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concussion baseline testing

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https://www.readbyqxmd.com/read/29189341/normative-data-set-of-sway-balance-mobile-assessment-in-pediatric-athletes
#1
Stevi L Anderson, Dustin Gatens, Colette Glatts, Stephen A Russo
OBJECTIVE: To examine and describe normative values for an objective, mobile measure of postural stability commonly used in concussion assessments, SWAY Balance (SWAY Medical, Tulsa, Oklahoma). DESIGN: Retrospective analysis of baseline balance assessments in a healthy pediatric population. SETTING: Baseline assessments completed by certified athletic trainers at an outpatient concussion center or sports medicine offices in Philadelphia, PA and surrounding suburban Pennsylvania and New Jersey or during an athletic trainer's baseline assessment of collegiate athletes at a National Collegiate Athletic Association (NCAA) Division-II University in Fort Lauderdale, FL...
November 16, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29189340/influence-of-postconcussion-sleep-duration-on-concussion-recovery-in-collegiate-athletes
#2
Nicole L Hoffman, Michelle L Weber, Steven P Broglio, Michael McCrea, Thomas W McAllister, Julianne D Schmidt
OBJECTIVE: To determine whether decreased sleep duration postconcussion influences days to asymptomatic and assessment of performance throughout recovery. DESIGN: Prospective. SETTING: Institutional Clinical Research Laboratory. PATIENTS: Four hundred twenty-three collegiate athletes were diagnosed with concussion. INTERVENTIONS: Multidimensional concussion assessment battery was conducted at baseline, within 24 to 48 hours, daily [2-4 days postinjury (PI); symptoms only], once asymptomatic, and after return-to-play...
November 16, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29172647/clinical-utility-of-the-sport-concussion-assessment-tool-3-scat3-tandem-gait-test-in-high-school-athletes
#3
Ashley Santo, Robert C Lynall, Kevin M Guskiewicz, Jason P Mihalik
CONTEXT:   Dynamic balance during functional movement may provide important clinical information after concussion. The Sport Concussion Assessment Tool version 3 (SCAT3) includes a timed tandem-gait test (heel-to-toe walking) administered with a pass-fail scoring system. Minimal evidence supports inclusion of the tandem-gait test in the SCAT3, especially in high school athletes. OBJECTIVE:   To determine (1) the percentage of healthy high school athletes who passed (best trial ≤14 seconds) the tandem-gait test at baseline, (2) the association between sex and test performance (pass versus fail), and (3) the relationship among sex, age, height, and tandem-gait test score...
November 27, 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/29168451/intraindividual-cognitive-variability-an-examination-of-anam4-tbi-mil-simple-reaction-time-data-from-service-members-with-and-without-mild-traumatic-brain-injury
#4
Wesley R Cole, Emma Gregory, Jacques P Arrieux, F Jay Haran
OBJECTIVES: The Automated Neuropsychological Assessment Metrics 4 TBI-MIL (ANAM4) is a computerized cognitive test often used in post-concussion assessments with U.S. service members (SMs). However, existing evidence remains mixed regarding ANAM4's ability to identify cognitive issues following mild traumatic brain injury (mTBI). Studies typically examine ANAM4 using standardized scores and/ or comparisons to a baseline. A more fine-grained approach involves examining inconsistency within an individual's performance (i...
November 23, 2017: Journal of the International Neuropsychological Society: JINS
https://www.readbyqxmd.com/read/29164163/neurocognitive-deficits-of-concussed-adolescent-athletes-at-self-reported-symptom-resolution-in-the-zurich-guidelines-era
#5
Peter K Kriz, Rebekah Mannix, Alex M Taylor, Danielle Ruggieri, William P Meehan
Background: Previous studies have evaluated high school and collegiate athletes in the pre-Zurich guidelines era; whether adolescent athletes demonstrate similar neurocognitive decrements in the current concussion management era remains unclear. Purpose: To assess for the presence of neurocognitive deficits in adolescents with a sport-related concussion at the time of self-reported symptom resolution. Study Design: Cross-sectional study; Level of evidence, 3...
November 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29149800/longitudinal-improvement-in-balance-error-scoring-system-scores-among-ncaa-division-i-football-athletes
#6
Ross E Mathiasen, Christopher P Hogrefe, Kari K Harland, Andrew Peterson, Kyle Smoot
INTRODUCTION: The Balance Error Scoring System (BESS) is a commonly used concussion assessment tool. Recent studies have questioned the stability and reliability of baseline BESS scores. The purpose of this longitudinal prospective cohort study is to examine differences in yearly baseline BESS scores in athletes participating on an NCAA Division-I football team. MATERIALS AND METHODS: NCAA Division-I freshman football athletes were videotaped performing the BESS test at matriculation and following one year of participation in the football program...
