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Sparring and Neurological Function in Professional Boxers

机译：职业拳击手的陪练与神经功能

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Despite increased interest regarding the potentially long-term negative impact of chronic traumatic brain injury, limited research has been conducted regarding such injuries and neurological outcomes in real world settings. To increase understanding regarding the relationship between sparring (e.g., training under the tutelage of an experienced boxing coach for the purpose of improving skills and/or fitness) and neurological functioning, professional boxers (n = 237) who competed in Maryland between 2003 and 2008 completed measures regarding sparring exposure (Cumulative Sparring Index, CSI) and performance on tests of cognition (Symbol Digit Modalities Test, SDMT) and balance (Sharpened Romberg Test, SRT). Measures were completed prior to boxing matches. Higher scores on the CSI (increased sparring exposure) were associated with poorer performance on both tests of cognition (SDMT) and balance (SRT). A threshold effect was noted regarding performance on the SDMT, with those reporting CSI values greater than about 150 experiencing a decline in cognition. A history of frequent and/or intense sparring may pose a significant risk for developing boxing associated neurological sequelae. Implementing administration of clinically meaningful tests before bouts, such as the CSI, SDMT, and/or the SRT, as well as documentation of results into the boxer’s physicals or medical profiles may be an important step for improving boxing safety.
机译：尽管人们越来越关注慢性颅脑损伤的潜在长期负面影响，但在现实世界中，关于此类损伤和神经系统结局的研究却很少。为了增加对陪练（例如，在有经验的拳击教练的指导下进行训练以提高技能和/或健身的目的）与神经功能之间的关系的认识，职业拳击手（n = 237）在2003年至2008年期间在马里兰州比赛已完成有关散打曝光量（累积散打指数，CSI）以及认知测试（符号数字模态测试，SDMT）和天平（Sharpened Romberg测验，SRT）的性能测量。拳击比赛前已完成措施。 CSI得分较高（陪练次数增加）与认知测试（SDMT）和平衡测试（SRT）的表现较差有关。注意到关于SDMT性能的阈值影响，那些报告CSI值大于150的人认知能力下降。频繁和/或激烈的搏击史可能会对与拳击相关的神经系统后遗症产生重大风险。在发作前实施有临床意义的检测管理，例如CSI，SDMT和/或SRT，以及将结果记录到拳击手的身体或医学档案中，可能是提高拳击安全性的重要步骤。

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