = 680; 67.7 %).

RESULTS

In total the median Standardized Assessment of Concussion score was 27 (interquartile range = 25-28), the median symptom severity was 0 (interquartile range = 0-2), the median symptom number was 0 (interquartile range = 0-1), and the median the Modified Balance Error Scoring System error score was 3 (interquartile range = 1-5). Reporting 4 of 22 symptoms and 6 of 132 on the total severity score was uncommon. There was no significant difference between the cultural heritage or ethnicity groups for Standardized Assessment of Concussion scores, symptom severity or number, or Modified Balance Error Scoring System errors (p-values >0.05).

CONCLUSIONS

This normative data will assist with the clinical interpretation of Sport Concussion Assessment Tool - 5 Edition scores following a concussion in the National Rugby League.

摘要

目的

为精英级别的男性橄榄球联盟球员提供运动性脑震荡评估工具第5版的规范性参考值。

设计

描述性横断面研究。

方法

在2018年和2019年季前赛期间,从1005名国家橄榄球联盟球员处获取运动性脑震荡评估工具第5版的基线分数。计算每组以及总体的脑震荡标准化评估、症状评估(即严重程度和数量)和改良平衡误差评分系统的规范性值。球员自行确定其文化遗产或种族为“太平洋岛民或毛利人”(n = 243;24.2%)或“澳大利亚原住民”(n = 82;8.2%)。那些确定为任何其他种族、民族或文化遗产的球员被合并为一组(n = 680;67.7%)。

结果

总体而言,脑震荡标准化评估分数的中位数为27(四分位间距 = 25 - 28),症状严重程度中位数为0(四分位间距 = 0 - 2),症状数量中位数为0(四分位间距 = 0 - 1),改良平衡误差评分系统误差分数中位数为3(四分位间距 = 1 - 5)。在总严重程度评分中报告22种症状中的4种和132种中的6种并不常见。脑震荡标准化评估分数、症状严重程度或数量或改良平衡误差评分系统误差在文化遗产或种族组之间无显著差异(p值>0.05)。

结论

这些规范性数据将有助于对国家橄榄球联盟脑震荡后运动性脑震荡评估工具第5版分数进行临床解读。

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