Autonomic nervous system dysfunction in pediatric sport-related concussion: a systematic review.

Q3 Health Professions Journal of the Canadian Chiropractic Association Pub Date : 2023-12-01

Andrew Parks, Sheilah Hogg-Johnson

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Abstract

Objective: To identify, appraise and synthesize the evidence of autonomic nervous system (ANS) dysfunction following sport-related concussion in pediatric populations.

Methods: A literature search was conducted using MEDLINE (Ovid), SportDiscus (EBSCO), CINAHL (EBSCO), EMBASE (Ovid) and PsycINFO (Ovid). Studies were selected and appraised using the Joanna Briggs Institute (JBI) critical appraisal tools. Data was extracted from the included studies and qualitatively synthesized.

Results: Eleven studies were included in the synthesis. There was variability in the methods used to measure ANS function between studies, and sample populations and time to assessment following concussion varied considerably. There was also variability in the direction of change of ANS function between some studies.

Conclusion: This systematic review identifies that concussion is associated with dysregulation of ANS function in pediatric athletes. We identified some weaknesses in the extant literature which may be due to existing logistical and financial barriers to implementing valid ANS measurements in clinical and sports settings.

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小儿运动相关脑震荡的自主神经系统功能障碍：系统性综述。

目的识别、评估和综合儿科人群运动相关脑震荡后自律神经系统（ANS）功能障碍的证据：方法：使用 MEDLINE (Ovid)、SportDiscus (EBSCO)、CINAHL (EBSCO)、EMBASE (Ovid) 和 PsycINFO (Ovid) 进行文献检索。采用乔安娜-布里格斯研究所（JBI）的关键评估工具对研究进行筛选和评估。从纳入的研究中提取数据并进行定性综合：结果：有 11 项研究被纳入综述。不同的研究在测量自律神经系统功能的方法上存在差异，样本人群和脑震荡后的评估时间也有很大不同。一些研究在自律神经系统功能的变化方向上也存在差异：本系统综述指出，脑震荡与小儿运动员自律神经系统功能失调有关。我们在现有文献中发现了一些不足之处，这可能是由于在临床和运动环境中实施有效的自律神经系统测量存在后勤和财务障碍。

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来源期刊

Journal of the Canadian Chiropractic Association Health Professions-Chiropractics

CiteScore

0.90

自引率

0.00%

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期刊介绍： The Journal of the Canadian Chiropractic Association (JCCA) publishes research papers, commentaries and editorials relevant to the practice of chiropractic.