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Standardized Assessment of Concussion

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

Brain Injury following a Closed Head Injury (MAA, NSW, 2008). 1.8 C Somatic, cognitive/communication and emotional/behaviour symptoms following concussion/mTBI should be documented using a standardized assessment scale (Appendix and ) at the initial appointment as well as follow-up appointments until symptoms resolve. Adapted from the Motor Accidents Authority NSW, Guidelines for Mild Traumatic Brain Injury following a Closed Head Injury (MAA, NSW, 2008). Appendix 1.1 Read Evaluation Acute (...) 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

2. Standards for post-concussion care from diagnosis to the interdisciplinary concussion clinic

-concussion care from around Ontario. The longer term objectives of this work are to: 1. Develop and implement standards for concussion clinics throughout the province. 1. Establish collective competence in all elements of post-concussion care supports and facilitate networks for regionalized care. 2. Build an improved system for management and referrals. 3. Improve the knowledge of patients and families regarding what they can expect as optimal services. 4. Develop methods for assessment, coordination (...) and measurement of standards. The focus of our collective efforts in developing these standards has been to: ? Develop a pathway for post-concussion care recognizing the importance of collective competence among healthcare providers. ? Develop information for patients and family members to help them navigate what has become a complex and often disjointed system of assessment and treatment. ? Develop a strategy to educate the public and healthcare providers on the standards for post-concussion care

2017 CPG Infobase

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

Guideline for concussion/mild traumatic brain injury & persistent symptoms - General Recommendations Regarding Diagnosis/Assessment of Persistent Symptoms General Recommendations Regarding Diagnosis/Assessment of Persistent Symptoms // Brain Injury Guidelines Toggle navigation NAVIGATION > > > > > > > > > > > > > > > > > > Guideline For Concussion/Mild Traumatic Brain Injury & Persistent Symptoms 3rd Edition, for Adults over 18 years of age General Recommendations Regarding Diagnosis/Assessment (...) , emotionally charged, or associated with multiple or even life-threatening injuries. Other potential risk factors (see Table ) may signal the need to monitor patient recovery more closely, given that these individuals are at higher risk for persistent symptoms and poorer outcome. 6-8 For persons with persistent symptoms at 1 month post-injury, referral for specialized assessment in an interdisciplinary concussion clinic may be indicated. Patients with persistent symptoms 3 months post-injury should

2018 Ontario Neurotrauma Foundation

4. Guideline for concussion/mild traumatic brain injury & persistent symptoms - Initial Management of Concussion/mTBI

impairments may persist beyond when individuals with a concussion have returned to driving. 7 Also, patients who did present symptoms compatible with a concussion/mTBI following a head trauma but who are completely asymptomatic by the time they are medically-assessed should be presumed to have sustained a concussion/mTBI and receive counselling as described below. Although the majority of current treatments for concussion are in their infancy of development, 8 there is preliminary evidence to support (...) In addition to providing verbal information and reassurance to patients, it is also advised that written patient information sheets are delivered (see Appendices and ). 23 See Algorithm 2.1, which outlines the key steps for initial management of mTBI. Overall, management of concussion/mTBI should initially be managed in a standardized and consistent fashion recognizing that the majority of patients will proceed to complete recovery. Interdisciplinary teams are important, particularly for those patients

2018 Ontario Neurotrauma Foundation

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

standard emergency management principles and particular attention should be given to excluding a cervical spine injury. (A) The appropriate disposition of the player must be determined by the treating healthcare professional in a timely manner. If no healthcare professional is available, the player should be safely removed from practice or play and urgent referral to a physician arranged. (C) Once the first-aid issues are addressed, an assessment of the concussive injury should be made by a healthcare (...) Assessment Tool – 5th Edition Reference: Sport concussion assessment tool - 5th edition. Br J Sports Med. 2017;51(11):851-858. Description: SCAT5 is a standardized tool used to assess injured athletes for concussion and is suitable for athletes ages 13 and older. It is designed for use by medical professionals. Resource Criteria: Population Athletes suspected for concussion, ages 13 and older Reliability/ Validity The utility and sensitivity of a 100-point scoring system for the SCAT2 has been questioned

2018 Ontario Neurotrauma Foundation

6. Standardized Assessment of Concussion

Standardized Assessment of Concussion Standardized Assessment of Concussion 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 (...) Standardized Assessment of Concussion Standardized Assessment of Concussion Aka: Standardized Assessment of Concussion , SAC II. Indications Sideline evaluation in age over 10 years III. Criteria: Orientation (total possible of 5 points) What month is it? What is the date today? What is the day of the week? What year is it? What time is it right now (within one hour)? IV. Criteria: Memory (total possible of 20 points) Primary word list (5) , Apple, Carpet, Saddle, Bubble Alternative words Candle, paper

