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Sport Concussion Assessment Tool

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1. The Sport Concussion Assessment Tool (SCAT2) for evaluating civilian mild traumatic brain injury. A pilot normative study. (PubMed)

The Sport Concussion Assessment Tool (SCAT2) for evaluating civilian mild traumatic brain injury. A pilot normative study. Self-report measures, particularly symptom inventories, are critical tools for identifying patients with persistent post-concussion symptoms and their follow-up. Unlike in military or sports-related assessment, in general civilian settings pre-injury levels of concussion-like symptoms are lacking. Normative data are available in adolescent and college populations (...) , but no reference data exist to guide clinical adult explorations. The purpose of this study was to use the second edition of the Sport Concussion Assessment Tool (SCAT2) to profile a cohort of 60 healthy community volunteers who had not sustained a head injury. Participating volunteers underwent MRI scanning and were evaluated with the Hospital Anxiety and Depression Scale (HADS). Participants reported a median of 3 concussion-like symptoms and the 97.5 percentile score was found at 10.5 symptoms, out

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2019 PLoS ONE

2. Australian Institute of Sport and Australian Medical Association position statement on concussion in sport

protection of the cervical spine. Tools exist for use by members of the community, allowing identification of key symptoms and signs that raise the suspicion of concussion. Medical professionals should use the Sport Concussion Assessment Tool 3, in conjunction with clinical assessment for the diagnosis of concussion. Clinical assessment includes mechanism of injury, symptoms and signs, cognitive functioning, and neurological assessment including balance testing. In any situation where concussion (...) is suspected, the athlete must be immediately removed from sport and not be allowed to return to activity until they have been assessed by a medical practitioner. “If in doubt, sit them out.” A diagnosis of concussion requires immediate physical and cognitive rest, followed by a structured, graduated return to physical activity. Children require a longer period of recovery from concussion. Algorithms are provided for use by medical and non-medically trained stakeholders in the recognition and management

2017 MJA Clinical Guidelines

3. Post-traumatic headache: the use of the sport concussion assessment tool (SCAT-3) as a predictor of post-concussion recovery (PubMed)

Post-traumatic headache: the use of the sport concussion assessment tool (SCAT-3) as a predictor of post-concussion recovery Given that post-traumatic headache is one of the most prevalent and long-lasting post-concussion sequelae, causes significant morbidity, and might be associated with slower neurocognitive recovery, we sought to evaluate the use of concussion screening scores in a concussion clinic population to assess for post-traumatic headache.This is a retrospective cross-sectional (...) study of 254 concussion patients from the New York University (NYU) Concussion Registry. Data on the headache characteristics, concussion mechanism, concussion screening scores were collected and analyzed.72% of the patients had post-traumatic headache. About half (56.3%) were women. The mean age was 35 (SD 16.2). 90 (35%) patients suffered from sport-related concussions (SRC). Daily post-traumatic headache patients had higher Sport Concussion Assessment Tool (SCAT)-3 symptom severity scores than

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2017 The journal of headache and pain

4. Correspondence regarding: Post-traumatic headache: the use of the sport concussion assessment tool (SCAT-3) as a predictor of post-concussion recovery (PubMed)

Correspondence regarding: Post-traumatic headache: the use of the sport concussion assessment tool (SCAT-3) as a predictor of post-concussion recovery This article consists of a Letter to the Editor regarding Post-traumatic headache: the use of the sport concussion assessment tool (SCAT-3) as a predictor of post-concussion recovery, recently published in The Journal of Headache and Pain, along with a response from the original authors.

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2017 The journal of headache and pain

5. Chinese translation and validation of the Sport Concussion Assessment Tool 3 (SCAT3) (PubMed)

Chinese translation and validation of the Sport Concussion Assessment Tool 3 (SCAT3) The aim of this study was to translate, adapt and validate the Sport Concussion Assessment Tool 3rd edition (SCAT3), a test for assessing athletes for concussion, into the Chinese context.Translation and adaptation were performed in several stages, which included forward translation by two independent teams, translation merging, backward translation, reviews by both native Cantonese-speaking and Mandarin (...) -speaking multidisciplinary expert panels (n=49) for semantic and conceptual equivalence and reviews by pitch-side physiotherapists (n=18) as end-users of the SCAT3 and rugby players (n=11) for face validity. The Serial 3  s subtraction test was used as a substitute for the Months Backward Test (MBT) for measures of concentration in the Standardized Assessment of Concussion subscale. English-speaking and Chinese-speaking rugby players (n=52) were recruited to perform these tests to assess the level

