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concussion baseline testing

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https://www.readbyqxmd.com/read/29902070/determining-sensitivity-and-specificity-of-the-sport-concussion-assessment-tool-3-scat3-components-in-university-athletes
#1
Rachel I Downey, Michael G Hutchison, Paul Comper
OBJECTIVE: To examine the clinical utility of the Sport Concussion Assessment Tool-3 (SCAT3) in university athletes with concussion in the absence and presence of baseline data over time. METHODS: Athletes with concussion (n = 23) and uninjured controls (n = 22) were prospectively evaluated at three time-points (baseline, 3-5 days, 3 weeks post-injury) with the SCAT3 components: (1) Post-Concussion Symptom Scale (PCSS); (2) Standardized Assessment of Concussion (SAC); and (3) modified Balance Error Scoring System (m-BESS)...
June 14, 2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/29848152/voluntary-head-rotational-velocity-and-implications-for-brain-injury-risk-metrics
#2
Fidel Hernandez, David Benjamin Camarillo
We investigated whether humans could sustain high head rotational velocities without brain injury. Rotational velocity has long been implicated for predicting concussion risk, and has recently been used to develop the rotational velocity-based Brain Injury Criterion (BrIC). To assess the efficacy of rotational velocity and BrIC for predicting concussion risk, we instrumented 9 male subjects with sensor-laden mouthguards and measured six-degree-of-freedom head accelerations for 27 rapid voluntary head rotations...
May 31, 2018: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29794620/cleveland-clinic-postural-stability-index-norms-for-the-balance-error-scoring-system
#3
Susan M Linder, Sarah J Ozinga, Mandy Miller Koop, Tanujit Dey, Richard Figler, Jason Cruickshank, Jay L Alberts
INTRODUCTION: Despite the widespread utilization of the Balance Error Scoring System (BESS) in the evaluation of concussion, it has been criticized for its error-based scoring that is susceptible to floor and ceiling effects and substantial inter-rater variability. A biomechanical outcome, Cleveland Clinic-Postural Stability Index (CC-PSI), has been developed as an alternative to subjective BESS scoring. The CC-PSI utilizes inertial sensor data within a mobile device to provide an objective measure of postural sway during the BESS...
May 3, 2018: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/29781392/adolescent-athletes-with-learning-disability-display-atypical-maturational-trajectories-on-concussion-baseline-testing-implications-based-on-a-finnish-sample
#4
Kati Peltonen, Matti Vartiainen, Tiina Laitala-Leinonen, Sanna Koskinen, Teemu Luoto, Jon Pertab, Laura Hokkanen
Previous research has reported lower cognitive test scores on baseline testing in athletes reporting multiple previous concussions or a history of learning disability (LD). Age also has an important influence on cognitive performance. While these factors have been considered individually in previous studies, the present study is the first to explore the interaction of age, self-reported LD, and history of concussion on baseline Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT®) in a nationwide study of adolescent athletes...
May 21, 2018: Child Neuropsychology: a Journal on Normal and Abnormal Development in Childhood and Adolescence
https://www.readbyqxmd.com/read/29764297/identifying-dyslexia-risk-for-sport-related-concussion-management-sensitivity-and-specificity-of-self-report-and-rapid-naming
#5
Rebecca Wiseheart, Robin Wellington
BACKGROUND: Dyslexia is the most common type of learning disability and studies have shown that student-athletes with learning disabilities sustain more concussions than their non-affected peers. However, current methods of dyslexia identification in college students are potentially invalid because they rely on students to self-report formal dyslexia diagnoses. METHODS: To test the accuracy of self-report against two alternative methods of dyslexia screening, 94 college students completed three dyslexia symptom inventories, two rapid naming (RAN) tasks, and a standard word reading measure...
