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Professional paper - Review paper
BLAGE TRAUMATSKE OZLJEDE GLAVE U MLADIH SPORTAŠA
Hrvatski športskomedicinski vjesnik, 28 (2013), 1; 3-6. urn:nbn:hr:184:649979
Radić, Borislav; Duraković, Din

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Radić, B. & Duraković, D. (2013). BLAGE TRAUMATSKE OZLJEDE GLAVE U MLADIH SPORTAŠA. Hrvatski športskomedicinski vjesnik, 28. (1), 3-6. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:649979

Radić, Borislav and Din Duraković. "BLAGE TRAUMATSKE OZLJEDE GLAVE U MLADIH SPORTAŠA." Hrvatski športskomedicinski vjesnik, vol. 28, no. 1, 2013, pp. 3-6. https://urn.nsk.hr/urn:nbn:hr:184:649979

Radić, Borislav and Din Duraković. "BLAGE TRAUMATSKE OZLJEDE GLAVE U MLADIH SPORTAŠA." Hrvatski športskomedicinski vjesnik 28, no. 1 (2013): 3-6. https://urn.nsk.hr/urn:nbn:hr:184:649979

Radić, B. and Duraković, D. (2013) 'BLAGE TRAUMATSKE OZLJEDE GLAVE U MLADIH SPORTAŠA', Hrvatski športskomedicinski vjesnik, 28(1), pp. 3-6. Available at: https://urn.nsk.hr/urn:nbn:hr:184:649979 (Accessed 15 February 2025)

Radić B, Duraković D. BLAGE TRAUMATSKE OZLJEDE GLAVE U MLADIH SPORTAŠA. Hrvatski športskomedicinski vjesnik [Internet]. 2013 [cited 2025 February 15];28(1):3-6. Available at: https://urn.nsk.hr/urn:nbn:hr:184:649979

B. Radić and D. Duraković, "BLAGE TRAUMATSKE OZLJEDE GLAVE U MLADIH SPORTAŠA", Hrvatski športskomedicinski vjesnik, vol. 28, no. 1, pp. 3-6, 2013. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:649979. [Accessed: 15 February 2025]

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Metadata
Title (croatian)BLAGE TRAUMATSKE OZLJEDE GLAVE U MLADIH SPORTAŠA
Title (english)MILD TRAUMATIC BRAIN INJURIES IN YOUNG ATHLETES
AuthorBorislav Radić
AuthorDin Duraković
Author's institutionUniversity of Rijeka
Faculty of Medicine
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Abstract (croatian)
Blage traumatske ozljede glave predstavljaju patofiziološki složen prolazan poremećaj moždane funkcije izazvan traumatskim biomehaničkim silama. Klinièki se očituju jednim ili više akutnih simptoma i znakova koji mogu znatno varirati u veličini ispoljenosti. U sportaša blage traumatske ozljede glave dogaðaju se u borilačkim sportovima, biciklizmu, sportskim igrama: u nogometu, hokeju na ledu, američkom nogometu, košarci, rukometu i drugim sportovima, a zadnjeg desetljeća zaokupljaju sve veću pozornost znanstvenika i kliničara, posebno kad se dogaðaju u djece i adolescenata. Pozornost na te ozljede skreću novija istraživanja koja otkrivaju da se radi o mnogo težim ozljedama no što se dosada mislilo. U ovom radu prikazane su spoznaje dobivene novijim istraživanjima patofizioloških zbivanja koja upozoravaju na mogućnost dugotrajnijih posljedica i kognitivnog deficita u slučajevima preranog fizièkog i kognitivnog optereæanja nakon ozljeðivanja, posebno kod djece i mladih. Prikazani su suvremeni stavovi prema kojima se danas smatra da blage traumatske ozljede glave zahtijevaju konzervativniji pristup u prosudbi trajanja oporavka prije vraćanja sportaša u sportski trening. Presudno je mirovanje i odmor u akutnoj fazi cijeljenja, što je posebno važno u djece i mladih sportaša. Prikazani rezultati neurofizioloških istraživanja koji upozoravaju da je u djece i mladih oporavak duži, što zahtijeva duže mirovanje nakon ozljede. Ponovna ozljeðivanja u sluèaju nepotpuna oporavka nose rizik dugotrajnih posljedica. Prikazane su smjernice prevencije glede uporabe zaštitne opreme, promjeni nekih pravila igranja, netoleriranju nesportskog ponašanja i edukaciji sportaša, trenera i sportskih djelatnika.
Abstract (english)
The aim of this review is to present a scientific background given by recent pathophysiological studies on sport-related mild traumatic brain injuries (MTBI), which pay attention to long-term consequences and cognitive deficits in cases of too early physical and cognitive exertion after injuring, especially in children and adolescents; to present recent understanding by which MBTI should have more conservative approach in judging of recovery period before return to play. MTBI includes a transient complex mechanism of neural function disturbances due to traumatic biomechanical forces. New pathophysiological and neurocognitive research indicates that MBTI are more serious that was estimated before. Pathophysiologicaly MBTI includes diffuse axonal injury in initial phase as a consequence of the rotational force, activation of the inflammatory cascade, swelling, ishaemia, oxygen free radicals effects, ion disturbances and programmed cell death in the secondary phase. Release of neurotransmitters contributes to the secondary phase. Therefore, MBTI require more conservative approach regarding the return to play decision. Physical and cognitive rest are imperative for the acute healing period. Children and adolescents with mild traumatic brain/head injuries require a longer recovery period than adults. In cases of to early return to play, new injury may lead to sustained consequences. Prevention is directed to use of protective equipment particularly in young athletes practising sports with greater head injury risk, to change of some playing rules, to unfair play discouraging as well to education.
Keywords (croatian)
Keywords (english)
Languagecroatian
Languageenglish
Publication typeProfessional paper - Review paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleHrvatski športskomedicinski vjesnik
Numberingvol. 28, no. 1, pp. 3-6
p-ISSN0354-0766
URN:NBNurn:nbn:hr:184:649979
Publication2013
Document URLhttps://hrcak.srce.hr/106254
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2022-03-31 08:50:49