关键词: Boxing brain imaging combat sports mixed martial arts safety

Mesh : Humans Martial Arts Brain Athletes Boxing Physicians Neuroimaging

来  源:   DOI:10.1080/00913847.2022.2083922

Abstract:
Professional boxing, kickboxing, and mixed martial arts (MMA) are popular sports with substantial risk for both acute and chronic traumatic brain injury (TBI). Although rare, combat sports athletes have died in the ring or soon after the completion of a bout. Deaths in these instances are usually the result of an acute catastrophic neurological event such as an acute subdural hematoma (SDH). Other causes may include acute epidural hematoma (EDH), subarachnoid hemorrhage (SAH), intraparenchymal hemorrhage (IPH), or a controversial, rare, and still disputed clinical entity called second-impact syndrome (SIS). Neuroimaging or brain imaging is currently included in the process of registering for a license to compete in combat sports in some jurisdictions of the United States of America and around the world. However, the required imaging specifics and frequency vary with no consensus guidelines. The Association of Ringside Physicians (an international, nonprofit organization dedicated to the health and safety of the combat sports athlete) sets forth this consensus statement to establish neuroimaging guidelines in combat sports. Commissions, ringside physicians, combat sports athletes, trainers, promoters, sanctioning bodies, and other healthcare professionals can use this statement for risk stratification of a professional combat sports athlete prior to licensure, identifying high-risk athletes and for prognostication of the brain health of these athletes over the course of their career. Guidelines are also put forth regarding neuroimaging requirements in the immediate aftermath of a bout.
摘要:
职业拳击,跆拳道,和混合武术(MMA)是流行的运动,对急性和慢性创伤性脑损伤(TBI)都有很大的风险。虽然罕见,搏击运动运动员在拳击场或比赛结束后不久死亡。这些情况下的死亡通常是急性灾难性神经系统事件的结果,例如急性硬膜下血肿(SDH)。其他原因可能包括急性硬膜外血肿(EDH),蛛网膜下腔出血(SAH),实质内出血(IPH),或者有争议的,罕见,仍然有争议的临床实体称为二次影响综合征(SIS)。神经成像或脑成像目前包括在美国和世界各地的一些司法管辖区的战斗体育比赛许可证的注册过程中。然而,所需的成像细节和频率因无共识指南而异.Ringside医师协会(国际,致力于战斗运动运动员的健康和安全的非营利组织)提出了这一共识声明,以建立战斗运动中的神经影像学指南。Commissions,圈子里的医生,格斗体育运动员,培训师,promotors,制裁机构,和其他医疗保健专业人员可以使用此声明在获得执照之前对专业战斗运动运动员进行风险分层,识别高风险运动员,并预测这些运动员在职业生涯中的大脑健康。还提出了有关回合后立即进行神经影像学检查要求的指南。
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