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Immediate Post Concussion Assessment and Cognitive Testing

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https://www.readbyqxmd.com/read/29456902/review-of-assessment-scales-for-diagnosing-and-monitoring-sports-related-concussion
#1
REVIEW
Alexa M Dessy, Frank J Yuk, Akbar Y Maniya, Alex Gometz, Jonathan J Rasouli, Mark R Lovell, Tanvir F Choudhri
Sports-related concussion has emerged as a public health crisis due to increased diagnosis of the condition and increased participation in organized and recreational athletics worldwide. Under-recognition of concussions can lead to premature clearance for athletic participation, leaving athletes vulnerable to repeat injury and subsequent short- and long-term complications. There is overwhelming evidence that assessment and management of sports-related concussions should involve a multifaceted approach. A number of assessment criteria have been developed for this purpose...
December 7, 2017: Curēus
https://www.readbyqxmd.com/read/29425698/assessment-of-sleep-quantity-and-sleep-disturbances-during-recovery-from-sports-related-concussion-in-youth-athletes
#2
Donna L Murdaugh, Kim E Ono, Andrew Reisner, Thomas G Burns
OBJECTIVE: To determine the relationship between sleep quantity and sleep disturbances on symptoms and neurocognitive ability at the acute phase (<7 days) and post-sports-related concussion (SRC; >21 days). DESIGN: Prospective inception cohort study SETTING: General community setting of regional middle and high schools. PARTICIPANTS: Sample included 528 youth athletes with SRC and 443 controls ages 10-18. MAIN OUTCOME MEASURES: Athletes completed the Immediate Post-Concussive Assessment and Cognitive Testing (ImPACT) battery...
February 6, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29393677/effects-of-repetitive-subconcussive-head-trauma-on-the-neuropsychological-test-performance-of-high-school-athletes-a-comparison-of-high-moderate-and-low-contact-sports
#3
William T Tsushima, Hyeong Jun Ahn, Andrea M Siu, Kara Yoshinaga, So Yung Choi, Nathan M Murata
The aim of this study was to examine the neuropsychological test results of non-concussed high school athletes playing at three different levels of contact sports. Based on the concussion risk data of 12 different sports, a High Contact group (n=2819; wrestling/martial arts, cheerleading, track and field, football), a Moderate Contact group (n=2323; softball, basketball, soccer), and a Low Contact group (n=1580; baseball, volleyball, water polo, tennis, cross-country) were formed and compared in terms of their scores on the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT)...
February 2, 2018: Applied Neuropsychology. Child
https://www.readbyqxmd.com/read/29381402/comparison-of-baseline-impact-performance-in-amateur-motocross-riders-to-football-and-basketball-athletes
#4
Natalie K Sandel, Phillip R Worts, Scott Burkhart, Luke Henry
PRIMARY OBJECTIVE: The American Motorcyclist Association requires professional riders to undergo baseline computerized neurocognitive testing (CNT) using the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) test for concussion management. It is recommended this practice be expanded to the amateur level, but limited research has explored whether baseline testing is necessary for youth when normative data is available. This study evaluates the utility of baseline testing for amateur riders by comparing their performance to those of traditional youth sports comprising normative datasets...
January 30, 2018: Brain Injury: [BI]
https://www.readbyqxmd.com/read/29337649/neurocognitive-deficits-associated-with-adhd-in-athletes-a-systematic-review
#5
Poyrung Poysophon, Ashwin L Rao
CONTEXT: Attention deficit hyperactivity disorder (ADHD) is a common childhood disorder and is frequently diagnosed in young adults. Emerging studies suggest a relationship between ADHD and concussion. OBJECTIVE: To determine whether athletes with ADHD are at increased risk for neurocognitive deficits related to concussion risk, symptom reporting, and recovery. DATA SOURCES: A comprehensive search of PubMed, CINAHL, PsychInfo, and Cochrane Library databases was performed...
