Uma Revisão Sistemática dos Possíveis Efeitos a Longo Prazo Concussão Relacionada Ao Esporte

Por: Andrew J Gardner, Barry D Jordan, Charles H Tator, Christopher Randolph, Geoff T Manley, Grant L Iverson, Jiří Dvořák, Julian Bailes, K. Alix Hayden, Kathryn J Schneider, Kevin M Guskiewicz, Michael Turner, Paul Mccrory, Robert C Cantu e Rudolph J Castellani.

British Journal Of Sports Medicine (bjsm) - 2017

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Resumo

Objetivo Revisão sistemática de possíveis efeitos al longo prazo da concussão relacionada ao esporte em atletas aposentados.

Fontes de dados Dez bancos de dados eletrônicos.

Escopo Pesquisa original; incidência, risco, fatores ou causas relacionadas à saúde mental a longo prazo
ou problemas neurológicos; indivíduos que sofreram uma concussão; atletas aposentados como os sujeitos e
seqüelas a longo prazo definidas como> 10 anos após a lesão.

Dados População do estudo, exposição / resultado medidas, dados clínicos, exame neurológico, avaliação cognitiva,  neuroimagem e resultados de neuropatologia. Risco de viés e nível de as evidências foram avaliadas por dois autores.

Resultados Após a revisão de 3819 estudos, 47 atingiram critério de inclusão. Alguns ex-atletas têm depressão e déficits cognitivos mais tarde na vida, e há uma associação entre esses déficits e múltiplosconcussões. Ex-atletas não estão em aumento risco de morte por suicídio (dois estudos). Ex-jogadores de futebol americano não parecem estar em maior risco de vida neurodegenerativa (dois estudos). Alguns Jogadores de futebol americano podem estar em maior risco de diminuição do funcionamento cognitivo ou cognitivo leve (vários estudos) e doenças neurodegenerativas (um estudo). Estudos de neuroimagem mostram pouca evidência de características macroestruturais, microestruturais, funcionais e alterações neuroquímicas em alguns atletas.

Conclusão As concussões múltiplas parecem ser Fator de risco para comprometimento cognitivo e saúde mental em alguns indivíduos. Mais pesquisas são necessárias para entender melhor a prevalência de doenças traumáticas encefalopatia e outras condições neurológicas e até que ponto elas estão relacionadas
concussões e / ou neurotraumatismo repetitivo nos Esportes.

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Endereço: https://bjsm.bmj.com/content/early/2017/04/28/bjsports-2017-097791.info

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