Kelly J P, Rosenberg J H
Rehabilitation Medicine and Neurology, Northwestern University Medical School, Chicago, Illinois, USA.
J Head Trauma Rehabil. 1998 Apr;13(2):53-65. doi: 10.1097/00001199-199804000-00008.
Concussion in sports has caught the attention of the news media in recent years, primarily due to the high profile of certain athletes who have sustained traumatic brain injuries. Even though the management of concussion remains somewhat controversial, certain principles of neuroscience regarding mental status alterations and other symptoms resulting from concussion are well accepted by medical experts. Several authors have previously published management strategies for sports-related concussion based on their own experiences, but this article will describe the formal process of developing guidelines for the diagnosis and management of concussion in sports. The processes of literature review, evidence-based analysis, and consensus building are described. This article includes the grading scale, sideline evaluation, and management strategy adopted as a practice parameter by the American Academy of Neurology. Emphasis is placed on the need to detect mild forms of concussion through detailed observation and examination of athletes.
近年来，运动性脑震荡引起了新闻媒体的关注，主要是因为一些遭受创伤性脑损伤的知名运动员。尽管脑震荡的管理仍存在一定争议，但神经科学中关于脑震荡导致的精神状态改变和其他症状的某些原则已被医学专家广泛接受。此前已有多位作者根据自身经验发表了与运动相关脑震荡的管理策略，但本文将描述制定运动性脑震荡诊断和管理指南的正式过程。文中介绍了文献综述、循证分析和共识达成的过程。本文还包括美国神经病学学会采用的作为实践参数的分级量表、场边评估和管理策略。重点强调了通过对运动员进行详细观察和检查来检测轻度脑震荡的必要性。