November 17, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29138991/test-retest-reliability-and-interpretation-of-common-concussion-assessment-tools-findings-from-the-ncaa-dod-care-consortium
#7
Steven P Broglio, Barry P Katz, Shi Zhao, Michael McCrea, Thomas McAllister
BACKGROUND: Concussion diagnosis is typically made through clinical examination and supported by performance on clinical assessment tools. Performance on commonly implemented and emerging assessment tools is known to vary between administrations, in the absence of concussion. OBJECTIVE: To evaluate the test-retest reliability of commonly implemented and emerging concussion assessment tools across a large nationally representative sample of student-athletes. METHODS: Participants (n = 4874) from the Concussion Assessment, Research, and Education Consortium completed annual baseline assessments on two or three occasions...
November 14, 2017: Sports Medicine
https://www.readbyqxmd.com/read/29131721/postural-stability-in-healthy-child-and-youth-athletes-the-effect-of-age-sex-and-concussion-related-factors-on-performance
#8
Melissa Paniccia, Katherine E Wilson, Anne Hunt, Michelle Keightley, Karl Zabjek, Tim Taha, Isabelle Gagnon, Nick Reed
BACKGROUND: Postural stability plays a key role in sport performance, especially after concussion. Specific to healthy child and youth athletes, little is known about the influence development and sex may have on postural stability while considering other subjective clinical measures used in baseline/preinjury concussion assessment. This study aims to describe age- and sex-based trends in postural stability in uninjured child and youth athletes at baseline while accounting for concussion-related factors...
November 1, 2017: Sports Health
https://www.readbyqxmd.com/read/29120225/descriptive-values-for-dancers-on-baseline-concussion-tools
#9
Lauren McIntyre, Marc Campo
CONTEXT:   Capturing baseline data before a concussion can be a valuable tool in individualized care. However, not all athletes, including dancers, have access to baseline testing. When baseline examinations were not performed, clinicians consult normative values. Dancers are unique athletes; therefore, describing values specific to dancers may assist those working with these athletes in making more informed decisions. OBJECTIVE:   To describe values for key concussion measures of dancers...
November 9, 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/29115854/baseline-king-devick-scores-for-adults-are-not-generalizable-however-age-and-education-influence-scores
#10
Heather Dillon Anderson, Scott A Biely
OBJECTIVE: To establish normative values for the King-Devick (K-D) test to be used as a reference for determining impairment related to concussion when individual baseline scores are lacking. METHOD: Baseline K-D scores were collected for 243 participants aged 18-86. RESULTS: The mean age of subjects was 40.46; range 18-86 years. The mean time was 42.2 seconds; 26.19-75.96 seconds. There was a relationship (r = 0.376) between K-D score and age; scores increased (worsened) with age...
2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/29114564/the-effect-of-pretest-exercise-on-baseline-computerized-neurocognitive-test-scores
#11
Alec Pawlukiewicz, Aaron M Yengo-Kahn, Gary Solomon
Background: Baseline neurocognitive assessment plays a critical role in return-to-play decision making following sport-related concussions. Prior studies have assessed the effect of a variety of modifying factors on neurocognitive baseline test scores. However, relatively little investigation has been conducted regarding the effect of pretest exercise on baseline testing. Purpose/Hypothesis: The aim of our investigation was to determine the effect of pretest exercise on baseline Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) scores in adolescent and young adult athletes...
October 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29098982/what-tests-and-measures-should-be-added-to-the-scat3-and-related-tests-to-improve-their-reliability-sensitivity-and-or-specificity-in-sideline-concussion-diagnosis-a-systematic-review
#12
Ruben J Echemendia, Steven P Broglio, Gavin A Davis, Kevin M Guskiewicz, K Alix Hayden, John J Leddy, William P Meehan, Margot Putukian, S John Sullivan, Kathryn J Schneider, Paul McCrory
OBJECTIVES: Several iterations of the Sport Concussion Assessment Tool (SCAT) have been published over the past 16 years. Our goal was to systematically review the literature related to the SCAT and provide recommendations for improving the tool. To achieve this goal, five separate but related searches were conducted and presented herein. DESIGN: Systematic literature review. DATA SOURCES: Medline, Embase, PsycINFO, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Cochrane Central Register of Controlled Trials, SPORTDiscus and PubMed...
June 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29098599/factors-contributing-to-disparities-in-baseline-neurocognitive-performance-and-concussion-symptom-scores-between-black-and-white-collegiate-athletes
#13
Jessica Wallace, Tracey Covassin, Ryan Moran, Jamie McAllister Deitrick
BACKGROUND: National Collegiate Athletic Association (NCAA) concussion guidelines state that all NCAA athletes must have a concussion baseline test prior to commencing their competitive season. To date, little research has examined potential racial differences on baseline neurocognitive performance among NCAA athletes. The purpose of this study was to investigate differences between Black and White collegiate athletes on baseline neurocognitive performance and self-reported symptoms. METHODS: A total of 597 collegiate athletes (400 White, 197 Black) participated in this study...