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2018 BMJ Open Sport — Exercise Medicine

6. Reliability and Validity of the Sport Concussion Assessment Tool-3 (SCAT3) in High School and Collegiate Athletes (PubMed)

Reliability and Validity of the Sport Concussion Assessment Tool-3 (SCAT3) in High School and Collegiate Athletes The Sport Concussion Assessment Tool-3 (SCAT3) facilitates sideline clinical assessments of concussed athletes. Yet, there is little published research on clinically relevant metrics for the SCAT3 as a whole.We documented the psychometric properties of the major SCAT3 components (symptoms, cognition, balance) and derived clinical decision criteria (ie, reliable change score cutoffs (...) with higher baseline symptom ratings (d = 0.25-0.32). Male sex, ADHD, and LD were associated with lower baseline Standardized Assessment of Concussion (SAC) scores (d = 0.28-0.68). Male sex, high school level of competition, ADHD, and LD were associated with poorer baseline Balance Error Scoring System (BESS) performance (d = 0.14-0.26). After injury, the symptom checklist manifested the largest effect size at the 24-hour assessment (d = 1.52), with group differences diminished but statistically

2016 EvidenceUpdates

7. Establishing Baseline Normative Values for the Child Sport Concussion Assessment Tool. (PubMed)

Establishing Baseline Normative Values for the Child Sport Concussion Assessment Tool. The Child Sport Concussion Assessment Tool (SCAT3) is a postconcussion sideline assessment tool measuring symptoms, cognition, and balance in preadolescent children. Minimal normative baseline data exist to aid decision making in clinical and athletic settings.To collect normative baseline data for the Child SCAT3 in a large cohort of young athletes.A cross-sectional study was conducted from May 31 to August (...) 12, 2014, at various sporting events (basketball, soccer, baseball, and swimming) in Central Wisconsin among children 5 to 13 years of age who were English-speaking and did not report a lower leg injury within the past 2 months or a concussion within the past month. Data were analyzed between October 8, 2014, and September 12, 2016.All Child SCAT3 components were assessed: child and parent report of symptom number and severity, cognition (Standardized Assessment of Concussion-child version [SAC-C

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2017 JAMA pediatrics

8. Clinical Utility of the Sport Concussion Assessment Tool 3 (SCAT3) Tandem-Gait Test in High School Athletes (PubMed)

Clinical Utility of the Sport Concussion Assessment Tool 3 (SCAT3) Tandem-Gait Test in High School Athletes   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.  To determine (1 (...) < .01).  Our findings suggest that the tandem-gait test had a high false-positive rate in high school athletes. Given that more than 75% of healthy participants failed the tandem-gait test, the 14-second cutoff appears to have limited clinical utility in the adolescent population. Functional movement deficits after concussion need to be accounted for, but the 14-second cutoff for the SCAT3 tandem-gait test does not appear to be an ideal way to assess these deficits in high school athletes.

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2017 Journal of athletic training

9. Concussed athletes walk slower than non-concussed athletes during cognitive-motor dual-task assessments but not during single-task assessments 2 months after sports concussion: a systematic review and meta-analysis using individual participant data. (PubMed)

Concussed athletes walk slower than non-concussed athletes during cognitive-motor dual-task assessments but not during single-task assessments 2 months after sports concussion: a systematic review and meta-analysis using individual participant data. To determine whether individuals who sustained a sports concussion would exhibit persistent impairments in gait and quiet standing compared to non-injured controls during a dual-task assessment .Systematic review and meta-analysis using individual (...) participant data (IPD).The search strategy was applied across seven electronic bibliographic and grey literature databases: MEDLINE, EMBASE, CINAHL, SportDISCUS, PsycINFO, PsycARTICLES and Web of Science, from database inception until June 2017.Studies were included if; individuals with a sports concussion and non-injured controls were included as participants; a steady-state walking or static postural balance task was used as the primary motor task; dual-task performance was assessed with the addition

