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Head-Impact–Measurement Devices: A Systematic Review

机译：头部影响测量设备：系统评价

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Context: With an estimated 3.8 million sport- and recreation-related concussions occurring annually, targeted prevention and diagnostic methods are needed. Biomechanical analysis of head impacts may provide quantitative information that can inform both prevention and diagnostic strategies. Objective: To assess available head-impact devices and their clinical utility. Data Sources: We performed a systematic search of the electronic database PubMed for peer-reviewed publications, using the following phrases: accelerometer and concussion, head impact telemetry, head impacts and concussion and sensor, head impacts and sensor, impact sensor and concussion, linear acceleration and concussion, rotational acceleration and concussion, and xpatch concussion. In addition to the literature review, a Google search for head impact monitor and concussion monitor yielded 15 more devices. Study Selection: Included studies were performed in vivo, used commercially available devices, and focused on sport-related concussion. Data Extraction: One author reviewed the title and of each study for inclusion and exclusion criteria and then reviewed each full-text article to confirm inclusion criteria. Controversial articles were reviewed by all authors to reach consensus. Data Synthesis: In total, 61 peer-reviewed articles involving 4 head-impact devices were included. Participants in boxing, football, ice hockey, soccer, or snow sports ranged in age from 6 to 24 years; 18% (n = 11) of the studies included female athletes. The Head Impact Telemetry System was the most widely used device (n = 53). Fourteen additional commercially available devices were presented. Conclusions: Measurements collected by impact monitors provided real-time data to estimate player exposure but did not have the requisite sensitivity to concussion. Proper interpretation of previously reported head-impact kinematics across age, sport, and position may inform future research and enable staff clinicians working on the sidelines to monitor athletes. However, head-impact–monitoring systems have limited clinical utility due to error rates, designs, and low specificity in predicting concussive injury.
机译：背景：每年估计有380万例与运动和娱乐有关的脑震荡，因此需要有针对性的预防和诊断方法。头部撞击的生物力学分析可以提供定量信息，可以为预防和诊断策略提供依据。目的：评估可用的头部冲击装置及其临床实用性。数据来源：我们对电子数据库PubMed进行了系统搜索，以查找经过同行评审的出版物，并使用以下短语：加速度计和脑震荡，头部撞击遥测，头部撞击和脑震荡和传感器，头部撞击和传感器，撞击传感器和震荡，线性加速度和震荡，旋转加速度和震荡以及xpatch震荡。除了文献综述，谷歌搜索头部撞击监测器和脑震荡监测器还产生了15种设备。研究选择：纳入的研究是在体内进行的，使用了可商购的设备，并侧重于与运动有关的脑震荡。数据提取：一位作者审阅了研究的标题和每一项研究的纳入和排除标准，然后审查了每篇全文文章以确认纳入标准。所有作者都对有争议的文章进行了评论，以达成共识。数据综合：总共包括61篇经同行评审的文章，涉及4种头部撞击设备。参加拳击，足球，冰球，足球或雪上运动的年龄在6至24岁之间; 18％（n = 11）的研究包括女运动员。头部撞击遥测系统是使用最广泛的设备（n = 53）。提出了另外十四种可商购的设备。结论：冲击监测器收集的测量数据提供了实时数据来估计球员的暴露程度，但对脑震荡没有必要的敏感性。正确解释以前报道的跨年龄，运动和体位的头部冲击运动学，可能会为将来的研究提供参考，并使在场外工作的临床医生能够监视运动员。然而，由于错误率，设计以及预测脑震荡损伤的特异性低，头部碰撞监测系统在临床上的应用受到限制。

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