January 1, 2018: Sports Health
https://www.readbyqxmd.com/read/29323926/investigating-effects-of-sex-differences-and-prior-concussions-on-symptom-reporting-and-cognition-among-adolescent-soccer-players
#6
Brian L Brooks, Noah Silverberg, Bruce Maxwell, Rebekah Mannix, Ross Zafonte, Paul D Berkner, Grant L Iverson
BACKGROUND: There has been increasing concern regarding the possible effect of multiple concussions on the developing brain, especially for adolescent females. Hypothesis/Purpose: The objectives were to determine if there are differences in cognitive functioning, symptom reporting, and/or sex effects from prior concussions. In a very large sample of youth soccer players, it was hypothesized that (1) there would be no differences in cognitive test performance between those with and without prior concussions, (2) baseline preseason symptoms would be better predicted by noninjury factors than concussion history, and (3) males and females with prior concussions would not have differences in cognition or symptoms...
January 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29278998/neurocognitive-and-fine-motor-deficits-in-asymptomatic-adolescents-during-the-subacute-period-after-concussion
#7
Richard J Servatius, Kevin M Spiegler, Justin D Handy, Kevin C H Pang, Jack W Tsao, Catherine A Mazzola
Adolescents are at high risk for sustaining concussions. There is considerable controversy regarding the sensitivity of neurocognitive tests to detect and track dysfunction in the aftermath of concussion. Two neurocognitive test batteries were compared during the subacute phase of recovery from concussion to determine sensitivity to concussion. Adolescents (ages 11-17 years) with a concussion diagnosis (8 males, 7 females, 9-69 days after injury) were recruited through a concussion clinic and compared to community non-concussed volunteers (11 males, 3 females)...
December 26, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/29204342/sex-differences-in-white-matter-alterations-following-repetitive-subconcussive-head-impacts-in-collegiate-ice-hockey-players
#8
Nico Sollmann, Paul S Echlin, Vivian Schultz, Petra V Viher, Amanda E Lyall, Yorghos Tripodis, David Kaufmann, Elisabeth Hartl, Philipp Kinzel, Lorie A Forwell, Andrew M Johnson, Elaine N Skopelja, Christian Lepage, Sylvain Bouix, Ofer Pasternak, Alexander P Lin, Martha E Shenton, Inga K Koerte
Objective: Repetitive subconcussive head impacts (RSHI) may lead to structural, functional, and metabolic alterations of the brain. While differences between males and females have already been suggested following a concussion, whether there are sex differences following exposure to RSHI remains unknown. The aim of this study was to identify and to characterize sex differences following exposure to RSHI. Methods: Twenty-five collegiate ice hockey players (14 males and 11 females, 20...
2018: NeuroImage: Clinical
https://www.readbyqxmd.com/read/29189340/influence-of-postconcussion-sleep-duration-on-concussion-recovery-in-collegiate-athletes
#9
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/29164163/neurocognitive-deficits-of-concussed-adolescent-athletes-at-self-reported-symptom-resolution-in-the-zurich-guidelines-era
#10
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/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/29098599/factors-contributing-to-disparities-in-baseline-neurocognitive-performance-and-concussion-symptom-scores-between-black-and-white-collegiate-athletes
#12
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/28961684/validity-and-reliability-of-baseline-testing-in-a-standardized-environment
#13
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/28872365/recovery-progression-and-symptom-resolution-in-sport-related-mild-traumatic-brain-injury
#14
Ensie Abbassi, Bess Sirmon-Taylor
OBJECTIVE: To characterize the recovery progression of a group of athletes who participated in a concussion management program based on (1) group analysis and (2) individual analysis. SETTING: Concussion management clinic. PARTICIPANTS: Thirty athletes (22 males, 8 females; baseline age = 16.23 ± 2.40 years) who had undergone four assessments: one baseline and three post-injury assessments at 3, 8, 15 days post-injury. DESIGN: Retrospective clinical...
