高强度运动对大学水平碰撞和竞技运动运动员颈椎测量、前庭/眼运动筛查和前庭–眼反射功能的影响  

Effect of High-Intensity Exercise on Measures of Cervical Spine, Vestibular/Ocular-Motor Screening, and Vestibulo-Ocular Reflex Func-tion in University Level Collision and Com-bative Sport Athletes

作　　者：唐晖 王雪峰 吴鑫浩 邴馨 郭娜 曹雪[3] 

机构地区：[1]空军招飞局济南选拔中心体检科,山东 济南 [2]空军招飞局体检办,北京 [3]山东大学附属山东省立医院耳鼻咽喉头颈外科,山东 济南 [4]山东第一医科大学附属山东省立医院耳鼻咽喉头颈外科,山东 济南

出　　处：《临床医学进展》2023年第7期11949-11963,共15页Advances in Clinical Medicine

摘　　要：目的:检查高强度体力消耗如何影响颈椎(CSp)、前庭/眼球运动屏幕(VOMS)和前庭眼球反射(VOR)功能的临床测量。方法:病例系列。设置:运动医学中心参与者:共有111名男性运动员同意参加(66名橄榄球运动员,45名摔跤运动员;中位年龄 = 17岁[范围16~19]岁)。主要结果测量:结果测量包括CSp测试(颈屈肌耐力、头部扰动测试、颈屈曲旋转测试和前外侧强度)、VOR (头部推力测试和动态视力[DVA]),以及VOMS的量化版本。在完成30-15间断体能测试之前和之后评估这些指标。使用Bland-Altman图和Wilcoxon符号秩检验分析数据,使用p 0.011)。结论:DVA表现降低,左前外侧力量降低,头晕加重。发生在大学碰撞和好斗运动员的高强度运动后,这对与运动相关的脑震荡的边线筛查有影响。Objectives: To examine how high-intensity physical exertion affects clinical measures of cervical spine (CSp), vestibular/ocular motor screen (VOMS), and vestibulo-ocular reflex (VOR) function. Method: Case series. Setting: Sports Medicine Centre. Participants: A total of 111 athletes consented to participate (66 rugby, 45 wrestling;median age = 17 years [range 16~19 years]). Main Outcome Measures: Outcome measures included tests of CSp (cervical flexor endurance, head perturbation test, cervical flexion rotation test and anterolateral strength), VOR (head thrust test and dynamic visual acuity [DVA]), and a quantified version of the VOMS. These metrics were assessed prior to and after completing the 30-15 Intermittent Fitness Test. Bland-Altman plots and Wilcoxon signed-rank tests were utilized to analyze the data using an alpha of p 0.011). Conclusion: Reduced performance on DVA, decreased left-anterolateral strength, and increased dizziness occurred following high-intensity exertion in varsity collision and combative athletes, which has implications for sideline screening for sport-related concussion.

关 键 词：外力 颈椎 前庭/眼动筛查 前庭眼反射 

分 类 号：G84[文化科学—体育训练]