May 15, 2018: Clinical Neuropsychologist
https://www.readbyqxmd.com/read/29741916/test-performance-and-test-retest-reliability-of-the-vestibular-ocular-motor-screening-and-king-devick-test-in-adolescent-athletes-during-a-competitive-sport-season
#6
Phillip R Worts, Philip Schatz, Scott O Burkhart
BACKGROUND: The Vestibular/Ocular Motor Screening (VOMS) and King-Devick (K-D) test are tools designed to assess ocular or vestibular function after a sport-related concussion. PURPOSE: To determine the test-retest reliability and rate of false-positive results of the VOMS and K-D test in a healthy athlete sample. STUDY DESIGN: Cohort study (diagnosis); Level of evidence, 2. METHODS: Forty-five healthy high school student-athletes (mean age, 16...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29741235/face-cooling-exposes-cardiac-parasympathetic-and-sympathetic-dysfunction-in-recently-concussed-college-athletes
#7
Blair D Johnson, Morgan C O'Leary, Muhamed McBryde, James R Sackett, Zachary J Schlader, John J Leddy
We tested the hypothesis that concussed college athletes (CA) have attenuated parasympathetic and sympathetic responses to face cooling (FC). Eleven symptomatic CA (age: 20 ± 2 years, 5 women) who were within 10 days of concussion diagnosis and 10 healthy controls (HC; age: 24 ± 4 years, 5 women) participated. During FC, a plastic bag filled with ice water (~0°C) was placed on the forehead, eyes, and cheeks for 3 min. Heart rate (ECG) and blood pressure (photoplethysmography) were averaged at baseline and every 60 sec during FC...
May 2018: Physiological Reports
https://www.readbyqxmd.com/read/29740384/heading-frequency-is-more-strongly-related-to-cognitive-performance-than-unintentional-head-impacts-in-amateur-soccer-players
#8
Walter F Stewart, Namhee Kim, Chloe Ifrah, Martin Sliwinski, Molly E Zimmerman, Mimi Kim, Richard B Lipton, Michael L Lipton
Objective: Compared to heading, unintentional head impacts (e.g., elbow to head, head to head, head to goalpost) in soccer are more strongly related to risk of moderate to very severe Central Nervous System (CNS) symptoms. But, most head impacts associated with CNS symptoms that occur in soccer are mild and are more strongly related to heading. We tested for a differential relation of heading and unintentional head impacts with neuropsychological (NP) test performance. Method: Active adult amateur soccer players were recruited in New York City and the surrounding areas for this repeated measures longitudinal study of individuals who were enrolled if they had 5+ years of soccer play and were active playing soccer 6+ months/year...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29734566/hyperbaric-oxygen-for-post-concussive-symptoms-in-united-states-military-service-members-a-randomized-clinical-trial
#9
Lindell K Weaver, Steffanie H Wilson, Anne S Lindblad, Susan Churchill, Kayla Deru, Robert C Price, Chris S Williams, William W Orrison, James M Walker, Anna Meehan, Susan Mirow
Background: In prior military randomized trials, participants with persistent symptoms after mild traumatic brain injury (TBI) reported improvement regardless of receiving hyperbaric oxygen (HBO₂) or sham intervention. This study's objectives were to identify outcomes for future efficacy trials and describe changes by intervention. Methods: This Phase II, randomized, double-blind, sham-controlled trial enrolled military personnel with mild TBI and persistent post-concussive symptoms...
March 2018: Undersea & Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society, Inc
https://www.readbyqxmd.com/read/29712487/prospective-study-of-myelin-water-fraction-changes-after-mild-traumatic-brain-injury-in-collegiate-contact-sports
#10
Heather S Spader, Douglas C Dean, W Curt LaFrance, Neha P Raukar, G Rees Cosgrove, Stephanie A Eyerly-Webb, Anna Ellermeier, Stephen Correia, Sean C L Deoni, Jeffrey Rogg
OBJECTIVE Mild traumatic brain injury (mTBI) in athletes, including concussion, is increasingly being found to have long-term sequelae. Current imaging techniques have not been able to identify early damage caused by mTBI that is predictive of long-term symptoms or chronic traumatic encephalopathy. In this preliminary feasibility study, the authors investigated the use of an emerging magnetic resonance imaging (MRI) technique, multicomponent driven equilibrium single pulse observation of T1 and T2 (mcDESPOT), in visualizing acute and chronic white matter changes after mTBI in collegiate football and rugby players...
