Učinci tjelesnog vježbanja na oporavak mladih sportaša od posljedica potresa mozga

master's thesis

• Title (english): Effects of exercise on recovery after concussion in young athletes
• Author: Matko Leović
• Mentor: Hana Brborović (mentor)
• Committee member: Milan Milošević (predsjednik povjerenstva)
• Committee member: Ksenija Vitale (član povjerenstva)
• Committee member: Hana Brborović (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Environmental and Occupational Health); Zagreb
• Defense date and country: 2020-07-17, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Public Health and Health Care; Occupational and Sports Medicine

Abstract

Potres mozga povezan sa sportom česta je posljedica traumatskog incidenta u mladih sportaša koji se moţe dogoditi na treningu ili utakmici. Bitna je hitna reakcija medicinske službe na mjestu ozljede, a dijagnosticiranje potresa mozga i težina ozljede provode se putem posebno dizajniranog upitnika (npr. SCAT5) kako bi se odredilo koji sportaš se može odmah vratiti sportskoj aktivnosti, a kod kojega je potrebna daljnja dijagnostička obrada. Simptomi potresa mozga su nespecifični što otežava postavljanje dijagnoze. Najčešći simptomi su glavobolja i omaglica, a simptomi se dijele u četiri kategorije: tjelesni, kognitivni, emocionalni i poremećaji spavanja.Većina simptoma se povlači unutar prvih tjedan dana od ozljede, no 10% djece će imati i simptome kroz duži period. Ukoliko simptomi traju duže od mjesec dana govori se o kroničnom post-komocijskom sindromu, KPKS. Donedavno se smatralo kako je strogi odmor najbolji način za oporavak mladih sportaša, no na temelju recenzije 60 000
članaka, CISG konferencija (prema engl. Concussion in Sport Group) donijela je preporuku o uvođenju aerobnog vježbanja u tretman oporavka mladih sportaša. Suboptimalno aerobno vježbanje koje potencira 60 do 80% maksimalnog srčanog ritma pri izvođenju vježbi pokazalo se kao tretman koji uspješno djeluje na regulaciju parcijalnog tlaka ugljikovog dioksida u krvi i smanjenje moždanog protoka krvi. Iako dosadašnje studije ohrabruju istraživače o učincima aerobnog vježbanja, potrebna su daljnja istraživanja kako bi se razvili točni parametri i modaliteti liječenja.

Abstract (english)

Sports-related concussion is a common result after traumatic incident which can occur at training ground or during the game. Emergence reaction is necessary at the place where the injury have occured, and diagnostics and injury severity are established through specifically designed questionnaire (e.g. SCAT5) to determine which player can return to sports activity
and which player must go through further diagnostics evaluation. The symptoms of concussion are not specific and thus is harder to establish proper diagnosis. The most common symptoms are headache and dizziness and symptoms are divided into four main categories: somatic, cognitive, emotional and sleep disorders. Most of the symptoms are resolved in first week after injury, but 10% of children will have symptoms after that period. If symptoms last longer than one month, diagnosis of persistent post-concussive syndrome can be established. Until recently, treatment recommendation for these patients was strict rest, but after reviewng over 60 000 articles CISG conference declared new recommendation to include aerobic exercise into young athlete's treatment. Suboptimal aerobic exercise which potentiate 60-80% of maximum heart rate during exercising was shown to be effective in reducing partial pressure of carbon dioxide and in reducing cerebral blood flow. Although up-to-date studies are very convincing, further studies are needed to establish exact treatment parameters and modalities.

• Keywords: potres mozga; kronični post-komocijski sindrom; srčani ritam; aerobno vježbanje
• Keywords (english): concussion; persisent post-concussive snydrome; heart rate; aerobic exercis
• Language: croatian
• URN:NBN: urn:nbn:hr:105:070739
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-04-15 07:38:35