2019 British Journal of Sports Medicine

10. Prospective, Head-to-Head Study of Three Computerized Neurocognitive Assessment Tools (CNTs): Reliability and Validity for the Assessment of Sport-Related Concussion (PubMed)

Prospective, Head-to-Head Study of Three Computerized Neurocognitive Assessment Tools (CNTs): Reliability and Validity for the Assessment of Sport-Related Concussion Limited data exist comparing the performance of computerized neurocognitive tests (CNTs) for assessing sport-related concussion. We evaluated the reliability and validity of three CNTs-ANAM, Axon Sports/Cogstate Sport, and ImPACT-in a common sample. High school and collegiate athletes completed two CNTs each at baseline. Concussed (...) suggested that the CNTs may add incrementally (beyond symptom scores) to the identification of clinical impairment within 24 hr of injury or within a short time period after symptom resolution but do not add significant value over symptom assessment later. The rapid clinical recovery course from concussion and modest stability probably jointly contribute to limited signal detection capabilities of neurocognitive tests outside a brief post-injury window. (JINS, 2016, 22, 24-37).

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2016 Journal of the International Neuropsychological Society : JINS

11. Do Sideline Concussion Assessments Predict Subsequent Neurocognitive Impairment After Sport-Related Concussion? (PubMed)

Do Sideline Concussion Assessments Predict Subsequent Neurocognitive Impairment After Sport-Related Concussion?   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.  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.  Case-control study.  High school and collegiate athletics.  A total of 125 high school and college-aged athletes (85 males, 40 females) 14 to 23 (16.8 ± 2.21) years old.  Participants were administered sideline concussion-assessment measures (ie, Immediate Post-Concussion Assessment and Cognitive Testing

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2017 Journal of athletic training

12. Sport Concussion Assessment Tool

Sport Concussion Assessment Tool Sport Concussion Assessment Tool Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Sport Concussion (...) Assessment Tool Sport Concussion Assessment Tool Aka: Sport Concussion Assessment Tool , SCAT2 II. Indications Sideline evaluation in age over 10 years III. Advantages Most comprehensive sideline assessment tool Widely used IV. Disadvantages Not validated V. Components Physical Signs (2 points) No loss of consciousness No balance problem or unsteadiness (22 points) (15 points) (5 points) (30 points) (1 point) Standard Assessment of (30 points total) Orientation (5 points) (15 points) Concentration (5

2018 FP Notebook

13. The utility of the King-Devick test as a sideline assessment tool for sport-related concussions: a narrative review (PubMed)

The utility of the King-Devick test as a sideline assessment tool for sport-related concussions: a narrative review The objective of this paper is to review existing literature surrounding the utility of the King-Devick test which is a commonly used sideline assessment tool for sport-related concussions.A review of the literature was performed using MEDLINE, CINHAL, and SportDiscus databases. The search was performed from the beginning of the record through November 16th, 2015.This search (...) strategy yielded 27 articles from aforementioned databases. Further searching in The Cochrane Library with King-Devick AND Concuss* search terms yielded one additional article, summing a total of 28 articles. After removal of duplicates and implementation of the inclusion/exclusion criteria, 8 articles for extensively reviewed.This narrative review suggests that the King-Devick test is an efficient sideline assessment tool for sport-related concussions. However, we recommend that the King-Devick should

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2016 The Journal of the Canadian Chiropractic Association

14. The Sport Concussion Assessment Tool: a systematic review. (PubMed)

The Sport Concussion Assessment Tool: a systematic review. OBJECTIVE Over the last 2 decades, sport-related concussion (SRC) has garnered significant attention. Even with increased awareness and athlete education, sideline recognition and real-time diagnosis remain crucial. The need for an objective and standardized assessment of concussion led to the eventual development of the Sport Concussion Assessment Tool (SCAT) during the Second International Conference on Concussion in Sport in 2004 (...) , which is now in its third iteration (SCAT3). In an effort to update our understanding of the most well-known sideline concussion assessment, the authors conducted a systematic review of the SCAT and the evidence supporting its use to date. METHODS English-language titles and abstracts published between 1995 and October 2015 were searched systematically across 4 electronic databases and a review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses

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2016 Neurosurgical focus

15. Sport Concussion Assessment Tool-Fifth Edition Normative Reference Values for Professional Rugby Union Players. (PubMed)

