关键词: Boxing combat sports concussion craniofacial injury head injury headguard karate mixed martial arts taekwondo wrestling

Mesh : Humans Athletic Injuries / prevention & control Boxing / injuries Brain Concussion / prevention & control Facial Injuries / prevention & control Head Protective Devices

来  源:   DOI:10.1080/00913847.2023.2242415

Abstract:
Headguard use is appropriate during some combat sports activities where the risks of injury to the face and ears are elevated. Headguards are highly effective in reducing the incidence of facial lacerations in studies of amateur boxers and are just as effective in other striking sports. They should be used in scenarios - especially sparring prior to competitions - where avoidance of laceration and subsequent exposure to potential blood-borne pathogens is important. Headguards are appropriate where avoidance of auricular injury is deemed important; limited data show a marked reduction in incidence of auricular injury in wrestlers wearing headguards.Headguards should not be relied upon to reduce the risk of concussion or other traumatic brain injury. They have not been shown to prevent these types of injuries in combat sports or other sports, and human studies on the effect of headguards on concussive injury are lacking. While biomechanical studies suggest they reduce linear and rotational acceleration of the cranium, changes in athlete behavior to more risk-taking when wearing headguards may offset any risk reduction. In the absence of high-quality studies on headguard use, the Association of Ringside Physicians recommends that further research be conducted to clarify the role of headguards in all combat sports, at all ages of participation. Furthermore, in the absence of data on gender differences, policies should be standardized for men and women.
摘要:
在一些战斗体育活动中,使用护头是合适的,因为这些活动会增加面部和耳朵受伤的风险。在业余拳击手的研究中,护头在减少面部撕裂的发生率方面非常有效,在其他引人注目的运动中也同样有效。它们应用于场景中-尤其是在比赛前的陪练-在这种情况下,避免撕裂和随后暴露于潜在的血液传播病原体很重要。在认为避免耳廓受伤很重要的情况下,护头是合适的;有限的数据显示,戴护头的摔跤手的耳廓受伤发生率显着降低。不应依靠护头来降低脑震荡或其他创伤性脑损伤的风险。它们没有被证明可以防止战斗运动或其他运动中的这些类型的伤害,缺乏关于护头对脑震荡损伤影响的人类研究。虽然生物力学研究表明它们降低了头盖骨的线性和旋转加速度,当佩戴护头时,运动员行为的变化会更冒险,这可能会抵消任何风险降低。在缺乏关于护头使用的高质量研究的情况下,Ringside医师协会建议进行进一步研究,以阐明护卫在所有战斗运动中的作用,在所有年龄的参与。此外,在缺乏性别差异数据的情况下,男女政策应该标准化。
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