Sportgerelateerde hersenschudding

Om hoofdpijn van te krijgen
04/02/2022
Rik Poelaerends, Paul Wylleman, Wart van Zoest, Marc Hendriks
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Volume 57, Issue 2

Samenvatting

Sport Related Concussion

Poelaerends, P. Wylleman, W. van Zoest & M. Hendriks

Of recent years, there are multiple examples of sport related head injuries. Sometimes they lead up to cognitive and behavioural disfunction. Since the interest in this subject has increased, the involvement of psychology has increased as well. With knowledge of both (neuro)psychological testing and the management of above mentioned cognitive, emotional and behavioural problems, the role of the (clinical neuro)psychologist has become more important. In this narrative review we describe a common definition of a sport related concussion, as well as describing international guidelines that can support in the ‘Return-to-play’ phase and we present a new tablet-based neurocognitive assessment battery for sport related concussions. This assessment battery is already being used by two sports organizations in the Netherlands.

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  • Samenvatting
  • Rol klinische neuropsychologie bij SGH
    • Neuropsychologische gevolgen van een sportgerelateerde hersenschudding
  • Van 'Remove from play' naar 'Return to play'
  • Huidige neuropsychologische testen
    • De ontwikkeling van de tablet-ondersteunende testbatterij
  • Implicaties voor de praktijk
  • Literatuurlijst
  • Over de auteur
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Vaak leidt sportgerelateerd hoofdletsel tot cognitieve en emotionele beperkingen. Met toenemende aandacht voor deze gevolgen is ook de betrokkenheid van de neuropsychologie toegenomen. In dit artikel wordt allereerst gekeken naar een gangbare definitie van sportgerelateerd (licht) traumatisch hersenletsel. Daarnaast wordt een multidisciplinaire richtlijn voor ‘Return to play’ gegeven. Ook wordt de ontwikkeling van een tabletondersteunende neuropsychologische testbatterij beschreven.

Sportgerelateerd (licht) traumatisch hersenletsel (SGH) komt de laatste jaren vaak in het nieuws. De eerste serieuze aanwijzingen voor het bestaan van deze aandoening kwamen naar voren nadat een van de grootste sporters ooit, bokser Muhammad Ali, opvallende (neuropsychologische) symptomen begon te vertonen op basis waarvan bij hem uiteindelijk de ziekte van Parkinson werd vastgesteld. Recent zijn er ook talloze voorbeelden1 te noemen waarbij forse cognitieve en emotionele beperkingen tot gevolg had. Bij een aantal professionele sporters is hierdoor de sportcarrière nadrukkelijk in het geding gekomen.

De sportkoepel NOC*SPN heeft de laatste jaren dan ook geïnvesteerd in het opstellen van beleid rondom diagnostiek en aanpak van SGH. Ook binnen afzonderlijke sportbonden wordt (inter)nationaal steeds meer aandacht besteed aan de gevolgen hiervan. Zo heeft de Koninklijke Nederlandse Voetbalbond (KNVB) binnen haar Sportmedisch Centrum een speciale polikliniek opgezet voor sporters die SGH&

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