Sport-Related Concussions in High School Athletes: A Comprehensive Update.

IF 4.8 2区医学 Q1 CLINICAL NEUROLOGY

Current Neurology and Neuroscience Reports Pub Date : 2025-04-25 DOI:10.1007/s11910-025-01419-5

Annabelle Shaffer, Helen J Kemprecos, Maxwell G Woolridge, Nicholas D Soulakis, Paul M Arnold

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引用次数: 0

Abstract

Purpose of review: Sport-related concussions (SRC) in high school athletes are a growing public health concern, with recent advancements in epidemiology, pathophysiology, diagnosis, management, and prevention. We concisely summarize SRC in high school athletes, emphasizing current research and clinical implications.

Recent findings: Athletes are at significant risk of SRCs, with incidence varying by sport, sex, and competitive setting. Advances in pathophysiology highlight the role of metabolic disruption, inflammation, and axonal injury. Updated diagnostic tools, such as SCAT6, aid clinical evaluation, while advanced neuroimaging and biomarkers remain investigational. Return-to-sport/learn protocols emphasize a gradual, stepwise return. Preventative measures, including policy changes, neuromuscular training, and protective equipment, have reduced SRC incidence. Comprehensive SRC management includes recognition and removal from play followed by a structured return to sport/learning. Future research directions include biomarker validation, optimized prevention strategies, and long-term outcome assessment to reduce the burden of SRC in adolescent athletes.

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高中运动员的运动相关脑震荡：全面更新。

回顾目的：随着流行病学、病理生理学、诊断、管理和预防的最新进展，高中运动员的运动相关脑震荡（SRC）是一个日益受到关注的公共卫生问题。我们简要总结了高中运动员的SRC，强调了目前的研究和临床意义。最近的研究发现：运动员有显著的src风险，其发生率因运动、性别和竞争环境而异。病理生理学的进展强调了代谢破坏、炎症和轴突损伤的作用。更新的诊断工具，如SCAT6，有助于临床评估，而先进的神经成像和生物标志物仍在研究中。回归运动/学习协议强调循序渐进的回归。包括政策改变、神经肌肉训练和防护设备在内的预防措施降低了SRC的发病率。全面的SRC管理包括承认和退出比赛，然后有组织地重返运动/学习。未来的研究方向包括生物标志物验证、优化预防策略和长期结果评估，以减轻青少年运动员SRC的负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Neurology and Neuroscience Reports 医学-临床神经学

CiteScore

9.20

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Neurology and Neuroscience Reports provides in-depth review articles contributed by international experts on the most significant developments in the field. By presenting clear, insightful, balanced reviews that emphasize recently published papers of major importance, the journal elucidates current and emerging approaches to the diagnosis, treatment, management, and prevention of neurological disease and disorders. Presents the views of experts on current advances in neurology and neuroscience Gathers and synthesizes important recent papers on the topic Includes reviews of recently published clinical trials, valuable web sites, and commentaries from well-known figures in the field.