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首页> 外文期刊>Neurosurgical focus >A prospective study of physician-observed concussion during a varsity university ice hockey season: Incidence and neuropsychological changes. Part 2 of 4
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A prospective study of physician-observed concussion during a varsity university ice hockey season: Incidence and neuropsychological changes. Part 2 of 4

机译：大学冰曲曲季季季度医师脑震荡的前瞻性研究：发病率和神经心理学变化。 4的第2部分

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Object: The primary objective of this study was to measure the incidence of concussion according to a relative number of athlete exposures among 25 male and 20 female varsity ice hockey players. The secondary objective was to present neuropsychological test results between preseason and postseason play and at 72 hours, 2 weeks, and 2 months after concussion. Methods: Every player underwent baseline assessments using the Sport Concussion Assessment Tool-2 (SCAT2), Immediate Post-Concussion Assessment and Cognitive Test (ImPACT), and MRI. Each regular season and postseason game was observed by 2 independent observers (a physician and a nonphysician observer). Players with a diagnosed concussion were removed from the game, examined in the team physician's office using the SCAT2 and ImPACT, and sent to undergo MRI. Results: Eleven concussions occurred during the 55 physician-observed games (20%). The incidence of concussion, expressed as number of concussions per 1000 athlete exposures, was 10.70 for men and women combined in regular season play, 11.76 for men and women combined across both the regular season and playoff season, 7.50 for men and 14.93 for women in regular season play, and 8.47 for men across both the regular season and playoff season. One male player experienced repeat concussions. No concussions were reported during practice sessions, and 1 concussion was observed and diagnosed in an exhibition game. Neuropsychological testing suggested no statistically significant preseason/postseason differences between athletes who sustained a physician-diagnosed concussion and athletes who did not sustain a physician-diagnosed concussion on either the ImPACT or SCAT2. The athletes who sustained a physician-diagnosed concussion demonstrated few reliable changes postinjury. Conclusions: Although the incidence of game-related concussions per 1000 athlete exposures in this study was half the highest rate reported in the authors' previous research, it was 3 times higher than the incidence reported by other authors within the literature concerning men's collegiate ice hockey and 5 times higher than the highest rate previously reported for woman's collegiate ice hockey. Interestingly, the present results suggest a substantively higher incidence of concussion among women (14.93) than men (7.50). The reproducible and significantly higher incidence of concussion among both men and woman ice hockey players, when compared with nonphysician-observed games, suggests a significant underestimation of sports concussion in the scientific literature.
机译：对象：本研究的主要目标是根据25名男性和20名女性冰曲棍球运动员之间的运动员暴露的相对数量来衡量脑震荡的发生率。次要目的是在季前赛和季后赛中，在72小时，2周和2个月之间呈现神经心理学测试结果，震荡后2周。方法：每位玩家使用运动脑震荡评估工具-2（SCAT2），立即脑震荡评估和认知测试（影响）和MRI接受基线评估。每个常规赛和季后赛游戏都是由2名独立观察员（医生和非物理学观察者）观察到。使用Scat2和影响的团队医生办公室中删除了具有诊断脑震荡的球员，并送到MRI。结果：55名医生观察的游戏期间发生了11个震荡（20％）。脑震荡的发病率为每1000台运动员暴露的脑震荡数量为10.70，男女合并常规赛，男女11.76，合并常规赛和季后赛，男子和14.93岁的男性和季后赛。常规季节游戏，以及常规赛和季后赛的男性为8.47。一个男性球员经历了重复脑震荡。在实践会议期间没有报告脑脑势，并在展览游戏中观察并诊断出1个脑震荡。神经心理学检测表明，运动员之间没有统计学意义的季后赛/季后期差异，他们持续了医生诊断的脑震荡和运动员，他们没有在影响或SCAT2上维持医生诊断的脑震荡。持续医生诊断脑震荡的运动员证明了Postinjury的少数可靠的变化。结论：虽然本研究中，每1000名运动员暴露的比赛脑震荡的发生率为作者以前的研究中报告的最高速率的一半，但它比文学中的其他作者在文学中报告的发病率高出3倍比以前为女性的大学冰球报告的最高速率高5倍。有趣的是，目前的结果表明女性脑震荡的发病率高于男性（7.5.50）。与非物理学家观测的游戏相比，男女冰球运动员中的可重复性和显着更高的脑震荡发病率表明，在科学文献中对体育脑震荡的重大低估了。

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