Current Sport-Related Concussion Teaching and Clinical Practices of Sports Medicine Professionals
Current Sport-Related Concussion Teaching and Clinical Practices of Sports Medicine Professionals
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DOI：
10.4085/1062-6050-44.4.400
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发表时间：
2009-07-01
影响因子：
3.3
通讯作者：
Stiller-Ostrowski, Jennifer L.
中科院分区：
文献类型：
--
作者：
Covassin, Tracey;Elbin, Robert, III;Stiller-Ostrowski, Jennifer L.
背景：各种共识和立场声明建议在诊断可能的脑震荡时采用多方面的方法。这些材料的有效性在很大程度上取决于其内容被传播到教育工作者和那些在临床设置。目的：确定目前在运动训练课堂和临床环境中教授的脑震荡管理方法和指南，并跟踪维也纳指南在整个教育课程中的传播情况。设计：一个包含17个问题的网络调查。设置：一个网络链接通过电子邮件发送给在美国300个认证项目中担任运动训练教育职位的项目主管和认证运动教练。患者或其他参与者：513名项目主管和运动教练。主要结果测量：调查问题涉及教育水平、认证年限、就业环境、脑震荡评估和临床环境和课堂中使用的恢复比赛指南，以及临床和教学对现有立场陈述和脑震荡评分系统的偏好。维也纳指导方针对脑震荡的“简单”和“复杂”定义提供了逐步恢复比赛的方法。结果：在参与者中，国家运动训练师协会的立场声明是最广泛使用的评估、管理（61%）和做出回归比赛决策（47%）的方法。超过一半的参与者（66%）从未听说过维也纳指南。在阅读了维也纳指导方针的定义和回归标准后，近四分之三的参与者同意它们。此外，68%的人表示他们会使用这些工具，84%的人表示他们会教学生。结论：大多数项目主管和认证的运动教练使用多维方法来评估和管理脑震荡。国家运动训练员协会的立场声明和维也纳指导方针在课堂和临床环境中都没有得到充分利用。
Context: Various consensus and position statements recommend a multifaceted approach when diagnosing a possible concussion. The effectiveness of these materials depends largely on their content being disseminated to educators and to those in the clinical setting.Objective: To identify the concussion management methods and guidelines currently taught in the athletic training classroom and clinical settings and to track the dissemination of the Vienna guidelines throughout the educational curriculum.Design: A 17-question Internet survey.Setting: A Web link was e-mailed to the program directors and certified athletic trainers holding educational positions in athletic training at 300 accredited programs in the United States.Patients or Other Participants: 513 program directors and athletic trainers.Main Outcome Measure(s): Survey questions addressed education level, years of certification, employment setting, concussion assessment and return-to-play guidelines used in the clinical setting and the classroom, and clinical and teaching preferences for existing position statements and concussion grading systems. The Vienna guidelines' "simple" and "complex" definitions of concussions were provided with the return-to-play stepwise approach.Results: The National Athletic Trainers' Association position statement was the most widely used method of assessing, managing (61%), and making return-to-play decisions (47%) among participants. More than half of participants (66%) had never heard of the Vienna guidelines. After reading the Vienna guidelines' definitions and return-to-play criteria, nearly three-fourths of participants agreed with them. In addition, 68% said that they would use them, and 84% reported that they would teach them to students.Conclusions: The majority of program directors and certified athletic trainers used a multidimensional approach to assess and manage a concussion. The National Athletic Trainers' Association position statement and Vienna guidelines were underused in both the classroom and clinical settings.