Head Impact Locations in US High School Boys' and Girls' Soccer Concussions, 2012/13-2015/16
Head Impact Locations in US High School Boys' and Girls' Soccer Concussions, 2012/13-2015/16
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DOI：
10.1089/neu.2017.5319
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发表时间：
2019-07-01
影响因子：
4.2
通讯作者：
Mihalik, Jason P.
中科院分区：
文献类型：
--
作者：
Kerr, Zachary Y.;Campbell, Kody R.;Mihalik, Jason P.
这项研究描述了脑震荡和脑震荡相关的结果持续的高中足球运动员的头部撞击的位置，性别和损伤机制。2012/13-2015/16学年的数据来自国家高中体育相关伤害监测系统，高中RIO（TM）。这个基于互联网的运动损伤监测系统捕获了运动教练报告的数据，这些数据平均每年来自162所美国高中。分析数据以描述足球脑震荡的情况（例如，按撞击位置（即，正面（包括脸部）、背面、侧面和头顶）和性别。大多数脑震荡来自头部前部撞击（男孩，30.5%;女孩，34.0%）。总体而言，男孩和女孩分别报告了4.1 +/- 2.2和4.6 +/- 2.3症状。在男孩中，症状频率与头部撞击位置无关（p = 0.66）;在女孩中发现了相关性（p = 0.02），在头顶撞击中报告的症状频率最高（5.4 +/- 2.2）。头部撞击位置与症状缓解时间（男孩，p = 0.21;女孩，p = 0.19）或重返游戏时间（男孩，p = 0.18;女孩，p = 0.07）无关。在男孩和女孩中，头部分别与28.0%和26.5%的脑震荡有关。在头球过程中，大多数球员-球员接触性脑震荡发生在头部侧面（男孩，49.4%;女孩，43.2%）;大多数头球相关的球接触性脑震荡发生在头部前部（男孩，41.4%;女孩，42.6%）和头部顶部（男孩，34.5%;女孩，36.9%）。在高中足球脑震荡中，头部撞击位置通常与症状缓解时间、恢复比赛时间和复发无关。然而，撞击位置可能与报告的症状频率有关。此外，许多这些临床脑震荡描述符与性别有关。
This study describes concussions and concussion-related outcomes sustained by high school soccer players by head impact location, sex, and injury mechanism. Data were obtained for the 2012/13-2015/16 school years from the National High School Sports-Related Injury Surveillance System, High School RIO (TM). This Internet-based sports injury surveillance system captures data reported by athletic trainers from an annual average of 162 U.S. high schools. Data were analyzed to describe circumstances of soccer concussion (e.g., symptomology, symptom resolution, and return-to-play time) by impact location (i.e., front-[face included], back-, side-, and top-of-the-head) and sex. Most concussions were from front-of-the-head impacts (boys, 30.5%; girls, 34.0%). Overall, 4.1 +/- 2.2 and 4.6 +/- 2.3 symptoms were reported in boys and girls, respectively. In boys, symptom frequency was not associated with head impact location (p = 0.66); an association was found in girls (p = 0.02), with the highest symptom frequency reported in top-of-the-head impacts (5.4 +/- 2.2). Head impact location was not associated with symptom resolution time (boys, p = 0.21; girls, p = 0.19) or return-to-play time (boys, p = 0.18; girls, p = 0.07). Heading was associated with 28.0% and 26.5% of concussions in boys and girls, respectively. Most player-player contact concussions during heading occurred from side-of-the-head impacts (boys, 49.4%; girls, 43.2%); most heading-related ball contact concussions occurred from front-of-the-head (boys, 41.4%; girls, 42.6%) and top-of-the-head (boys, 34.5%; girls, 36.9%) impacts. Head impact location was generally independent of symptom resolution time, return-to-play time, and recurrence among high school soccer concussions. However, impact location may be associated with reported symptom frequency. Further, many of these clinical concussion descriptors were associated with sex.