Balance Assessment in the Management of Sport-Related Concussion
Balance Assessment in the Management of Sport-Related Concussion
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DOI：
10.1016/j.csm.2010.09.004
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发表时间：
2011-01-01
影响因子：
2
通讯作者：
Guskiewicz, Kevin M.
中科院分区：
文献类型：
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作者：
Guskiewicz, Kevin M.
虽然神经心理学测试已被证明是脑震荡管理的一个有价值的工具，但它在作为综合评估电池的一部分进行管理时最有用，其中包括症状分级和临床平衡测试。由经过认证的运动教练和队医进行彻底的副业和临床检查被认为是脑震荡管理的重要第一步。无论是在现场还是在临床环境中，评价都应以系统的方式进行。评估应包括获得有关损伤的具体细节（例如，机制，脑震荡史）的历史，然后评估神经认知功能和平衡，这是本文的重点。平衡测试的客观测量可以为临床医生提供额外的脑震荡难题，消除一些猜测，发现不太明显的症状，并帮助确定是否准备好安全返回参与。
Although neuropsychological testing has proven to be a valuable tool in concussion management, it is most useful when administered as part of a comprehensive assessment battery that includes grading of symptoms and clinical balance tests. A thorough sideline and clinical examination by the certified athletic trainer and team physician is considered an important first step in the management of concussion. The evaluation should be conducted in a systematic manner, whether on the field or in the clinical setting. The evaluation should include obtaining a history for specific details about the injury (eg, mechanism, symptomatology, concussion history), followed by assessing neurocognitive function and balance, which is the focus of this article. The objective measures from balance testing can provide clinicians with an additional piece of the concussion puzzle, remove some of the guesswork in uncovering less obvious symptoms, and assist in determining readiness to return safely to participation.