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首页> 外文期刊>Neurosurgery >Sex differences in neuropsychological function and post-concussion symptoms of concussed collegiate athletes.
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Sex differences in neuropsychological function and post-concussion symptoms of concussed collegiate athletes.

机译：脑震荡大学运动员神经心理功能和脑震荡后症状的性别差异。

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OBJECTIVE: Our purpose was to determine whether sex differences exist with respect to post-concussion symptoms and neurocognitive function in concussed collegiate athletes. METHODS: A prospective dependent-sample cohort design was used to compare baseline and post-concussion neuropsychological test scores and endorsed symptoms as functions of serial post-concussion assessment with respect to time and sex. The Immediate Post-concussion Assessment and Cognitive Testing (ImPACT) battery was administered to a multicenter analysis group of 79 concussed athletes. This computerized neuropsychological test was given to the athletes during the preseason and, on average, 2 and 8 days postinjury. RESULTS: Multivariate analyses revealed no significant between-group differences on baseline test performance with respect to sex on any of the ImPACT composite scores or on the total symptom score. Multivariate analyses of post-concussion data revealed a significant main effect of time on ImPACT scores, but no main effect of sex was identified, and no time-by-sex interaction existed. Post hoc analysis revealed that concussed female athletes performed significantly worse than concussed male athletes on visual memory tasks (P = 0.001), and analysis of endorsed post-concussion symptoms revealed that concussed men were significantly more likely than concussed women to report post-concussion symptoms of vomiting (P = 0.001) and sadness (P = 0.017). Athletes' scores were examined individually using the reliable-change methodology. At 2 days post-injury, 58% of concussed athletes had one or more reliable incidents of performance decline or increases in symptom reporting. At 8 days post-concussion, 30% of concussed athletes were still showing one or more reliable change from preseason values. CONCLUSIONS: College athletes exhibit differences on visual memory composite scores and symptoms post-concussion as a function of sex. These data support the importance of evaluating neuropsychological status and post-concussion symptoms in concussed athletes. In addition, these data illustrate the importance of analyzing an individual athlete's recovery pattern, because individual differences in recovery trajectories may be overshadowed by global norm-group comparisons.
机译：目的：我们的目的是确定在脑震荡大学运动员脑震荡后症状和神经认知功能方面是否存在性别差异。方法：采用前瞻性相关样本队列设计，比较基线和脑震荡后神经心理学测验分数和认可的症状，作为脑震荡后连续评估时间和性别的函数。脑震荡后立即评估和认知测试（ImPACT）电池被管理到79名脑震荡运动员的多中心分析小组中。这项计算机化的神经心理学测试是在赛季前以及受伤后平均2天和8天对运动员进行的。结果：多变量分析显示，在任何ImPACT综合评分或总症状评分上，性别之间的基线测试表现均无显着组间差异。脑震荡后数据的多变量分析显示，时间对ImPACT评分有显着的主要影响，但没有发现性别的主要影响，也没有时间与性别的相互作用。事后分析表明，脑震荡女运动员在视觉记忆任务上的表现明显比脑震荡男运动员差（P = 0.001），对脑震荡后症状的认可分析表明，脑震荡男子比脑震荡女子更容易报告脑震荡后症状。呕吐（P = 0.001）和悲伤（P = 0.017）。使用可靠变更方法分别检查运动员的得分。受伤后2天，58％的脑震荡运动员发生了一次或多次可靠的表现下降或症状报告增加的事件。脑震荡后第8天，仍有30％的脑震荡运动员表现出与季前值相比一个或多个可靠的变化。结论：大学生运动员的视觉记忆综合评分和脑震荡后症状表现为性别差异。这些数据支持评估脑震荡运动员的神经心理状态和脑震荡后症状的重要性。此外，这些数据说明了分析单个运动员恢复模式的重要性，因为恢复轨迹的个体差异可能会因全球规范组比较而被掩盖。

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