November 2, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/29060430/concussion-management-application-for-amateur-sports
#14
J D Fischer, G H Smith, R S Rodrigues, M R Afzal, D J van den Heever, P L Viviers, J T Viljoen
Concussion management has become one of the most popular topics in sports medicine. Significant resources are being invested in developing protocols for professional sport associations such as the NFL and FIFA. These protocols are often expensive and require substantial resources to implement. The problem, however, runs much deeper than just professional sports. Currently there exists little infrastructure to effectively manage concussion in amateur settings such as high school, club and university sport. A more holistic approach is required to ensure that the same standard of concussion management is being implemented across the board, regardless of the available medical and financial resources...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28980829/attention-deficit-hyperactivity-disorder-is-associated-with-baseline-child-sport-concussion-assessment-tool-third-edition-scores-in-child-hockey-players
#15
Laurel J Collings, Nathan E Cook, Shaun Porter, Cody Kusch, Jonathan Sun, Naznin Virji-Babul, Grant L Iverson, William J Panenka
OBJECTIVES: The objectives of this study were to report baseline, preseason data for the Child-SCAT3, stratified by attention deficit hyperactivity disorder (ADHD) status, and examine group differences in Child-SCAT3 performance between children with and without ADHD. DESIGN: Cross-sectional study. METHODS: Young male hockey players (n = 304), aged 8-12 years, were administered the Child-SCAT3 during pre-season. Child-SCAT3 measures included a 20-item symptom scale, a Standardised Assessment of Concussion Child Version (SAC-C), a modified Balance Error Scoring System (m-BESS), a tandem gait task, and a coordination test...
2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28961684/validity-and-reliability-of-baseline-testing-in-a-standardized-environment
#16
Kathryn L Higgins, Todd Caze, Arthur Maerlender
Objective: The Immediate Postconcussion Assessment and Cognitive Testing (ImPACT) is a computerized neuropsychological test battery commonly used to determine cognitive recovery from concussion based on comparing post-injury scores to baseline scores. This model is based on the premise that ImPACT baseline test scores are a valid and reliable measure of optimal cognitive function at baseline. Growing evidence suggests that this premise may not be accurate and a large contributor to invalid and unreliable baseline test scores may be the protocol and environment in which baseline tests are administered...
August 11, 2017: Archives of Clinical Neuropsychology: the Official Journal of the National Academy of Neuropsychologists
https://www.readbyqxmd.com/read/28952858/sub-symptomatic-aerobic-exercise-for-patients-with-post-concussion-syndrome-a-critically-appraised-topic
#17
Katrina G Ritter, Matthew J Hussey, Tamara C Valovich McLeod
Clinical Scenario: Patients who experience prolonged concussion symptoms can be diagnosed with Post-Concussion Syndrome (PCS) when those symptoms persist past 4 weeks. Aerobic exercise protocols have been shown to be effective in improving physical and mental aspects of health. Emerging research suggests that aerobic exercise maybe useful as a treatment for PCS, where exercise allows patients to feel less isolated and more active during the recovery process. CLINICAL QUESTION: Is aerobic exercise more beneficial in reducing symptoms than current standard care in patients with prolonged symptoms or PCS lasting longer than 4 weeks? Summary of Key Findings: After a thorough literature search, 4 studies were selected relevant to the clinical question...
September 27, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28944251/effects-of-exercise-on-sport-concussion-assessment-tool-third-edition-performance-in-professional-athletes
#18
Jin H Lee, David R Howell, William P Meehan, Grant L Iverson, Andrew J Gardner
BACKGROUND: The Sport Concussion Assessment Tool-Third Edition (SCAT3) is currently considered the standard sideline assessment for concussions. In-game exercise, however, may affect SCAT3 performance and the diagnosis of concussions. PURPOSE: To examine the influence of exercise on SCAT3 performance in professional male athletes. STUDY DESIGN: Controlled laboratory study. METHODS: We examined the SCAT3 performance of 82 professional male athletes under 2 conditions: at rest and after exercise...
September 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28937789/identifying-dyslexia-risk-in-student-athletes-a-preliminary-protocol-for-concussion-management
#19
Rebecca Wiseheart, Robin Wellington
Learning disability (LD) has been identified as a potential risk factor for a sport-related concussion, yet students with LD are rarely included in concussion research. Here, we draw special attention to dyslexia, a common but often underdiagnosed LD. Reading and learning problems commonly associated with dyslexia are often masked by protective factors, such as high verbal ability or general intelligence. Hence, high-achieving individuals with dyslexia may not be identified as being in a high-risk category...
October 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28919121/the-utility-of-instrumented-dual-task-gait-and-tablet-based-neurocognitive-measurements-after-concussion
#20
David R Howell, Alexandra Stillman, Thomas A Buckley, Brant Berkstresser, Francis Wang, William P Meehan
OBJECTIVES: Quantitative and non-invasive measurements acquired by neurocognitive or gait evaluations are useful concussion management components. Emerging technology has allowed for the development of portable and objective tests which may be potentially useful across many settings where evaluations take place. Our aim was to examine the association between instrumented dual-task gait and tablet-based neurocognitive outcome variables with an acute concussion. DESIGN: A total of 59 collegiate athletes were identified and tested within 5days of concussion (n=18, 50% female, 20±1years of age) or as a part of a baseline examination (n=41, 29% female, 19±1years of age)...
August 16, 2017: Journal of Science and Medicine in Sport
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