May 1, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29706930/a-preliminary-report-on-brain-derived-extracellular-vesicle-as-novel-blood-biomarkers-for-sport-related-concussions
#11
Keisuke Kawata, Masato Mitsuhashi, Randy Aldret
The purpose of the study was to test the utility of unique panel of blood biomarkers as a means to reflect one's recovery process after sport-related neurotrauma. We established a panel of biomarkers that reacted positive with CD81 (extracellular vesicle marker) and various neuron- and glia-specific antigens [e.g., neurofilament light polypeptide (NF-L), tau, synaptosome-associated protein 25 (SNAP25), glial fibrillary acidic protein, and myelin basic protein]. We first evaluated test-retest reliabilities of brain-derived exosome markers, followed by an application of these markers in eight professional ice hockey players to detect cumulative neuronal burden from a single ice hockey season...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29672135/influences-of-mental-illness-current-psychological-state-and-concussion-history-on-baseline-concussion-assessment-performance
#12
Michelle L Weber, John-Henry L Dean, Nicole L Hoffman, Steven P Broglio, Michael McCrea, Thomas W McAllister, Julianne D Schmidt, April Reed Hoy, Joseph B Hazzard, Louise A Kelly, Justus D Ortega, Nicholas Port, Margot Putukian, T Dianne Langford, Ryan Tierney, Darren E Campbell, Gerald McGinty, Patrick O'Donnell, Steven J Svoboda, John P DiFiori, Christopher C Giza, Holly J Benjamin, Thomas Buckley, Thomas W Kaminski, James R Clugston, Luis A Feigenbaum, James T Eckner, Kevin Guskiewicz, Jason P Mihalik, Jessica Dysart Miles, Scott Anderson, Christina L Master, Micky Collins, Anthony P Kontos, Jeffrey J Bazarian, Sara P D Chrisman, Allison Brooks, Stefan Duma, Christopher Todd Bullers, Christopher M Miles, Brian H Dykhuizen
BACKGROUND: A student-athlete's mental state, including history of trait anxiety and depression, or current psychological state may affect baseline concussion assessment performance. PURPOSE: (1) To determine if mental illness (anxiety, depression, anxiety with depression) influences baseline scores, (2) to determine if psychological state correlates with baseline performance, and (3) to determine if history of concussion affects Brief Symptom Inventory-18 (BSI-18) subscores of state anxiety, depression, and somatization...
June 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29627029/reported-concussion-incidence-in-youth-community-rugby-union-and-parental-assessment-of-post-head-injury-cognitive-recovery-using-the-king-devick-test
#13
David Silver, Nicola Brown, Conor Gissane
AIM: To assess the frequency of reported head injuries in youth community Rugby Union and determine whether the King-Devick (K-D) test could be used by parents as a means to chart cognitive recovery following head injury. METHODS: A prospective cohort study of 489 junior players (U9-U18) conducted at a community level Rugby Union club over four seasons. All players undertook a baseline K-D test at the start of each season. Players identified with suspected concussion performed the K-D test post injury and results were compared to their most recent baseline assessment...
May 15, 2018: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/29621016/impact-normative-data-of-ethnically-diverse-adolescent-athletes
#14
William T Tsushima, Vincent G Tsushima, Nathan M Murata
OBJECTIVE: The aim of this research was to develop preliminary norms for the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) administered to a large sample of adolescent athletes from diverse ethnic backgrounds. DESIGN: A retrospective records review. SETTING: Middle and high school athletic departments. PARTICIPANTS: A total of 5741 male and female adolescent athletes in Hawaii, aged 13 to 18 years, in grades 9 to 12 were included in the study...
April 4, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29611892/mlc901-neuroaid-ii%C3%A2-for-cognition-after-traumatic-brain-injury-a-pilot-randomized-clinical-trial
#15
A Theadom, S Barker-Collo, K M Jones, P Parmar, R Bhattacharjee, V L Feigin
BACKGROUND AND PURPOSE: Treatments to facilitate recovery after traumatic brain injury (TBI) are urgently needed. We conducted a 9-month pilot, randomized placebo-controlled clinical trial to examine the safety and potential effects of the herbal supplement MLC901 (NeuroAiD II™) on cognitive functioning following TBI. METHODS: Adults aged 18-65 years at 1-12 months after mild or moderate TBI were randomized to receive MLC901 (0.8 g capsules 3 times daily) or placebo for 6 months...
