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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Concussion Incidence and Impact on Player Performance in Major League Baseball Players Before and After a Standardized Concussion Protocol
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Concussion Incidence and Impact on Player Performance in Major League Baseball Players Before and After a Standardized Concussion Protocol

机译:在标准化呼查议定书之前和之后,脑大联盟棒球运动员在主要联盟棒球运动员中的脑震荡发病率及影响

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Background: Sports-related concussions have garnered significant attention in recent years because of the negative effects they can have on a player’s cognitive health and performance. In response to this growing concern, Major League Baseball (MLB) introduced a standardized concussion protocol during the 2011-2012 season. Purpose/Hypothesis: The purpose of this study was to compare the reported incidence of concussions and the subsequent performance of MLB players before and after the introduction of the standardized concussion protocol. We hypothesized that the introduction of the standardized concussion protocol would not have an impact on player performance postconcussion. Study Design: Cohort study; Level of evidence, 3. Methods: Players who suffered a concussion between 2001 and 2018 were identified from the MLB transactions page. Incidence and player performance were compared before and after the introduction of the standardized concussion protocol. Player performance was evaluated using traditional data and sabermetric data, which are advanced statistics used in conjunction with standard statistics to better compare players and teams. Player averages were calculated and compared using paired t tests for 30 days before and after concussion, 1 year before and after concussion, and career before and after concussion. Averages were also compared before and after the institution of the standardized concussion protocol using independent-measures t tests. Results: There were a total of 114 players who suffered 142 concussions, with 77% of those occurring after the introduction of the concussion protocol (32 before, 110 after). The average time missed because of concussion significantly decreased from 33.7 days (range, 10-122 days) to 18.9 days (range, 6-111 days) after the concussion protocol ( P = .0005). There was no difference in player performance (including batting average, on-base percentage, and slugging for batters; earned run average, fielding-independent pitching, and walks plus hits per inning pitched for pitchers) after concussion at any time point (30 days, 1 year, or career) when comparing these statistics before versus after the MLB concussion protocol. However, batter performance was significantly poorer 1 year after concussion and over the remainder of the players' careers ( P & .05). Conclusion: The number of reported concussions increased after the introduction of the MLB concussion protocol. However, players spent significantly less time on the disabled list without any adverse effect on player performance. Despite these changes, long-term batting performance was significantly poorer after concussion.
机译:背景:近年来,体育相关的脑震荡已经获得了重大关注,因为他们可以对球员的认知健康和表现具有负面影响。在回应这种日益增长的问题,主要联盟棒球(MLB)在2011-2012赛季推出了标准化脑震荡方案。目的/假设:本研究的目的是在引入标准化呼查议定书之前和之后比较报告的脑震荡和随后的MLB玩家的绩效。我们假设标准化呼查协议的引入不会影响球员性能后震动。研究设计:队列研究;证据级别,3.方法:从MLB交易页面确定了2001年至2018年之间遭受脑脑的球员。在引入标准化脑震荡方案之前和之后比较了发病率和球员性能。使用传统数据和SaberMetric数据进行评估玩家性能,这些数据是与标准统计数据一起使用的高级统计数据,以更好地比较玩家和团队。播放器平均值进行了计算,并使用配对的T测试进行比较,在脑震荡前后30天和脑震荡前后,震荡前后的职业生涯。在标准化脑震荡协议的制度之前和之后,也可以使用独立测量T测试比较平均值。结果:共有114名球员遭受了142名脑震荡,其中震荡协议引入后发生了77%的人(32之后)。由于脑震荡而错过的平均时间从33.7天(范围,10-122天)到18.9天(范围,6-111天),在脑震荡协议(P = .0005)中显着下降。球员性能没有差异(包括击球平均值,基础百分比,击球运动员镇痛;在任何时间点脑震荡之后赢得了平均,独立的投球,并每局投球,为投手倾斜,并在脑震荡下在MLB震荡协议之后比较了这些统计数据之前,1年或职业生涯。然而,震荡后1年的击球手段和球员职业的剩余时间明显较差(P& .05)。结论:在引入MLB枚查议定书后报告的脑震荡数量增加。然而,玩家在残疾人名单上花费了更短的时间,而没有对球员绩效的任何不利影响。尽管有这些变化,震荡后,长期击球性能明显较差。

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