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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. (Full text)

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

2019 PLoS ONE PubMed abstract

2. Sports-related concussion (SRC) assessment in road cycling: a systematic review and call to action. (Full text)

Sports-related concussion (SRC) assessment in road cycling: a systematic review and call to action. Sports-related concussion (SRC) is a recognised risk in road cycling and can have serious health consequences. Recent high-profile cases of professional road cyclists continuing to participate in races despite suffering obvious SRC have highlighted the difficulties in assessing SRC within road cycling.To undertake a systematic review of the literature on SRC assessment in road cycling.Systematic (...) review.Literature describing SRC assessment in road cycling was identified by searching MEDLINE, EMBASE, PsycINFO and Web of Science. Two reviewers independently screened titles and abstracts for eligibility and a qualitative analysis was undertaken of included studies.From 94 studies identified, two were included for review. Gordon et al describe the presentation of a single case of paediatric concussion following a cycling crash. They highlight the utility of SRC evaluation using the Sport Concussion

2020 BMJ open sport & exercise medicine PubMed abstract

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

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 (...) : at rest and after a 5-minute physical exertion protocol, completed in a counterbalanced order.Participants' performance on the various components of the SCAT3 under the 2 conditions: at rest and after a 5-minute physical exertion protocol.No significant differences were detected between at-rest and postexercise conditions for the balance, orientation, or cognitive components of the SCAT3. There were no significant differences in the proportion of participants who endorsed specific symptoms at rest

2018 Clinical Journal of Sport Medicine Controlled trial quality: uncertain

4. Effects of Exercise on Sport Concussion Assessment Tool–Third Edition Performance in Professional Athletes (Full text)

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 (...) ) during the at-rest condition compared with the postexercise condition.The interpretation of in-game (sideline) SCAT3 results should consider the effects of postexercise fatigue levels on an athlete's performance, particularly if preseason baseline data have been collected when the athlete was well rested.Exercise appears to affect symptom burden and physical abilities, such as balance and tandem gait, more so than the cognitive components of the SCAT3.

2017 Orthopaedic journal of sports medicine Controlled trial quality: uncertain PubMed abstract

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

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

2018 BMJ Open Sport — Exercise Medicine PubMed abstract

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

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.

2017 The journal of headache and pain PubMed abstract

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

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

2017 The journal of headache and pain PubMed abstract

8. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Sport-Related Concussion/mTBI

concussion/mTBI may require onsite (on-field) medical assessments by emergency medical professionals for a more severe head injury, cervical or spine injury, or loss of consciousness. In cases in which a concussion/mTBI is suspected without a more severe head or spine injury, a player should be removed from the field of play and a sideline assessment can be performed. The Concussion in Sport Group has created a revised Sport Concussion Assessment Tool (SCAT5 and the Concussion Recognition Tool 5 (...) about how to proceed with progressive return to an activity/sport (see resource links in Appendix F). Further, as discussed above, differences exist between the nature of injuries sustained during sport compared with other types of injuries. Therefore, the application of clinical guidance for sport-related concussion/mTBI may not be appropriate for patients who have sustained other types of injuries. Assessment and Management of Sport-Related Concussion New Key Section Level of evidence A B C

2018 Ontario Neurotrauma Foundation

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

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 (...) 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

2017 MJA Clinical Guidelines

10. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Diagnosis/Assessment of Concussion/mTBI

an object, including sport and recreational injury. 2 Patients may present in a post-traumatic amnestic (PTA) state, where they may have a Glasgow Coma Scale (GCS) score of 15/15; however, they may be variably oriented and not able to form continuous memories. The purpose of the initial medical assessment is to establish the diagnosis of concussion/mTBI by ruling out more severe forms of TBI, cervical spine injuries and medical and neurological conditions that can present with concussion-like symptoms (...) Guideline for concussion/mild traumatic brain injury & persistent symptoms - Diagnosis/Assessment of Concussion/mTBI Diagnosis/Assessment of Concussion/mTBI // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age Diagnosis/Assessment of Concussion/mTBI Diagnosis of mTBI/concussion (Table B) is the first critical step in successful management

2018 Ontario Neurotrauma Foundation

11. Establishing Baseline Normative Values for the Child Sport Concussion Assessment Tool. (Full text)

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

2017 JAMA pediatrics PubMed abstract

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

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.

2017 Journal of athletic training PubMed abstract

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

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 PubMed abstract

14. 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. (Abstract)

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

15. Sport Concussion Assessment Tool

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 (...) 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

2018 FP Notebook

16. Do Sideline Concussion Assessments Predict Subsequent Neurocognitive Impairment After Sport-Related Concussion? (Full text)

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

2017 Journal of athletic training PubMed abstract

17. Guideline for concussion/mild traumatic brain injury & persistent symptoms - General Recommendations Regarding Diagnosis/Assessment of Persistent Symptoms

to have fewer persisting symptoms later. 9 The assessment and monitoring of symptoms following mTBI may be facilitated using valid assessment tools, such as the Rivermead Post Concussion Symptoms Questionnaire (Appendix ) or the Post Concussion Symptom Scale (Appendix ). It is also important to note that there is frequently an interplay of symptoms, social circumstances, and subsequent development of complications (e.g., depression) that can complicate and negatively influence recovery. The particular (...) as some symptoms may exacerbate others. Adapted from the VA/DoD Management of Concussion/Mild Traumatic Brain Injury Clinical Practice Guideline (VA/DoD, 2009). 4.3 C The assessment should include a review of currently prescribed medications, over-the-counter medications/supplements and substance use, including alcohol, marijuana and other recreational drugs. 4.4 C The persisting physical, cognitive, and/or psychological symptoms following mTBI can be nonspecific and may overlap. Therefore, careful

2018 Ontario Neurotrauma Foundation

18. Sport Concussion Assessment Tool-Fifth Edition Normative Reference Values for Professional Rugby Union Players. (Full text)

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 PubMed abstract

19. A Simple Field-Based Tool to Assess Concussion Symptom Reporting Behavior. (Abstract)

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

20. Review of Assessment Scales for Diagnosing and Monitoring Sports-related Concussion (Full text)

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 (...) 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

2017 Cureus PubMed abstract

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