• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of athletic training >Rest and Return to Activity After Sport-Related Concussion: A Systematic Review of the Literature
【24h】

Rest and Return to Activity After Sport-Related Concussion: A Systematic Review of the Literature

机译：在体育相关的脑震荡后休息并返回活动：对文献的系统审查

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective: To systematically review the literature regarding rest and return to activity after sport-related concussion.Data Sources: The search was conducted in the Cochrane Central Register of Controlled Trials, CINAHL, SPORTDiscus, Educational Resources Information Center, Ovid MEDLINE, and PubMed using terms related to concussion, mild traumatic brain injury, physical and cognitive rest, and return to activity.Study Selection: Studies were included if they were published in English; were original research; and evaluated the use of, compliance with, or effectiveness of physical or cognitive rest or provided empirical evidence supporting the graded return-to-activity progression.Data Extraction: The study design, patient or participant sample, interventions used, outcome measures, main results, and conclusions were extracted, as appropriate, from each article.Data Synthesis: Articles were categorized into groups based on their ability to address one of the primary clinical questions of interest: use of rest, rest effectiveness, compliance with recommendations, or outcome after graded return-to-activity progression. A qualitative synthesis of the results was provided, along with summary tables.Conclusions: Our main findings suggest that rest is underused by health care providers, recommendations for rest are broad and not specific to individual patients, an initial period of moderate physical and cognitive rest (eg, limited physical activity and light mental activity) may improve outcomes during the acute postinjury phase, significant variability in the use of assessment tools and compliance with recommended return-to-activity guidelines exists, and additional research is needed to empirically evaluate the effectiveness of graded return-to-activity progressions. Furthermore, there is a significant need to translate knowledge of best practices in concussion management to primary care providers.
机译：目的：系统回顾有关运动相关脑震荡后休息和恢复活动的文献。数据来源：在Cochrane中央对照试验登记册、CINAHL、SPORTDiscus、教育资源信息中心、Ovid MEDLINE和PubMed中使用与脑震荡、轻度创伤性脑损伤、身体和认知休息以及恢复活动相关的术语进行搜索。研究选择：如果研究以英文发表，则包括在内；是原创研究；并评估了身体或认知休息的使用、依从性或有效性，或提供了支持分级恢复活动进展的经验证据。数据提取：从每篇文章中酌情提取研究设计、患者或参与者样本、使用的干预措施、结果测量、主要结果和结论。数据综合：文章根据其解决感兴趣的主要临床问题之一的能力分为几组：休息的使用、休息的有效性、遵守建议的情况，或分级恢复活动进展后的结果。提供了结果的定性综合以及汇总表。结论：我们的主要研究结果表明，医疗服务提供者对休息的使用不足，对休息的建议广泛且不针对个别患者，适度的身体和认知休息（例如，有限的体力活动和轻微的精神活动）的初始阶段可能会改善急性创伤后阶段的结果，在使用评估工具和遵守建议的活动回报率指南方面存在显著差异，需要进行额外的研究，以经验性地评估分级活动回报率进展的有效性。此外，非常需要将脑震荡管理最佳实践的知识传授给初级保健提供者。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号