The evidence for chronic traumatic encephalopathy in boxing
The evidence for chronic traumatic encephalopathy in boxing
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DOI：
10.2165/00007256-200737060-00001
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发表时间：
2007-01-01
期刊：
影响因子：
9.8
通讯作者：
Zazryn, Tsharni
中科院分区：
文献类型：
--
作者：
Zazryn, Tsharni
拳击运动一直是许多争论的根源，对参与的神经风险的担忧导致许多人呼吁禁止这项运动。本文旨在为拳击相关的慢性创伤性脑病（CTE）的发展建立证据基础，并确定这一信息与现代体育的相关性。CTE的临床特征包括影响锥体和锥体外系的各种症状，最常见的表现为步态和协调障碍，言语不清和震颤，以及引起认知障碍和神经行为紊乱的脑功能障碍。业余和职业拳击手都有可能患上CTE。目前还没有流行病学证据来确定这种情况在现代拳击中的流行程度，尽管17%的职业拳击手在20世纪30 - 50年代有CTE的临床证据。随着这项运动中医疗存在的增加和现代拳击手可能有较短的职业生涯，减少暴露于重复性头部创伤，并且将出现改善的治疗和对CTE发展的理解。这将导致CTE的发病率在拳击人群中减少。
The sport of boxing has been the source of much debate, with concerns about the neurological risks of participating having led to many calls to ban the sport. This review seeks to establish an evidence base for the development of boxing-related chronic traumatic encephalopathy (CTE) and to determine the relevance of this information to the modem day sport.The clinical features of CTE include various symptoms affecting the pyramidal and extrapyramidal systems, which manifest most often as disturbed gait and coordination, slurred speech and tremors, as well as cerebral dysfunction causing cognitive impairments and neurobehavioural disturbances. Both amateur and professional boxers are potentially at risk of developing CTE. No current epidemiological evidence exists to determine the prevalence of this condition in modem day boxing, despite 17% of professional boxers in Britain with careers in the 1930-50s having clinical evidence of CTE.As medical presence within the sport increases and with modem boxers likely to have shorter careers, a reduced exposure to repetitive head trauma, and improved treatment and understanding of the development of CTE will occur. This should lead to the incidence of CTE diminishing in boxing populations.