Abstract：
The 6th International Consensus Conference on Concussion in Sport, Amsterdam 2022, addressed sport-related concussion (SRC) in adults, adolescents, and children. We highlight the updated evidence-base and recommendations regarding SRC in children (5-12 years) and adolescents (13-18 years). Prevention strategies demonstrate lower SRC rates with mouthguard use, policy disallowing bodychecking in ice hockey, and neuromuscular training in adolescent rugby. The Sport Concussion Assessment Tools (SCAT) demonstrate robustness with the parent and child symptom scales, with the best diagnostic discrimination within the first 72 hours postinjury. Subacute evaluation (>72 hours) requires a multimodal tool incorporating symptom scales, balance measures, cognitive, oculomotor and vestibular, mental health, and sleep assessment, to which end the Sport Concussion Office Assessment Tools (SCOAT6 [13+] and Child SCOAT6 [8-12]) were developed. Rather than strict rest, early return to light physical activity and reduced screen time facilitate recovery. Cervicovestibular rehabilitation is recommended for adolescents with dizziness, neck pain, and/or headaches for greater than 10 days. Active rehabilitation and collaborative care for adolescents with persisting symptoms for more than 30 days may decrease symptoms. No tests and measures other than standardized and validated symptom rating scales are valid for diagnosing persisting symptoms after concussion. Fluid and imaging biomarkers currently have limited clinical utility in diagnosing or assessing recovery from SRC. Improved paradigms for return to school were developed. The variable nature of disability and differences in evaluating para athletes and those of diverse ethnicity, sex, and gender are discussed, as are ethical considerations and future directions in pediatric SRC research.
The 6th International Consensus Conference on Concussion in Sport, Amsterdam 2022, addressed sport-related concussion (SRC) in adults, adolescents, and children. We highlight the updated evidence-base and recommendations regarding SRC in children (5-12 years) and adolescents (13-18 years). Prevention strategies demonstrate lower SRC rates with mouthguard use, policy disallowing bodychecking in ice hockey, and neuromuscular training in adolescent rugby. The Sport Concussion Assessment Tools (SCAT) demonstrate robustness with the parent and child symptom scales, with the best diagnostic discrimination within the first 72 hours postinjury. Subacute evaluation (>72 hours) requires a multimodal tool incorporating symptom scales, balance measures, cognitive, oculomotor and vestibular, mental health, and sleep assessment, to which end the Sport Concussion Office Assessment Tools (SCOAT6 [13+] and Child SCOAT6 [8-12]) were developed. Rather than strict rest, early return to light physical activity and reduced screen time facilitate recovery. Cervicovestibular rehabilitation is recommended for adolescents with dizziness, neck pain, and/or headaches for greater than 10 days. Active rehabilitation and collaborative care for adolescents with persisting symptoms for more than 30 days may decrease symptoms. No tests and measures other than standardized and validated symptom rating scales are valid for diagnosing persisting symptoms after concussion. Fluid and imaging biomarkers currently have limited clinical utility in diagnosing or assessing recovery from SRC. Improved paradigms for return to school were developed. The variable nature of disability and differences in evaluating para athletes and those of diverse ethnicity, sex, and gender are discussed, as are ethical considerations and future directions in pediatric SRC research.
摘要：
第六届体育运动脑震荡国际共识会议，阿姆斯特丹2022，解决了成年人与运动相关的脑震荡（SRC），青少年,还有孩子.我们重点介绍了有关儿童（5-12岁）和青少年（13-18岁）SRC的最新证据基础和建议。预防策略显示使用护口器的SRC发生率较低，政策不允许在冰球中进行身体检查，和青少年橄榄球的神经肌肉训练。运动脑震荡评估工具(SCAT)证明了父母和儿童症状量表的稳健性，在受伤后的前72小时内具有最佳的诊断区分。亚急性评估（>72小时）需要结合症状量表的多模式工具，平衡措施，认知，动眼和前庭，心理健康,和睡眠评估，为此，开发了运动脑震荡办公室评估工具(SCOAT6[13+]和儿童SCOAT6[8-12])。而不是严格的休息，尽早恢复轻度体力活动，减少屏幕时间有利于恢复。建议对头晕的青少年进行颈前庭康复，颈部疼痛,和/或头痛超过10天。对持续症状超过30天的青少年进行积极的康复和协作护理可能会减轻症状。除了标准化和有效的症状评定量表外，没有其他测试和措施可用于诊断脑震荡后的持续症状。流体和成像生物标志物目前在诊断或评估从SRC的恢复方面具有有限的临床效用。改进了重返学校的范例。残疾的可变性质以及评估副运动员和不同种族运动员的差异，性别,讨论性别，儿科SRC研究的伦理考虑和未来方向。
第六届体育运动脑震荡国际共识会议，阿姆斯特丹2022，解决了成年人与运动相关的脑震荡（SRC），青少年,还有孩子.我们重点介绍了有关儿童（5-12岁）和青少年（13-18岁）SRC的最新证据基础和建议。预防策略显示使用护口器的SRC发生率较低，政策不允许在冰球中进行身体检查，和青少年橄榄球的神经肌肉训练。运动脑震荡评估工具(SCAT)证明了父母和儿童症状量表的稳健性，在受伤后的前72小时内具有最佳的诊断区分。亚急性评估（>72小时）需要结合症状量表的多模式工具，平衡措施，认知，动眼和前庭，心理健康,和睡眠评估，为此，开发了运动脑震荡办公室评估工具(SCOAT6[13+]和儿童SCOAT6[8-12])。而不是严格的休息，尽早恢复轻度体力活动，减少屏幕时间有利于恢复。建议对头晕的青少年进行颈前庭康复，颈部疼痛,和/或头痛超过10天。对持续症状超过30天的青少年进行积极的康复和协作护理可能会减轻症状。除了标准化和有效的症状评定量表外，没有其他测试和措施可用于诊断脑震荡后的持续症状。流体和成像生物标志物目前在诊断或评估从SRC的恢复方面具有有限的临床效用。改进了重返学校的范例。残疾的可变性质以及评估副运动员和不同种族运动员的差异，性别,讨论性别，儿科SRC研究的伦理考虑和未来方向。