September 5, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28838286/self-reported-history-of-seizure-and-baseline-neurocognitive-test-performance-in-student-athletes-an-initial-investigation
#15
Brian H Zalneraitis, Aaron M Yengo-Kahn, Alec J Pawlukiewicz, Gary S Solomon
OBJECTIVES: Baseline neurocognitive assessment data can be critical in return to play (RTP) decision-making following a sport-related concussion (SRC). The literature indicates that many modifying factors of SRC have been studied empirically; however, there has been little investigation into the effect of a self-reported history of seizure(s) on baseline neurocognitive test data. The objective of this investigation was to determine whether a self-reported history of seizure(s) is associated with differences in baseline Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) performance...
September 1, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28809606/a-comparative-meta-analysis-of-the-effects-of-concussion-on-a-computerized-neurocognitive-test-and-self-reported-symptoms
#16
Bara Alsalaheen, Kayla Stockdale, Dana Pechumer, Steven P Broglio, Gregory F Marchetti
CONTEXT:   Meta-analyses examining construct-specific cognitive impairment concurrently with self-reported symptoms postconcussion are sparse. OBJECTIVE:   To review the literature on the effects of concussion on construct-specific neurocognitive declines and to compare them with self-reported symptoms before 1 week and between 1 and 3 weeks postconcussion. DATA SOURCES:   Relevant studies in PubMed, CINAHL, and PsycINFO published from January 1, 1999 through November 30, 2015...
September 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28791942/socioeconomic-status-and-race-outperform-concussion-history-and-sport-participation-in-predicting-collegiate-athlete-baseline-neurocognitive-scores
#17
Zac Houck, Breton Asken, James Clugston, William Perlstein, Russell Bauer
OBJECTIVES: The purpose of this study was to assess the contribution of socioeconomic status (SES) and other multivariate predictors to baseline neurocognitive functioning in collegiate athletes. METHODS: Data were obtained from the Concussion Assessment, Research and Education (CARE) Consortium. Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) baseline assessments for 403 University of Florida student-athletes (202 males; age range: 18-23) from the 2014-2015 and 2015-2016 seasons were analyzed...
January 2018: Journal of the International Neuropsychological Society: JINS
https://www.readbyqxmd.com/read/28771032/reliability-of-computerized-neurocognitive-tests-for-concussion-assessment-a-meta-analysis
#18
James L Farnsworth, Lucas Dargo, Brian G Ragan, Minsoo Kang
OBJECTIVE:   Although widely used, computerized neurocognitive tests (CNTs) have been criticized because of low reliability and poor sensitivity. A systematic review was published summarizing the reliability of Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) scores; however, this was limited to a single CNT. Expansion of the previous review to include additional CNTs and a meta-analysis is needed. Therefore, our purpose was to analyze reliability data for CNTs using meta-analysis and examine moderating factors that may influence reliability...
September 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28731886/collegiate-student-athletes-with-history-of-adhd-or-academic-difficulties-are-more-likely-to-produce-an-invalid-protocol-on-baseline-impact-testing
#19
Lisa Manderino, John Gunstad
OBJECTIVE: Attention deficit hyperactivity disorder (ADHD) and other academically-relevant diagnoses have been suggested as modifiers of neurocognitive testing in sport-related concussion, such as Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT). These preexisting conditions may suppress ImPACT scores to the extent that they are indistinguishable from low scores because of poor effort. The present study hypothesized that student athletes with history of ADHD or academic difficulties produce lower ImPACT composite scores and are more likely to produce invalid protocols than those without such conditions...
July 14, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/28728465/evaluating-the-test-retest-reliability-of-symptom-indices-associated-with-the-impact-post-concussion-symptom-scale-pcss
#20
Victoria C Merritt, Megan L Bradson, Jessica E Meyer, Peter A Arnett
OBJECTIVE: The Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) is a commonly used tool in sports concussion assessment. While test-retest reliabilities have been established for the ImPACT cognitive composites, few studies have evaluated the psychometric properties of the ImPACT's Post-Concussion Symptom Scale (PCSS). The purpose of this study was to establish the test-retest reliability of symptom indices associated with the PCSS. PARTICIPANTS AND METHODS: Participants included 38 undergraduate students (50...
July 20, 2017: Journal of Clinical and Experimental Neuropsychology
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