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Dehydration and Performance on Clinical Concussion Measures in Collegiate Wrestlers

机译:高校摔跤运动员的脱水和临床脑震荡措施的表现

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Context: The effects of dehydration induced by wrestling-related weight-cutting tactics on clinical concussion outcomes, such as neurocognitive function, balance performance, and symptoms, have not been adequately studied. Objective: To evaluate the effects of dehydration on the outcome of clinical concussion measures in National Collegiate Athletic Association Division I collegiate wrestlers. Design: Repeated-measures design. Setting: Clinical research laboratory. Patients or Other Participants: Thirty-two Division I healthy collegiate male wrestlers (age = 20.0 ± 1.4 years; height = 175.0 ± 7.5 cm; baseline mass = 79.2 ± 12.6 kg). Intervention(s): Participants completed preseason concussion baseline testing in early September. Weight and urine samples were also collected at this time. All participants reported to prewrestling practice and postwrestling practice for the same test battery and protocol in mid-October. They had begun practicing weight-cutting tactics a day before prepractice and postpractice testing. Differences between these measures permitted us to evaluate how dehydration and weight-cutting tactics affected concussion measures. Main Outcome Measures: Sport Concussion Assessment Tool 2 (SCAT2), Balance Error Scoring System, Graded Symptom Checklist, and Simple Reaction Time scores. The Simple Reaction Time was measured using the Automated Neuropsychological Assessment Metrics. Results: The SCAT2 measurements were lower at prepractice (P = .002) and postpractice (P < .001) when compared with baseline. The BESS error scores were higher at postpractice when compared with baseline (P = .015). The GSC severity scores were higher at prepractice (P = .011) and postpractice (P < .001) than at baseline and at postpractice when than at prepractice (P = .003). The number of Graded Symptom Checklist symptoms reported was also higher at prepractice (P = .036) and postpractice (P < .001) when compared with baseline, and at postpractice when compared with prepractice (P = .003). Conclusions: Our results suggest that it is important for wrestlers to be evaluated in a euhydrated state to ensure that dehydration is not influencing the outcome of the clinical measures.
机译:背景:与摔跤有关的减肥策略引起的脱水对临床脑震荡结果(如神经认知功能,平衡能力和症状)的影响尚未得到充分研究。目的:评估脱水对美国大学体育协会第一分校摔跤运动员临床脑震荡措施结果的影响。设计:重复测量设计。地点:临床研究实验室。患者或其他参与者:32名I类健康的大学摔跤男选手(年龄= 20.0±1.4岁;身高= 175.0±7.5 cm;基线质量= 79.2±12.6 kg)。干预措施:参与者在9月初完成了季前脑震荡基线测试。此时也收集了体重和尿液样本。所有参与者均于10月中旬报告了相同的测试电池和规程的摔跤前练习和摔跤后练习。他们在练习前和练习后的一天开始练习减肥策略。这些措施之间的差异使我们能够评估脱水和减肥策略如何影响脑震荡措施。主要指标:运动脑震荡评估工具2(SCAT2),平衡误差评分系统,症状分级表和简单反应时间评分。使用自动神经心理学评估指标测量简单反应时间。结果:与基线相比,在练习前(P = .002)和练习后(S <0.001),SCAT2测量值较低。与基线相比,练习后的BESS错误评分更高(P = .015)。练习前(P = .011)和练习后(P <.001)的GSC严重性评分均高于基线和练习后(P = .003)。与基线相比,练习前(P = .036)和练习后(P <.001)的报道分级症状清单症状的数量也更高,与练习前(P = .003)相比,练习后的数量也更高。结论:我们的结果表明,对摔跤运动员进行正常水合状态评估很重要,以确保脱水不影响临床措施的结果。

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