PAC-12 州男女大学生运动员在运动相关脑震荡急性症状表现和恢复时间上的名义差异。

IF 4.1 2区 医学 Q1 SPORT SCIENCES Sports Medicine - Open Pub Date : 2024-04-02 DOI:10.1186/s40798-024-00699-4
Niki A Konstantinides, Sean M Murphy, Bridget M Whelan, Kimberly G Harmon, Sourav K Poddar, Theresa D Hernández, Rachel K Rowe
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引用次数: 0

摘要

背景:运动相关脑震荡(SRC)是一种异质性损伤,通常表现出不同的症状和损伤。最近,研究重点是确定脑震荡的亚型或临床特征,以用于评估和治疗 SRC 运动员。本研究的目的是调查太平洋十二校联盟(Pac-12)的大学生运动员在脑震荡后的临床特征、恢复持续时间和初始症状严重程度方面的性别差异:这项前瞻性队列研究利用太平洋十二联盟关怀附属计划和太平洋十二联盟健康分析计划的数据,对SRC后的症状、恢复情况和重返赛场时间进行了研究。学生运动员报告的临床特征是根据每个特征中经常报告的特定症状的数量(> 50%)来定义的。采用广义线性混合模型来研究性别、临床特征、恢复时间和重返赛场时间之间的关联:结果:479 起脑震荡事件符合纳入标准。每种临床特征的初始出现概率、初始损伤严重程度评分和特征内的恢复时间在性别间没有差异(p = 0.33-0.98)。然而,男性和女性出现认知和眼部特征的概率均大于 0.75。初始损伤严重程度评分对临床特征的初始数量有很强的非线性预测作用(p 结论:初始损伤严重程度评分对临床特征的初始数量有很强的非线性预测作用:初始症状严重程度对 SRC 后急性临床特征的数量有很强的预测作用。随着临床症状数量的增加,恢复时间和重返赛场时间也会增加。除性别因素外,其他因素可能与脑震荡后急性症状表现有更好的关联,因为在报告的临床表现或恢复方面没有发现性别差异。了解脑震荡后临床表现的数量和类型有助于脑震荡的诊断和管理。
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Nominal Differences in Acute Symptom Presentation and Recovery Duration of Sport-Related Concussion Between Male and Female Collegiate Athletes in the PAC-12.

Background: Sport-related concussion (SRC) is a heterogenous injury that often presents with varied symptoms and impairment. Recently, research has focused on identifying subtypes, or clinical profiles of concussion to be used in assessing and treating athletes with SRC. The purpose of this study was to investigate sex differences in clinical profiles, recovery duration, and initial symptom severity after SRC in a cohort of collegiate athletes in the Pacific-12 Conference (Pac-12).

Methods: This prospective cohort study examined post-SRC symptoms, recovery, and return-to-play times using data from the Pac-12 CARE Affiliated Program and Pac-12 Health Analytics Program. Clinical profiles reported by student-athletes were defined by the number (> 50%) of specific symptoms frequently reported for each profile. Generalized linear mixed models were used to examine associations among sex, clinical profiles, time-to-recovery, and return-to-play times.

Results: 479 concussion incidents met inclusion criteria. The probabilities of initial presentation of each clinical profile, initial injury severity scores, and recovery times within a profile did not differ between sexes (p = 0.33-0.98). However, both males and females had > 0.75 probabilities of exhibiting cognitive and ocular profiles. Initial injury severity score was a strong nonlinear predictor of initial number of clinical profiles (p < 0.0001), which did not differ between sexes. The number of clinical profiles was also a nonlinear predictor of time-to-recovery (p = 0.03) and return-to-play times (p < 0.0001).

Conclusions: Initial symptom severity was strongly predictive of the number of acute clinical profiles experienced post-SRC. As the number of clinical profiles increased, time-to-recovery and time to return-to-play also increased. Factors other than sex may be better associated with acute symptom presentation post-concussion as no sex differences were found in reported clinical profiles or recovery. Understanding the number and type of clinical profiles experienced post-SRC may help inform concussion diagnostics and management.

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来源期刊
Sports Medicine - Open
Sports Medicine - Open SPORT SCIENCES-
CiteScore
7.00
自引率
4.30%
发文量
142
审稿时长
13 weeks
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