{"id":19435,"date":"2022-10-06T13:50:06","date_gmt":"2022-10-06T19:50:06","guid":{"rendered":"https:\/\/www.goldcrownfoundation.com\/?p=19435"},"modified":"2022-10-11T16:11:59","modified_gmt":"2022-10-11T22:11:59","slug":"you-cant-just-tough-out-a-concussion","status":"publish","type":"post","link":"https:\/\/www.goldcrownfoundation.com\/es\/you-cant-just-tough-out-a-concussion\/","title":{"rendered":"Una conmoci\u00f3n cerebral no se soporta sin m\u00e1s"},"content":{"rendered":"
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La gravedad de las conmociones cerebrales no es un tema nuevo en el deporte. Sin embargo, esta temporada de la NFL vuelven a ser el centro de atenci\u00f3n. Estamos compartiendo un Q & A por nuestros socios de la Universidad de Colorado Anschutz Medical Campus. Siga leyendo para ver la respuesta de David Howell, PhD, a las incidencias actuales en la NFL y c\u00f3mo se relacionan con los deportes juveniles.<\/p>\n

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Las conmociones cerebrales son un riesgo com\u00fan en todos los deportes, pero especialmente en el f\u00fatbol americano y sobre todo en la NFL. Por desgracia, el \u00faltimo jugador que ha sufrido una conmoci\u00f3n cerebral es el quarterback de los Miami Dolphins Tua Tagovailoa. Tras un feo golpe que lo dej\u00f3 tambale\u00e1ndose en el tercer partido de la temporada, Tagovailoa se reincorpor\u00f3 al juego y sigui\u00f3 jugando. Apenas cinco d\u00edas despu\u00e9s, sufri\u00f3 otro golpe con la cabeza contra el suelo que le oblig\u00f3 a abandonar el campo en camilla.<\/p>\n

En las siguientes preguntas y respuestas,\u00a0David Howell<\/a>PhD, profesora adjunta de\u00a0ortopedia<\/a>\u00a0en el\u00a0Facultad de Medicina de la Universidad de Colorado<\/a>\u00a0y director de la\u00a0Laboratorio de conmociones cerebrales de Colorado<\/a>El informe de la Comisi\u00f3n Europea sobre las conmociones cerebrales analiza las repercusiones de las conmociones cerebrales en el deporte profesional y juvenil actual.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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\"Q&A<\/p>\n
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El golpe al quarterback de los Dolphins, Tua Tagovailoa, es un ejemplo m\u00e1s del problema de las lesiones en la cabeza en la NFL, el f\u00fatbol americano y los deportes de contacto en general. Cu\u00e1l fue tu reacci\u00f3n ante su lesi\u00f3n, y crees que sufri\u00f3 una conmoci\u00f3n cerebral en el partido contra los Buffalo Bills?<\/h3>\n

 <\/p>\n

Lo que vi fue a alguien recibir un golpe en la cabeza o el cuello seguido de un signo de alteraci\u00f3n neurol\u00f3gica. Por definici\u00f3n, una conmoci\u00f3n cerebral puede producirse como un golpe directo en la cabeza o como una fuerza transmitida a la cabeza por un golpe en el cuerpo que va acompa\u00f1ado de una alteraci\u00f3n neurol\u00f3gica.<\/p>\n

A menudo, las conmociones cerebrales pueden presentar s\u00edntomas superpuestos con otras lesiones, como el latigazo cervical, lo que dificulta su identificaci\u00f3n. Por ejemplo, si te golpeas la espinilla, te va a doler la espinilla, y si te golpeas la cabeza, te va a doler el cuero cabelludo. Hay que diferenciar si se trata de un hematoma o de una lesi\u00f3n cerebral. Por lo tanto, normalmente buscamos signos que indiquen una alteraci\u00f3n cerebral tras un traumatismo craneoencef\u00e1lico.<\/p>\n

Es un atleta profesional que puede realizar muchas habilidades motrices de alto nivel, y le vi tropezar y perder el equilibrio. No s\u00f3lo una vez, sino que despu\u00e9s se levant\u00f3 y volvi\u00f3 a tropezar. Para m\u00ed, ese es un signo observable de una conmoci\u00f3n cerebral.<\/p>\n

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Despu\u00e9s del partido contra los Cincinnati Bengals, en el que Tagovailoa volvi\u00f3 a lesionarse y sali\u00f3 en camilla, el entrenador dijo que se alegraba de que la lesi\u00f3n no fuera m\u00e1s grave que una conmoci\u00f3n cerebral. \u00bfCu\u00e1l es su reacci\u00f3n a esa declaraci\u00f3n, y personifica de alguna manera un problema en el f\u00fatbol?<\/h3>\n

 <\/p>\n

Me siento fatal por haber puesto a Tagovailoa en esa situaci\u00f3n. Es un atleta, un competidor. Sus entrenadores son competidores. Les han ense\u00f1ado a jugar con lesiones durante toda su carrera. Pero no puedes resistir una conmoci\u00f3n cerebral. No puedes jugar con una conmoci\u00f3n y esperar que desaparezca. Tu cerebro va a responder de una manera determinada, y no es como sufrir una contusi\u00f3n dolorosa o un esguince en otras partes del cuerpo. No quiero restar importancia a otras lesiones, pero es tu cerebro, \u00bfverdad? Es muy importante, es la esencia de lo que eres.<\/p>\n

