种族对大学生运动员运动脑震荡后症状缓解时间的影响》(The Influence of Race on Time to Symptom Resolution Following Sport Concussion in Collegiate Athletes)。

IF 1.3 4区 医学 Q3 REHABILITATION
Angelina M Domena, Daniel J Rosenblum, Catherine C Donahue, Jacob E Resch
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引用次数: 0

摘要

背景:种族已被证明会影响计算机化神经认知测试得分、运动功能测试得分以及运动相关脑震荡(SRC)后的症状报告。然而,种族对脑震荡后恢复时间的影响仍是未知数。本研究的目的是确定比赛对 NCAA 第一组大学生运动员脑震荡后无症状天数的影响:设计:前瞻性队列研究:参与者为黑人(n = 53 [女性占 28%])和白人(n = 150 [女性占 43.3%]),平均年龄分别为 19.0 (1.21) 岁和 20.2 (1.3)岁。数据收集时间为 2015-2016 年至 2020-2021 年大学生运动赛季。根据经验得出的时间点,对参与者进行了SRC前后的评估。主要结果指标是无症状时间(天数)。其他结果包括基线和受伤后即刻脑震荡评估、认知测试和感官组织测试(SOT)得分。Mann-Whitney U 检验比较了不同组间的无症状天数。脑震荡后即刻评估和认知测试以及感官组织测试结果得分采用2(组别)×2(时间)方差分析进行分析:结果:与黑人参与者(6 天 [P = .04])相比,白人参与者无症状恢复时间的中位数(9 天)更长。在脑震荡后即刻评估和认知测试的言语记忆综合得分方面,黑人组 87.3(9.84)分,白人组 90.4(8.30)分,两组之间存在明显的统计学差异(P = .03)。与黑人参与者(42.4(5.90)[P = .02])相比,白人参与者受伤后在视觉运动速度方面的得分显著高于黑人参与者(44.5(5.63)[P = .02])。在基线测试和受伤后测试之间,两组均观察到组内 SOT 差异(所有 P <.001):结论:与白人运动员相比,黑人大学生运动员更早地缓解了症状。我们没有探讨潜在的社会文化因素,如社会经济地位或以前接受过的脑震荡教育,这些因素可能会影响我们的研究结果。未来的研究应探讨可能影响这些结果的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Influence of Race on Time to Symptom Resolution Following Sport Concussion in Collegiate Athletes.

Context: Race has been shown to influence computerized neurocognitive test scores, motor function test scores, and reported symptomology following sport-related concussion (SRC). However, the effect race may have on recovery time following SRC remains unknown. The objective of this study was to determine the influence of race on days until symptom free from SRC in NCAA Division 1 collegiate athletes.

Design: Prospective cohort study.

Methods: Participants were Black (n = 53 [28% female]) and White (n = 150 [43.3% female]) who were on average 19.0 (1.21) and 20.2 (1.3) years of age, respectively. Data were collected from the 2015-2016 to 2020-2021 collegiate sport seasons. Participants were evaluated before and after an SRC at empirically derived time points. The primary outcome measure was time until symptom free (days). Additional outcomes included baseline and postinjury Immediate Postconcussion Assessment and Cognitive Test and Sensory Organization Test (SOT) scores. A Mann-Whitney U test compared days to symptom free between groups. Immediate Postconcussion Assessment and Cognitive Test and SOT outcome scores were analyzed using a 2 (group) × 2 (time) analysis of variance.

Results: White participants had a longer median recovery time (9 d) to symptom free compared with Black participants (6 d [P = .04]). Statistically significant differences were observed between Black 87.3 (9.84) and White 90.4 (8.30) groups for Immediate Postconcussion Assessment and Cognitive Test's verbal memory composite score (P = .03). Postinjury, White participants scored significantly higher 44.5 (5.63) on visual motor speed compared with Black participants (42.4 (5.90) [P = .02]). Within-group SOT differences between baseline and postinjury testing were observed in both groups (all P < .001).

Conclusions: Black collegiate athletes achieved symptom resolution sooner than White athletes. We did not explore underlying sociocultural factors such as socioeconomic status or previous concussion education, which may have influenced our results. Future studies should explore factors that may contextualize these findings.

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来源期刊
Journal of Sport Rehabilitation
Journal of Sport Rehabilitation 医学-康复医学
CiteScore
3.20
自引率
5.90%
发文量
143
审稿时长
>12 weeks
期刊介绍: The Journal of Sport Rehabilitation (JSR) is your source for the latest peer-reviewed research in the field of sport rehabilitation. All members of the sports-medicine team will benefit from the wealth of important information in each issue. JSR is completely devoted to the rehabilitation of sport and exercise injuries, regardless of the age, gender, sport ability, level of fitness, or health status of the participant. JSR publishes peer-reviewed original research, systematic reviews/meta-analyses, critically appraised topics (CATs), case studies/series, and technical reports that directly affect the management and rehabilitation of injuries incurred during sport-related activities, irrespective of the individual’s age, gender, sport ability, level of fitness, or health status. The journal is intended to provide an international, multidisciplinary forum to serve the needs of all members of the sports medicine team, including athletic trainers/therapists, sport physical therapists/physiotherapists, sports medicine physicians, and other health care and medical professionals.
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