References

mes

Экстремальная биомедицина

Extreme Medicine

3033-89643033-8972

Centre for Strategic Planning of the Federal Medical and Biological Agency

10.47183/mes.2021.026

mes-174

Research Article

ОБЗОР

REVIEW

«Болевые точки» сотрясения головного мозга у юных спортсменов

Brain concussion in young athletes: major pain points

Ключников

С. О.

Klyuchnikov

S. O.

ул. Раевского, д. 4, 121151, г. Москва

Raevskogo, 4, 121151, Moscow

Фещенко

В. С.

Feshchenko

V. S.

ул. Раевского, д. 4, 121151, г. Москва

Raevskogo, 4, 121151, Moscow

Жолинский

А. В.

Zholinsky

A. V.

ул. Раевского, д. 4, 121151, г. Москва

Raevskogo, 4, 121151, Moscow

Тарасова

М. С.

Tarasova

M. S.

Мария Сергеевна Тарасова

ул. Раевского, д. 4, 121151, г. Москва

Maria S. Tarasova

Raevskogo, 4, 121151, Moscow

tarasovams@sportfmba.ru

Сливин

А. В.

Slivin

A. V.

ул. Раевского, д. 4, 121151, г. Москва

Raevskogo, 4, 121151, Moscow

Ефимов

П. В.

Efimov

P. V.

ул. Раевского, д. 4, 121151, г. Москва

Raevskogo, 4, 121151, Moscow

Федеральный научно-клинический центр спортивной медицины и реабилитации Федерального медико-биологического агентстваРоссияFederal Research and Clinical Center of Sports Medicine and Rehabilitation of FMBARussian Federation

Федеральный научно-клинический центр спортивной медицины и реабилитации Федерального медико-биологического агентства; Российский национальный исследовательский медицинский университет имени Н. И. ПироговаРоссияFederal Research and Clinical Center of Sports Medicine and Rehabilitation of FMBA; Pirogov Russian National Research Medical UniversityRussian Federation

Российский национальный исследовательский медицинский университет имени Н. И. ПироговаРоссияPirogov Russian National Research Medical UniversityRussian Federation

2021

27102024

233123130

2024

Ключников С.О., Фещенко В.С., Жолинский А.В., Тарасова М.С., Сливин А.В., Ефимов П.В.

Klyuchnikov S.O., Feshchenko V.S., Zholinsky A.V., Tarasova M.S., Slivin A.V., Efimov P.V.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.extrememedicine.ru/jour/article/view/174

Проведенные в последние десятилетия многочисленные исследования позволили получить большой объем научной информации по проблемам, связанным со спорт-ассоциированными сотрясениями головного мозга. В обзоре сделан анализ мировых данных о сотрясении головного мозга при занятиях спортом детей и юных спортсменов. Обсуждены «болевые точки» проблемы, к которым авторы относят сложные и нерешенные вопросы по критериям диагностики, применению современных методов нейровизуализации и перспективных биомаркеров с учетом новых научных данных о патофизиологических механизмах сотрясений головного мозга. Большое внимание уделено описанию физиологических особенностей детей и подростков и предрасполагающих факторов, значимых как для диагностики, так и для тактики ведения при возникновении этого состояния. Сформулированы актуальные задачи, решение которых необходимо для совершенствования практики спортивной медицины при сотрясении головного мозга у спортсменов детско-юношеского возраста.

Numerous studies conducted in recent decades have generated vast amounts of knowledge on sport-related concussions. This review analyzes international data on pediatric and adolescent sport-related concussions. Drawing on the most recent research into the pathophysiology of brain concussions, the authors identify and discuss “pain points” associated with SRC, i.e. unsolved problems of diagnostic criteria, the use of modern neuroimaging modalities and promising biomarkers. Special attention is paid to the physiology of children and adolescents and predisposing factors important for developing adequate diagnostic and management strategies. The authors formulate problems that need to be solved in order to improve care for young athletes with brain concussions.

спорт высших достиженийсотрясение головного мозгадетско-юношеский спорт

elite athletesbrain concussionyouth sports

Статья подготовлена в рамках прикладной научно-исследовательской работы «Клинико-прогностическое значение особенностей нейрометаболического каскада для развития отсроченных осложнений гипоксических и травматических повреждений мозга у спортсменов» (шифр темы: «Нейрокаскад-20», код темы: 76.35.41), выполненной ФГБУ ФНКЦСМ ФМБА России по государственному заданию на 2020–2021 год.

This review is part of the applied research study on the Clinical and prognostic significance of neurometabolic cascade for the development of delayed complications of hypoxic and traumatic brain injuries in athletes (Neurocascade-20, ID 76.35.41) conducted by the Federal Research and Clinical Center of Sports Medicine and Rehabilitation of FMBA under the State Assignment for years 2020–2021.

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The authors declare that there are no conflicts of interest present.