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\u00bfSe corre m\u00e1s riesgo de sufrir otra lesi\u00f3n despu\u00e9s de sufrir una conmoci\u00f3n cerebral?<\/h3>\n

 <\/p>\n

Cuando alguien sufre una conmoci\u00f3n cerebral, se produce una lesi\u00f3n inicial y luego hay un periodo de vulnerabilidad a una segunda conmoci\u00f3n si la primera no se ha recuperado del todo.<\/p>\n

Para reparar los problemas que se han producido durante una conmoci\u00f3n cerebral, su cerebro necesita energ\u00eda; necesita glucosa y sangre. La sangre tiene que fluir al cerebro, pero al mismo tiempo, el flujo sangu\u00edneo al cerebro se desregula en comparaci\u00f3n con lo que es normal.<\/p>\n

As\u00ed que necesitas m\u00e1s energ\u00eda, pero tienes esta desregulaci\u00f3n que se produce que deteriora la capacidad de tu cuerpo para entregar esa energ\u00eda, para ayudar a restaurar las \u00e1reas da\u00f1adas o lesionadas de tu cerebro.<\/p>\n

Y cuando eso ocurre, ya se requiere tanta energ\u00eda que a menudo vemos que la respuesta a la segunda lesi\u00f3n se exacerba.<\/p>\n

 <\/p>\n<\/div>\n

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La NFL est\u00e1 renovando ahora su protocolo de conmociones cerebrales en respuesta al incidente de Tagovailoa, y la conversaci\u00f3n se centra en la inestabilidad motora gruesa. \u00bfPuede explicar qu\u00e9 es eso?<\/h3>\n

 <\/p>\n

Hay varios signos diferentes -que yo llamar\u00eda obvios- de que se ha producido una conmoci\u00f3n cerebral o una lesi\u00f3n cerebral. Es similar a una p\u00e9rdida de conciencia o una convulsi\u00f3n.<\/p>\n

Cuando alguien ha sufrido un impacto en la cabeza y se levanta, puede estar mareado. O puede tener un desajuste en la informaci\u00f3n que recibe. Sus ojos y su sistema de equilibrio no se coordinan como lo hacen normalmente, lo que puede causar la sensaci\u00f3n de v\u00e9rtigo. Y lo vemos en todas las edades, donde la gente se levanta y es incapaz de hacer lo que ha estado haciendo durante a\u00f1os y a\u00f1os, que es simplemente caminar unos pasos.<\/p>\n

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\u00bfExisten pruebas para determinar si alguien ha sufrido una conmoci\u00f3n cerebral?<\/h3>\n

 <\/p>\n

El cerebro de cada persona es diferente y reacciona de forma distinta ante un traumatismo, por lo que no existe una prueba que sirva para todos. Por eso recomendamos una serie de pruebas que eval\u00faan distintas partes del cerebro para comprender su funcionalidad despu\u00e9s de una lesi\u00f3n. Hemos estado trabajando en el uso de evaluaciones de doble tarea, que consisten en combinar una tarea motora con una tarea cognitiva. Por ejemplo, a un paciente sospechoso de sufrir una conmoci\u00f3n cerebral se le puede pedir que camine en l\u00ednea recta, tal\u00f3n-punta, lo m\u00e1s r\u00e1pido posible mientras dice los meses del a\u00f1o hacia atr\u00e1s.<\/p>\n

Un paciente puede compensar hasta cierto punto una tarea, pero es m\u00e1s dif\u00edcil cuando hay que combinar dos tareas, y esto es m\u00e1s parecido a lo que se puede esperar en el terreno de juego: un entorno complejo. Si se observa un d\u00e9ficit en uno de esos dominios o en ambos, se puede mirar al paciente y a sus padres y decirles: \"Mira, si no puedes andar y pensar al mismo tiempo, \u00bfc\u00f3mo puedo esperar que vuelvas al campo? Tu cerebro no est\u00e1 recuperado\".<\/p>\n

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\u00bfCu\u00e1l es el protocolo de rehabilitaci\u00f3n si alguien sufre una conmoci\u00f3n cerebral?<\/h3>\n
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Lo m\u00e1s importante es dejar de jugar inmediatamente. No intentes terminar el partido. Si dejas de jugar, tendr\u00e1s menos probabilidades de sufrir otra lesi\u00f3n y podr\u00e1s recuperarte antes. A partir de ah\u00ed, tras un par de d\u00edas de reposo, empieza a hacer actividad f\u00edsica ligera o ejercicio aer\u00f3bico, como bicicleta est\u00e1tica o footing, a un nivel que no empeore los s\u00edntomas, y aseg\u00farate de dormir lo suficiente.<\/p>\n<\/div>\n

Una vez resueltos los s\u00edntomas, hay\u00a0protocolo de seis pasos<\/a>\u00a0para volver a practicar deporte tras una conmoci\u00f3n cerebral.<\/p>\n

Paso 1: Vuelta a las actividades habituales (como el colegio)<\/p>\n

Paso 2: Actividad aer\u00f3bica ligera<\/p>\n

Paso 3: Actividad moderada<\/p>\n

Paso 4: Actividad intensa sin contacto<\/p>\n

Paso 5: Pr\u00e1ctica y contacto total<\/p>\n

Etapa 6: Competencia<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/blockquote>\n<\/div>\n<\/div><\/div>

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Foto de Ben Hershey<\/a> en Unsplash<\/a><\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

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