A Narrative Review of Soccer-Related Concussion Management in Children and Adults Over the Past 10 Years.

Autor:	Castillo Rocha P; Neurology, Nicklaus Children's Hospital, Miami, USA., Beletanga MD; Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, USA., Pangrazio O; Orthopedics, CONMEBOL (Confederación Sudamericana de Fútbol) South American Football Confederation, Luque, PRY., Forriol F; Antidoping, CONMEBOL (Confederación Sudamericana de Fútbol) South American Football Confederation, Luque, PRY., Howards C; Management, WUSC (Wellesley United Soccer Club), Wellesley, USA., Franco-Liñan MC; Neurology, Boston University Chobanian & Avedisian School of Medicine, Boston, USA., Restrepo-Rodas G; Neurology, Boston University Chobanian & Avedisian School of Medicine, Boston, USA., Benitez Gutierrez DP; Neurology, Boston University Chobanian & Avedisian School of Medicine, Boston, USA., Perez A; Neurology, Nova Southeastern University, Fort Lauderdale, USA., Neuman J; Neurology, Boston University Chobanian & Avedisian School of Medicine, Boston, USA., Torres AR; Pediatrics, Boston University Chobanian & Avedisian School of Medicine, Boston, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Aug 22; Vol. 16 (8), pp. e67510. Date of Electronic Publication: 2024 Aug 22 (Print Publication: 2024).
DOI:	10.7759/cureus.67510
Abstrakt:	Soccer-related concussions (SRC) have increased despite an overall reduction of concussions across all sports activities. Few papers have studied the mechanism of injury, and have been mostly done in high-income countries or focused on small populations, preventing generalization. Our goal was to analyze the available data published about SRC over the past 10 years, independent of the country's income level. A narrative review was performed. The definition of sport-related concussion from the American Academy of Neurology and studies published between 2013 and 2023 were used. Of 1210 articles, 45 met the inclusion criteria. The results showed that SRC was more frequent in females (57.6%) than males (44.3%). Player-to-player interaction was the most common mechanism of injury, with midfielders being the most affected position. The first providers to diagnose were certified athletic trainers, within the first 24 hours. Neurological evaluations, including SCAT (Sport Assessment Concussion Tool) and ImPact (Immediate Post-concussion Assessment and Cognitive Testing), were included in 42.2% of the studies, with SCAT and ImPact specifically used in 15.5% and 11% of cases, respectively. Need for hospitalization was found in 8.9% of participants and one player required surgical intervention. At the time of the concussion, confusion, dizziness, and amnesia were reported frequently. However, after the concussion, headaches and dizziness were prevalent. Follow-up data were included in 35.5% of the studies. On average, children missed 15 practice days and returned to school after 8 days. In conclusion, future research should focus on the circumstances around head-to-head injuries by age, sex, and level of professionalism as well as the importance of early diagnosis and careful follow-up, to protect the players and improve their outcomes. Competing Interests: Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Castillo Rocha et al.)
Databáze:	MEDLINE
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