Pregledni rad
MILD TRAUMATIC BRAIN INJURIES IN YOUNG ATHLETES
Borislav Radić
; Neurološka klinika, KBC Zagreb
Din Duraković
; Medicinski fakultet Rijeka (student)
Sažetak
The aim of this review is to present a scientific
background given by recent pathophysiological studies on
sport-related mild traumatic brain injuries (MTBI), which
pay attention to long-term consequences and cognitive
deficits in cases of too early physical and cognitive
exertion after injuring, especially in children and
adolescents; to present recent understanding by which
MBTI should have more conservative approach in
judging of recovery period before return to play. MTBI
includes a transient complex mechanism of neural
function disturbances due to traumatic biomechanical
forces.
New pathophysiological and neurocognitive
research indicates that MBTI are more serious that was
estimated before. Pathophysiologicaly MBTI includes
diffuse axonal injury in initial phase as a consequence of
the rotational force, activation of the inflammatory
cascade, swelling, ishaemia, oxygen free radicals effects,
ion disturbances and programmed cell death in the
secondary phase. Release of neurotransmitters
contributes to the secondary phase. Therefore, MBTI
require more conservative approach regarding the return
to play decision. Physical and cognitive rest are
imperative for the acute healing period. Children and
adolescents with mild traumatic brain/head injuries
require a longer recovery period than adults. In cases of to
early return to play, new injury may lead to sustained
consequences. Prevention is directed to use of protective
equipment particularly in young athletes practising sports
with greater head injury risk, to change of some playing
rules, to unfair play discouraging as well to education.
Ključne riječi
mild traumatic head/ brain injuries; concussion; sports; prevention
Hrčak ID:
106254
URI
Datum izdavanja:
1.7.2013.
Posjeta: 1.831 *