April 3, 2018: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/29610049/the-king-devick-test-is-a-valid-and-reliable-tool-for-assessing-sport-related-concussion-in-australian-football-a-prospective-cohort-study
#16
Mark Hecimovich, Doug King, Alasdair R Dempsey, Myles Murphy
OBJECTIVES: Sport-related concussion (SRC) research has focused on impaired oculomotor function. The King-Devick (K-D) test measures oculomotor performance and is reported to identify suboptimal brain function. The use of the K-D test in Australian football (AF), a sport involving body contact and tackling, has not been documented. Therefore, the objective of this study was to determine the test-retest reliability and diagnostic accuracy of the K-D test on a sub-elite AF team. DESIGN: Prospective cohort study METHODS: In total, 22 male players (19...
March 28, 2018: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29609574/utility-of-serum-igf-1-for-diagnosis-of-growth-hormone-deficiency-following-traumatic-brain-injury-and-sport-related-concussion
#17
Kirstie Lithgow, Alex Chin, Chantel T Debert, Gregory A Kline
BACKGROUND: Growth hormone deficiency (GHD) is a potential consequence of traumatic brain injury (TBI), including sport-related concussion (SRC). GH stimulation testing is required for definitive diagnosis; however, this is resource intensive and can be associated with adverse symptoms or risks. Measurement of serum IGF-1 is more practical and accessible, and pituitary tumour patients with hypopituitarism and low serum IGF-1 have been shown to have a high probability of GHD. We aimed to evaluate IGF-1 measurement for diagnosing GHD in our local TBI population...
April 2, 2018: BMC Endocrine Disorders
https://www.readbyqxmd.com/read/29608767/descriptive-analysis-of-a-baseline-concussion-battery-among-u-s-service-academy-members-results-from-the-concussion-assessment-research-and-education-care-consortium
#18
Kathryn L O'Connor, C Dain Allred, Kenneth L Cameron, Darren E Campbell, Christopher J D'Lauro, Megan N Houston, Brian R Johnson, Tim F Kelly, Gerald McGinty, Patrick G O'Donnell, Karen Y Peck, Steven J Svoboda, Paul Pasquina, Thomas McAllister, Michael McCrea, Steven P Broglio
Introduction: The prevalence and possible long-term consequences of concussion remain an increasing concern to the U.S. military, particularly as it pertains to maintaining a medically ready force. Baseline testing is being used both in the civilian and military domains to assess concussion injury and recovery. Accurate interpretation of these baseline assessments requires one to consider other influencing factors not related to concussion. To date, there is limited understanding, especially within the military, of what factors influence normative test performance...
March 28, 2018: Military Medicine
https://www.readbyqxmd.com/read/29605797/self-reported-sleep-duration-affects-tandem-gait-but-not-steady-state-gait-outcomes-among-healthy-collegiate-athletes
#19
David R Howell, Brant Berkstresser, Francis Wang, Thomas A Buckley, Rebekah Mannix, Alexandra Stillman, William P Meehan
BACKGROUND: Sleep deficits are associated with motor and cognitive function deficits, even in the absence of a recent concussion. RESEARCH QUESTION: Does the amount of self-reported sleep prior to pre-season concussion testing affect single-task and dual-task instrumented steady-state gait and timed tandem gait test performance? METHODS: One hundred and fourteen healthy collegiate athletes (mean age 18.8 ± 0.7 years; 60% female) reported the amount of sleep they received during the prior night and completed a timed tandem gait test and an instrumented assessment of steady-state gait in both single-task and dual-task conditions...
May 2018: Gait & Posture
https://www.readbyqxmd.com/read/29596338/non-invasive-electromagnetic-skin-patch-sensor-to-measure-intracranial-fluid-volume-shifts
#20
Jacob Griffith, Kim Cluff, Brandon Eckerman, Jessica Aldrich, Ryan Becker, Peer Moore-Jansen, Jeremy Patterson
Elevated intracranial fluid volume can drive intracranial pressure increases, which can potentially result in numerous neurological complications or death. This study's focus was to develop a passive skin patch sensor for the head that would non-invasively measure cranial fluid volume shifts. The sensor consists of a single baseline component configured into a rectangular planar spiral with a self-resonant frequency response when impinged upon by external radio frequency sweeps. Fluid volume changes (10 mL increments) were detected through cranial bone using the sensor on a dry human skull model...
March 29, 2018: Sensors
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