The Role of Concussion History and Gender in Recovery From Soccer-Related Concussion
The Role of Concussion History and Gender in Recovery From Soccer-Related Concussion
复制标题
DOI：
10.1177/0363546509332497
复制
发表时间：
2009-09-01
影响因子：
4.8
通讯作者：
Groh, Megan
中科院分区：
文献类型：
--
作者：
Colvin, Alexis Chiang;Mullen, Jimmy;Groh, Megan
背景：本研究旨在探讨男女足球运动员在康复方面的差异。假设：有脑震荡史的足球运动员在神经认知测试中的表现比没有脑震荡史的球员差。此外，女性运动员在神经认知测试中的表现不如男性运动员。研究设计：队列研究（预后）：证据水平，2级。方法：对8 ~ 24岁的足球运动员进行脑震荡后反应时间、记忆和视觉运动速度综合得分的计算机神经心理测试（N = 234，女性141，男性93）。本研究采用多变量方差分析来研究有和没有脑震荡史的男女运动员在神经认知表现方面的组间差异。结果：有至少一次脑震荡病史的足球运动员在ImPACT上的表现明显差于没有经历过脑震荡的足球运动员（F = 2.92, P = 0.03）。此外，女性足球运动员在神经认知测试中的表现较差（F = 2.72, P = 0.05），并且报告的症状也比男性足球运动员多（F = 20.1, P = 0.00001）。男女球员的身体质量指数差异无统计学意义（F = 0.04, P = 0.85）。结论：脑震荡史和性别可能是足球运动员脑震荡后神经认知测试成绩显著差异的原因，并可能在决定康复方面发挥作用。这些差异似乎并不反映男女之间的质量差异，而可能与其他性别特有的因素有关，值得进一步研究。
Background: This study was designed to investigate differences in recovery in male and female soccer athletes.Hypotheses: Soccer players with a history of concussion will perform worse on neurocognitive testing than players without a history of concussion. Furthermore, female athletes will demonstrate poorer performance on neurocognitive testing than male athletes.Study Design: Cohort study (prognosis): Level of evidence, 2.Methods: Computer-based neuropsychological testing using reaction time, memory, and visual motor-speed composite scores of the ImPACT test battery was performed postconcussion in soccer players ranging in age from 8 to 24 years (N = 234; 141 females, 93 males). A multivariate analysis of variance was conducted to examine group differences in neurocognitive performance between male and female athletes with and without a history of concussion.Results: Soccer players with a history of at least 1 previous concussion performed significantly worse on ImPACT than those who had not sustained a prior concussion (F = 2.92, P = .03). In addition, female soccer players performed worse on neurocognitive testing (F = 2.72, P = .05) and also reported more symptoms (F = 20.1, P = .00001) than male soccer players. There was no significant difference in body mass index between male and female players (F = .04, P = .85).Conclusion: A history of concussion and gender may account for significant differences in postconcussive neurocognitive test scores in soccer players and may play a role in determining recovery. These differences do not appear to reflect differences in mass between genders and may be related to other gender-specific factors that deserve further study.