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首页> 外文期刊>Neurosurgery >Differential rate of recovery in athletes after first and second concussion episodes.
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Differential rate of recovery in athletes after first and second concussion episodes.

机译:第一次和第二次脑震荡发作后运动员的恢复差异率。

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OBJECTIVE: Clinical observations suggest that a history of previous concussions may cause a slower recovery of neurological function after recurrent concussion episodes. However, direct examination of this notion has not been provided. This report investigates the differential rate of restoring the visual-kinesthetic integration in collegiate athletes experiencing single versus recurrent concussion episodes. METHODS: One hundred sixty collegiate athletes were tested preseason using multimodal research methodology. Of these, 38 experienced mild traumatic brain injury (MTBI) and were tested on Days 10, 15, and 30 after injury. Nine of these MTBI patients experienced a second MTBI within 1 year after the first brain injury and were retested. The postconcussion symptoms checklist, neuropsychological evaluations, and postural responses to visual field motion were recorded using a virtual reality environment. RESULTS: All patients were asymptomatic at Day 10 of testing and were cleared for sport participation based on clinical symptoms resolution. Balance deficits, as evident by incoherence with visual field motion postural responses, were present at least 30 days after injury (P < 0.001). Most importantly, the rate of balance symptoms restoration was significantly reduced after a recurrent, second concussion (P < 0.001) compared with those after the first concussion. CONCLUSION: The findings of this study confirm our previous research indicating the presence of long-term residual visual-motor disintegration in concussed individuals with normal neuropsychological measures. Most importantly, athletes with a history of previous concussion demonstrate significantly slower rates of recovery of neurological functions after the second episode of MTBI.
机译:目的:临床观察表明,先前的脑震荡史可能会导致脑震荡反复发作后神经功能恢复较慢。但是,尚未提供对该概念的直接检查。本报告调查了发生单发性脑震荡与复发性脑震荡的大学生运动员恢复视觉-运动感觉整合的差异率。方法:使用多模式研究方法对一百六十名大学生运动员的赛前进行了测试。其中38例经历了轻度脑外伤(MTBI),并在受伤后第10、15和30天进行了测试。这些MTBI患者中有9名在第一次脑损伤后1年内经历了第二次MTBI,并接受了重新测试。使用虚拟现实环境记录脑震荡后症状清单,神经心理学评估以及对视野运动的姿势反应。结果:所有患者在测试的第10天均无症状,并根据临床症状缓解清除了参与运动的知识。受伤后至少30天出现平衡缺陷,这与视野运动姿势反应不连贯有关(P <0.001)。最重要的是,与第一次脑震荡后相比,第二次脑震荡复发后平衡症状的恢复率显着降低(P <0.001)。结论:这项研究的结果证实了我们先前的研究,表明在具有正常神经心理学措施的脑震荡患者中存在长期残留的视觉运动分解。最重要的是,有先前脑震荡史的运动员在第二次MTBI后表现出明显的神经功能恢复速度减慢。

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