脳震盪の治療と管理の最新事情(What’s new in concussion treatment and management)

2024-04-02

2024-03—27 ミシガン大学

全米アスレチックトレーナーズ協会が2014年の声明を更新し、脳震盪に関する新しいガイドラインを発表しました。これには、脳震盪後の運転に関する推奨事項、前庭眼球評価、評価および時期に関する最新のガイダンス、メンタルヘルス評価、そして患者を学校や活動に復帰させる戦略が含まれます。これらの変更は、アスリートやその家族、医療従事者にとって重要な情報源です。

<関連情報>

全米アスレティックトレーナーズ協会ブリッジステートメント: スポーツ関連脳震盪の管理
National Athletic Trainers’ Association Bridge Statement: Management of Sport-Related Concussion

Steven P. Broglio, PhD, ATC;Johna K. Register-Mihalik, PhD, ATC, LAT;Kevin M. Guskiewicz, PhD, ATC;John J. Leddy, MD;Alejandra Merriman, DAT, ATC, CES;Tamara C. Valovich McLeod, PhD, ATC
Journal of Athletic Training Published:March 26 2024
DOI:https://doi.org/10.4085/1062-6050-0046.22

Objective
To provide athletic trainers and team physicians with updated recommendations to the 2014 National Athletic Trainers’ Association (NATA) concussion position statement regarding concussion management, specifically in the areas of education, assessment, prognostic factors, mental health, return to academics, physical activity, rest, treatment, and return to sport.

Background
Athletic trainers have benefited from the 2 previous NATA position statements on concussion management, and although the most recent NATA position statement is a decade old, knowledge gains in the medical literature warrant updating several (but not all) recommendations. Furthermore, in various areas of the body of literature, current evidence now exists to address items not adequately addressed in the 2014 statement, necessitating the new recommendations. This document therefore serves as a bridge from the 2014 position statement to the current state of concussion evidence, recommendations from other organizations, and discrepancies between policy and practice.

Recommendations
These recommendations are intended to update the state of the evidence concerning the management of patients with sport-related concussion, specifically in the areas of education; assessment advances; prognostic recovery indicators; mental health considerations; academic considerations; and exercise, activity, and rehabilitation management strategies.