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Immediate Post Concussion Assessment and Cognitive Testing

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https://www.readbyqxmd.com/read/29204342/sex-differences-in-white-matter-alterations-following-repetitive-subconcussive-head-impacts-in-collegiate-ice-hockey-players
#1
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
#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/29164163/neurocognitive-deficits-of-concussed-adolescent-athletes-at-self-reported-symptom-resolution-in-the-zurich-guidelines-era
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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...
August 9, 2017: Journal of the International Neuropsychological Society: JINS
https://www.readbyqxmd.com/read/28771032/reliability-of-computerized-neurocognitive-tests-for-concussion-assessment-a-meta-analysis
#11
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
#12
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
#13
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
https://www.readbyqxmd.com/read/28661827/cumulative-effects-of-concussion-history-on-baseline-computerized-neurocognitive-test-scores-systematic-review-and-meta-analysis
#14
REVIEW
Bara Alsalaheen, Kayla Stockdale, Dana Pechumer, Alexander Giessing, Xuming He, Steven P Broglio
CONTEXT: It is unclear whether individuals with a history of single or multiple clinically recovered concussions exhibit worse cognitive performance on baseline testing compared with individuals with no concussion history. OBJECTIVE: To analyze the effects of concussion history on baseline neurocognitive performance using a computerized neurocognitive test. DATA SOURCES: PubMed, CINAHL, and psycINFO were searched in November 2015. The search was supplemented by a hand search of references...
July 2017: Sports Health
https://www.readbyqxmd.com/read/28631970/computerized-neuropsychological-test-performance-of-youth-football-players-at-different-positions-a-comparison-of-high-and-low-contact-players
#15
William T Tsushima, Hyeong Jun Ahn, Andrea M Siu, Tama Fukuyama, Nathan M Murata
The aim of this study was to examine the effects of head impact frequency on the neuropsychological test results of football players who participate in different positions on the team. Based on the biomechanical measures of head impact frequency reported in high school football, a High Contact group (n = 480) consisting of offensive and defensive linemen was compared with a Low Contact group (n = 640) comprised of receivers and defensive backs. The results revealed that the High Contact group obtained poorer performances on the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) on three Composite scores (Verbal Memory, Visual Motor Speed, Impulse Control) and the Total Symptom score compared to the Low Contact group...
February 28, 2017: Applied Neuropsychology. Child
https://www.readbyqxmd.com/read/28631965/short-term-test-retest-reliability-of-the-impact-in-healthy-young-athletes
#16
Amanda M O'Brien, Joseph E Casey, Rachel M Salmon
The present study examined the short-term test-retest reliability of the Immediate Post-concussion Assessment and Cognitive Testing (ImPACT) variables with healthy 11- to 14-year-old athletes. 53 young athletes (Mage = 12.4 years, 9 female) were administered the ImPACT on two separate occasions two weeks apart. Participants were instructed to complete the Post-Concussion Symptom Scale (PCSS) and the baseline computerized neurocognitive test during both the baseline and retest phases. Intraclass correlation (ICC), standard error of measurement (SEM), and reliable change index (RCI) were used as reliability metrics...
February 22, 2017: Applied Neuropsychology. Child
https://www.readbyqxmd.com/read/28570092/the-effect-of-physical-exercise-after-a-concussion-a-systematic-review-and-meta-analysis
#17
Avtar Lal, Stephanie A Kolakowsky-Hayner, Jamshid Ghajar, Maya Balamane
BACKGROUND: Data evaluating the role of exercise in patients with a concussion are contradictory. Studies have reported improvement in the Post-Concussion Symptom Scale (PCSS) score, whereas others showed no effect on the PCSS score. PURPOSE: To conduct a systematic review and meta-analysis on the role of physical exercise on different outcomes in patients with a concussion. STUDY DESIGN: Systematic review and meta-analysis. METHODS: A search of 5 databases from the earliest available date to September 30, 2016, and a hand search of a few articles were performed...
June 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28559757/validation-of-the-optogait-system-for-monitoring-treatment-and-recovery-of-post-concussion-athletes
#18
Melissa A Engelson, Richard Bruns, Christopher J Nightingale, Kevin M Bardwell, Craig A Mason, Shihfen Tu, Laney Nelson, Stephen A Butterfield
OBJECTIVE: This study sought to investigate correlations between OptoGait motion analysis technology and 2 commonly used concussion assessment instruments, the Balance Evaluation Scoring System (BESS) and the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) computerized neurocognitive assessment software, to see if OptoGait might be a valid concussion assessment tool. METHODS: Twenty Division-1 college women varsity soccer players completed trials of 8 different conditions of the OptoGait test battery...
June 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/28535099/do-sideline-concussion-assessments-predict-subsequent-neurocognitive-impairment-after-sport-related-concussion
#19
Alicia Sufrinko, Jamie McAllister-Deitrick, Melissa Womble, Anthony Kontos
CONTEXT:   Comprehensive, multidomain assessment is the standard of care after sport-related concussion. However, the relationship between performance on sideline concussion-assessment tools and in-office computerized neurocognitive testing has received little attention, and the prognostic utility of sideline measures is unknown. OBJECTIVE:   To evaluate concurrent impairment on commonly used concussion measures 24 to 48 hours postinjury while also determining the predictive utility of sideline measures on computerized neurocognitive testing in the acute to subacute recovery periods postinjury...
July 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28520665/family-history-of-migraine-associated-with-posttraumatic-migraine-symptoms-following-sport-related-concussion
#20
Alicia Sufrinko, Jamie McAllister-Deitrick, R J Elbin, Michael W Collins, Anthony P Kontos
OBJECTIVE: To determine whether family history of migraine increased the likelihood of posttraumatic migraine (PTM) symptom presentation in adolescents following concussion, and examine the influence of family history of migraine and PTM on postinjury outcomes. SETTING: Outpatient concussion clinic. PARTICIPANTS: A total of 153 patients with concussion (103 males and 50 females) aged 15.72 ± 1.48 years (range 12-18 years). DESIGN: Cross-sectional, observational study of patients presenting for initial evaluation 4...
May 17, 2017: Journal of Head Trauma Rehabilitation
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