American Medical Society for Sports Medicine position statement on concussion in sport
American Medical Society for Sports Medicine position statement on concussion in sport
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DOI：
10.1136/bjsports-2018-100338
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发表时间：
2019-02-01
影响因子：
18.4
通讯作者：
Roberts, William O.
中科院分区：
文献类型：
--
作者：
Harmon, Kimberly G.;Clugston, James R.;Roberts, William O.
运动相关脑震荡（SRC）是一种常见的伤害，在娱乐和有组织的运动。在过去的30年里，我们对SRC的科学认识取得了重大进展，这反过来又推动了SRC诊断，评估和管理的临床指南的发展。除了越来越需要知识渊博的医疗保健专业人员为患有SRC的运动员提供循证护理外，媒体的关注和立法也引起了人们的认识，在某些情况下，人们对SRC周围的许多问题和未知因素感到恐惧。美国运动医学会（AMSSM）成立了一个写作小组，审查现有的SRC文献，更新其先前的立场声明，并解决有关SRC的现有证据和知识差距。缺乏明确的基于结局的数据是具有挑战性的，需要依赖与临床经验和患者价值相结合的最佳可用证据。本声明回顾了SRC的定义，病理生理学和流行病学，急性和持续性脑震荡症状的诊断和管理，SRC和重复头部撞击暴露的短期和长期风险，SRC预防策略以及SRC研究的潜在未来方向。AMSSM致力于最佳临床实践，循证研究和教育计划，对运动员的健康和安全产生积极影响。
Sport-related concussion (SRC) is a common injury in recreational and organised sport. Over the past 30 years, there has been significant progress in our scientific understanding of SRC, which in turn has driven the development of clinical guidelines for diagnosis, assessment and management of SRC. In addition to a growing need for knowledgeable healthcare professionals to provide evidence-based care for athletes with SRC, media attention and legislation have created awareness and, in some cases, fear about many issues and unknowns surrounding SRC. The American Medical Society for Sports Medicine (AMSSM) formed a writing group to review the existing literature on SRC, update its previous position statement, and to address current evidence and knowledge gaps regarding SRC. The absence of definitive outcomes-based data is challenging and requires relying on the best available evidence integrated with clinical experience and patient values. This statement reviews the definition, pathophysiology and epidemiology of SRC, the diagnosis and management of both acute and persistent concussion symptoms, the short-term and long-term risks of SRC and repetitive head impact exposure, SRC prevention strategies, and potential future directions for SRC research. The AMSSM is committed to best clinical practices, evidence-based research and educational initiatives that positively impact the health and safety of athletes.