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首页> 外文期刊>Journal of athletic training >Athletic Trainers' Concussion-Assessment and Concussion-Management Practices: An Update
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Athletic Trainers' Concussion-Assessment and Concussion-Management Practices: An Update

机译：运动培训师的脑震荡评估和脑震荡管理实践：更新

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Context Athletic trainers (ATs) are often the first health care providers to conduct concussion assessments and carry out postinjury management. Best practices for concussion evaluation and management have changed rapidly in recent years, outdating previous reports of ATs' concussion practices. Objective To examine ATs' current concussion-assessment and -management techniques. Design Cross-sectional study. Setting Web-based survey. Patients or Other Participants A random convenience sample of 8777 ATs (response rate = 15.0% [n = 1307]; years certified = 15.0 ± 10.6) from the National Athletic Trainers' Association membership. Main Outcome Measure(s) Survey Web links were e-mailed to prospective participants, with 2 follow-up e-mails sent by the National Athletic Trainers' Association. The survey collected demographic information, the number of concussions assessed, the concussion-recovery patterns, and the assessment and return-to-participation (RTP) decision-making methods used. Results The ATs reported assessing a median of 12.0 (range = 0–218) concussions per year. A total of 95.3% (953/1000) ATs cited clinical examination as the most frequently used concussion-assessment tool, followed by symptom assessment (86.7%; 867/1000). A total of 52.7% (527/1000) ATs described a 3-domain minimum multidimensional concussion-assessment battery. Published RTP guidelines were the most common RTP decision-making tool (91.0%; 864/949), followed by clinical examination (88.2%; 837/949). The ATs with master's degrees were 1.36 times (95% confidence interval [CI] = 1.02, 1.81) more likely to use a 3-domain concussion-assessment battery than ATs with only bachelor's degrees (χ2 = 4.44, P = .05). Collegiate ATs were 2.12 (95% CI = 1.59, 2.84) and 1.63 (95% CI = 1.03, 2.59) times more likely to use a 3-domain concussion-assessment battery than high school and clinic-based ATs, respectively (χ2 = 26.29, P .001). Conclusions Athletic trainers were using the clinical examination, standardized assessment tools, and a 3-domain concussion-assessment–battery approach more frequently in clinical practice than previously reported. However, despite practice improvements, nearly half of ATs were not using a 3-domain minimum concussion-assessment battery. Clinicians should strive to implement multidimensional concussion assessments in their practices to ensure optimal diagnosis and management.
机译：背景教练培训师（ATS）往往是第一批开展脑脑评估和实施Postinjury管理层的医疗保健提供者。脑震荡评估和管理层的最佳实践近年来迅速发生了改变，过度的ATS枚查实践报告。目的审查当前脑震荡评估和管理技术。设计横断面研究。设置基于网络的调查。患者或其他参与者随机便利样品为8777 ATS（响应率= 15.0％[n = 1307];年度认证= 15.0±10.6）来自国家运动培训师的协会会员资格。主要结果措施调查网络链接被通过电子邮件发送给潜在的参与者，其中2名国家运动培训师协会发送了2个后续电子邮件。调查收集了人口统计信息，评估的脑震荡数量，脑震荡恢复模式以及使用的评估和返回参与（RTP）决策方法使用。结果ATS报告每年评估12.0（范围= 0-218）脑震荡的中位数。共有95.3％（953/1000）ATS引用临床检查作为最常用的脑震荡评估工具，其次是症状评估（86.7％; 867/1000）。共有52.7％（527/1000）ATS描述了3域最小多维脑震荡评估电池。公布的RTP指南是最常见的RTP决策工具（91.0％; 864/949），其次是临床检查（88.2％; 837/949）。具有硕士学位的ATS为1.36倍（95％置信区间[CI] = 1.02,1.81）更有可能使用3域脑震荡评估电池而不是仅具有学士学位的ATS（χ2= 4.44，p = .05）。合理的ATS分别是2.12（95％CI = 1.59,2.84）和1.63（95％CI = 1.03,2.59）分别使用3域脑震荡评估电池的可能性，而不是高中和基于诊所的ATS（χ2= 26.29，p <.001）。结论运动培训师正在使用临床检查，标准化评估工具，以及在临床实践中比以前报道的临床实践更常见的3个域脑震荡评估 - 电池方法。然而，尽管实践改进，但近一半的ATS没有使用3域最小脑震荡评估电池。临床医生应努力在其实践中实施多维脑震荡评估，以确保最佳诊断和管理。

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