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Immediate Post Concussion Assessment and Cognitive Testing

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https://www.readbyqxmd.com/read/29672135/influences-of-mental-illness-current-psychological-state-and-concussion-history-on-baseline-concussion-assessment-performance
#1
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...
April 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29667530/effects-of-developmental-age-on-symptom-reporting-and-neurocognitive-performance-in-youth-after-sports-related-concussion-compared-to-control-athletes
#2
Donna L Murdaugh, Kim E Ono, Sarah O Morris, Thomas G Burns
There is increased necessity to focus research on school-aged athletes with sports-related concussion (SRC). This study assessed differences in symptom reporting and neurocognitive performance in youth athletes who sustained a sports-related concussion. A total of 1345 concussed and 3529 nonconcussed athletes (ages 8-21) completed the Immediate Post-concussive Assessment and Cognitive Testing (ImPACT). Analyses of covariance were conducted in order to assess differences in neurocognitive performance and symptom reporting between the sports-related concussion and control groups across age ranges...
January 1, 2018: Journal of Child Neurology
https://www.readbyqxmd.com/read/29621016/impact-normative-data-of-ethnically-diverse-adolescent-athletes
#3
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/29601349/factors-associated-with-self-reported-concussion-history-in-middle-school-athletes
#4
Douglas P Terry, Magdalena Wojtowicz, Nathan E Cook, Bruce A Maxwell, Ross Zafonte, Tad Seifert, Noah D Silverberg, Paul D Berkner, Grant L Iverson
OBJECTIVE: Identifying personal characteristics associated with sustaining a concussion is of great interest, yet only a few have examined this in children. The purpose of this study was to examine the association between sex, neurodevelopmental disorders, health history, and lifetime history of self-reported concussion in 12- and 13-year-old athletes. DESIGN: Cross-sectional study. SETTING: Middle schools. PARTICIPANTS: Participants were 1744 twelve- and thirteen-year-old student athletes who completed preseason Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) testing, including a self-report questionnaire about previous concussions, developmental diagnoses, and previous medical treatment...
March 27, 2018: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/29543036/an-examination-of-adolescent-athletes-and-nonathletes-on-baseline-neuropsychological-test-scores
#5
Christopher P Tomczyk, Megan Mormile, Megan S Wittenberg, Jody L Langdon, Tamerah N Hunt
CONTEXT:   An estimated 15.3 million adolescent students are enrolled in U.S. high schools, with approximately 7.8 million participating in athletics. Researchers have examined various demographics in high school athletes; however, athletic participation may play a larger role in test performance than previously thought. Currently, investigations of concussion assessment may rely on uninjured athletes as controls. However, due to the intense nature of athletics, this may not be an appropriate practice...
March 15, 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29498030/baseline-performance-of-ncaa-athletes-on-a-concussion-assessment-battery-a-report-from-the-care-consortium
#6
Barry P Katz, Maria Kudela, Jaroslaw Harezlak, Michael McCrea, Thomas McAllister, Steven P Broglio
BACKGROUND: Sport-related concussion and repetitive head impact exposure in contact sports continue to receive increased attention in public and medical spheres. The Concussion Assessment, Research and Education (CARE) Consortium, a multicenter cooperative, was established to study the natural history of concussion in National Collegiate Athletic Association (NCAA) collegiate student-athletes across 29 colleges and universities in the United States. The purpose of this investigation is to provide normative data from the CARE Consortium and evaluate for differences between sport categories...
March 1, 2018: Sports Medicine
https://www.readbyqxmd.com/read/29465268/convergent-and-discriminant-validity-of-the-immediate-postconcussion-assessment-and-cognitive-testing-battery-impact-in-young-athletes
#7
Lisa M Koehl, Brittany D Walls, Stacey L Brothers, Sarah N Morris, Amanda C Glueck, Frederick A Schmitt, David T R Berry, Dong Y Han
Sports concussions are recognized as significant injuries among young athletes. Research demonstrates that return-to-play prior to becoming asymptomatic has significant repercussions including sustained cognitive deficits. Many programs have begun to use computerized testing rather than traditional neuropsychological tests to (a) determine baseline performance, (b) track symptoms, and (c) measure symptoms following concussion. Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) is one such tool...
February 21, 2018: Applied Neuropsychology. Child
https://www.readbyqxmd.com/read/29456902/review-of-assessment-scales-for-diagnosing-and-monitoring-sports-related-concussion
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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...
March 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
#14
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 (eight males, seven females, 9-69 days after injury) were recruited through a concussion clinic and compared with community nonconcussed volunteers (11 males, three females)...
February 9, 2018: 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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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