Sport Concussion Assessment Tool-Fifth Edition Normative Reference Values for Professional Rugby Union Players. To describe distributions and establish normative ranges for new or changed subcomponents of the Sports Concussion Assessment Tool (SCAT)-5.Cross-sectional study.Professional Rugby Union players performing 2017 preseason baseline SCAT-5 testing.Subcomponent tests newly introduced or changed in the SCAT-5.The 10-word immediate and delayed recall tests and the rapid neurological

2018 Clinical Journal of Sport Medicine

16. Effects of Exercise on Sport Concussion Assessment Tool-Third Edition Performance in Women. (PubMed)

Effects of Exercise on Sport Concussion Assessment Tool-Third Edition Performance in Women. The purpose of this study was to examine the influence of a brief exercise protocol on Sport Concussion Assessment Tool-Third Edition (SCAT3) performance in amateur women athletes.Cross-over repeated-measures design.Off-season, uninjured community amateur athletes.We examined 87 amateur women athlete volunteers (age = 29.9, SD = 6.9 years).Participants were assessed using the SCAT3 under 2 conditions

2018 Clinical Journal of Sport Medicine Controlled trial quality: uncertain

17. Evaluation of Nintendo Wii Balance Board as a Tool for Measuring Postural Stability After Sport-Related Concussion (PubMed)

Evaluation of Nintendo Wii Balance Board as a Tool for Measuring Postural Stability After Sport-Related Concussion Recent changes to postconcussion guidelines indicate that postural-stability assessment may augment traditional neurocognitive testing when making return-to-participation decisions. The Balance Error Scoring System (BESS) has been proposed as 1 measure of balance assessment. A new, freely available software program to accompany the Nintendo Wii Balance Board (WBB) system has (...) recently been developed but has not been tested in concussed patients.To evaluate the feasibility of using the WBB to assess postural stability across 3 time points (baseline and postconcussion days 3 and 7) and to assess concurrent and convergent validity of the WBB with other traditional measures (BESS and Immediate Post-Concussion Assessment and Cognitive Test [ImPACT] battery) of assessing concussion recovery.Cohort study.Athletic training room and collegiate sports arena.We collected preseason

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2017 Journal of athletic training

18. A Simple Field-Based Tool to Assess Concussion Symptom Reporting Behavior. (PubMed)

A Simple Field-Based Tool to Assess Concussion Symptom Reporting Behavior. Prevention and treatment of sport-related concussions is an important public health issue and has led to increased research on concussion symptom reporting behavior. To date, there is neither a common understanding of what constitutes concussion symptom reporting behavior nor measures that capture key features of concussion symptom reporting behavior. Concussion symptom reporting behavior can be initiated by an athlete (...) , an athletic trainer, coach, or teammate and can occur in competition, practice, or days after symptoms appear. Follow-up diagnostics range from asking athletes initial questions about their symptoms to conducting rapid standardized sideline assessments to conducting full comprehensive concussion screens. Currently, for athletes who are not formally diagnosed with concussion, no information about concussion symptom reporting behavior sources, screening methods, or context is collected.Pilot data were

2018 American journal of preventive medicine

19. Review of Assessment Scales for Diagnosing and Monitoring Sports-related Concussion (PubMed)

that assessment and management of sports-related concussions should involve a multifaceted approach. A number of assessment criteria have been developed for this purpose. It is important to understand the available and emerging diagnostic testing modalities for sports-related concussions. The most commonly used tools for evaluating individuals with concussion are the Post-Concussion Symptom Scale (PCSS), Standard Assessment of Concussion (SAC), Standard Concussion Assessment Tool (SCAT3), and the most (...) Review of Assessment Scales for Diagnosing and Monitoring Sports-related Concussion 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

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2017 Cureus

20. Effects of Exercise on Sport Concussion Assessment Tool–Third Edition Performance in Professional Athletes (PubMed)

Effects of Exercise on Sport Concussion Assessment Tool–Third Edition Performance in Professional Athletes 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.To examine the influence of exercise on SCAT3 performance in professional male athletes.Controlled laboratory study.We examined the SCAT3 performance of 82 professional

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2017 Orthopaedic journal of sports medicine Controlled trial quality: uncertain

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