@article {McPhersonS12作者={雅各布。麦克弗森和帕特里克•火花和穆罕默德最低点海德尔和巴里·斯图尔特Willer和约翰·j·Leddy}, title ={颈椎损伤的早期管理和延迟复苏的发病率在青少年急性脑震荡},体积={98}={1补充1},页面= {S12 - S12} = {2022}, doi = {10.1212/01. wnl.0000801840.43840.63},出版商= {Wolters Kluwer健康,公司代表美国神经病学学会},文摘={目的确定颈有脑震荡的青少年积极的结果在考试提供早期宫颈癌治疗演示恢复时间和持续post-concussive症状发生率(ppc,恢复= 30天)颈与那些没有发现。首页背景颈椎损伤产生的震荡性的损伤恢复时间较长的历史相关。伴随的颈椎损伤可能导致脑震荡症状重叠,包括头痛、头晕、耳鸣、睡眠障碍、视力模糊。目前的建议包括颈椎的评估;然而,有限的证据表明颈直接干预经济复苏的影响。设计/方法回顾性病例对照研究。患者包括青少年急性脑震荡呈现(n = 132, 14.99 {\ textpm} 1.9年,58 \ %男,5.70 {\ textpm}受伤后3.3天)没有(n = 138, 14.85 {\ textpm} 1.8年,65 \ %男,6.13 {\ textpm}受伤后3.4天)颈发现物理考试。与水牛脑震荡患者评估体格检查(BCPE),颈部残疾指数(NDI)和后震荡症状量表(pc)工具。组织分离基于BCPE颈积极或消极的结果。颈椎损伤是通过使用一个临床医生专攻脑震荡管理算法。轻度损伤保守管理(非处方止痛药,温暖/冷敷,和/或颈部伸展运动)。患者中度或更大的障碍是由物理治疗师在初始评估诊所遇到颈并给予具体的干预措施。结果颈Physician-observed发现温和的协议与自我报告的功能利尿(? = 0.414, p \< 0.001). Patients with cervical findings reported greater symptom severity on the PCSS (37.9 {\textpm} 22.1 vs 30.8 {\textpm} 20.2, p = 0.011); however, there was no significant difference in recovery time (34.44 {\textpm} 33.2 vs 34.81 {\textpm} 39.0 days, p = 0.933) or incidence of persistent symptoms (39\% vs 35\%, p = 0.511).Conclusions In this group of adolescents, cervical impairment managed early after concussion was not associated with prolonged recovery. Early management of cervical impairments may reduce the development of PPCS. Prospective evaluation is warranted.}, issn = {0028-3878}, URL = {//www.ez-admanager.com/content/98/1_Supplement_1/S12.1}, eprint = {//www.ez-admanager.com/content/98/1_Supplement_1/S12.1.full.pdf}, journal = {Neurology} }