2018 FP Notebook

7. Utility of providing a concussion definition in the assessment of concussion history in former NFL players Full Text available with Trip Pro

Utility of providing a concussion definition in the assessment of concussion history in former NFL players Former National Football League (NFL) players' working knowledge of concussion has not yet been evaluated, despite this population being a major clinical research target due to the association between repetitive head impacts (RHI) and long-term clinical impairments. This study examined former NFL players' understanding of the current concussion definition, and the association between (...) of concussions (median = 50) was five times the pre-definition (median = 10; p < 0.001). Greater pre- (p = 0.019) and post-definition concussions (p = 0.036) correlated with worse behaviour/mood scores, after controlling for years of football played, with specific effects for depressive symptoms and impulsivity. LOC did not account for variance beyond number of concussions.Practitioners and clinical researchers should provide a definition of concussion in the assessment of concussion history in former

2017 Brain Injury

8. Post-traumatic headache: the use of the sport concussion assessment tool (SCAT-3) as a predictor of post-concussion recovery Full Text available with Trip Pro

the non-daily post-traumatic headache and the headache-free patients (50.2 [SD 28.2] vs. 33.1 [SD 27.5] vs. 21.6 SD23], p < 0.001). Patients with SRC had lower headache intensity (4.47 [SD 2.5] vs. 6.24 [SD 2.28], p < 0.001) and SCAT symptom severity scores (33.9 [SD 27.4] vs. 51.4 [SD 27.7], p < 0.001) than the other patients, but there were no differences in post-traumatic headache prevalence, frequency, and Standardized Assessment of Concussion (SAC) scores.The presence and frequency of post (...) 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

2017 The journal of headache and pain

9. Do Sideline Concussion Assessments Predict Subsequent Neurocognitive Impairment After Sport-Related Concussion? Full Text available with Trip Pro

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 (...) [ImPACT], Standardized Assessment of Concussion [SAC], and Balance Error Scoring System [BESS]) 24 to 48 hours postinjury and completed ImPACT and the Post-Concussion Symptom Scale 5 to 7 and 10 to 14 days postinjury. Outcome measures were the ImPACT composite (verbal memory, visual memory, reaction time, visual-motor speed), SAC, and BESS scores and total symptom score on the Post-Concussion Symptom Scale.  Participants demonstrated heterogeneous patterns of impairment on measures 24 to 48 hours

2017 Journal of athletic training

10. Chinese translation and validation of the Sport Concussion Assessment Tool 3 (SCAT3) Full Text available with Trip Pro

-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 (...) 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

2018 BMJ Open Sport — Exercise Medicine

11. A comparison of four different imaging modalities – Conventional, cross polarized, infra-red and ultra-violet in the assessment of childhood bruising Full Text available with Trip Pro

A comparison of four different imaging modalities – Conventional, cross polarized, infra-red and ultra-violet in the assessment of childhood bruising It is standard practice to image concerning bruises in children. We aim to compare the clarity and measurements of bruises using cross polarized, infra-red (IR) and ultra-violet (UV) images to conventional images.Children aged <11 years with incidental bruising were recruited. Demographics, skin and bruise details were recorded. Bruises were (...) imaged by standard protocols in conventional, cross-polarized, IR and UV lights. Bruises were assessed in vivo for contrast, uniformity and diffuseness, and these characteristics were then compared across image modalities. Color images (conventional, cross polarized) were segmented and measured by ImageJ. Bruises of grey scale images (IR, UV) were measured by a 'plug in' of ImageJ. The maximum and minimum Feret's diameter, area and aspect ratio, were determined. Comparison of measurements across

2018 Journal of forensic and legal medicine

12. Concussion Biomarkers Assessed in Collegiate Student-Athletes (BASICS) I: Normative study. Full Text available with Trip Pro

Concussion Biomarkers Assessed in Collegiate Student-Athletes (BASICS) I: Normative study. To describe variability in concussion biomarker concentrations collected from serum in a sample of healthy collegiate athletes, as well as report reliability metrics in a subsample of female athletes.In this observational cohort study, β-amyloid peptide 42 (Aβ42), total tau, S100 calcium binding protein B (S100B), ubiquitin carboxy-terminal hydrolyzing enzyme L1 (UCH-L1), glial fibrillary acidic protein (...) , microtubule associated protein 2, and 2',3'-cyclic-nucleotide 3'-phosphodiesterase (CNPase) serum concentrations were measured in 415 (61% male, 40% white, aged 19.0 ± 1.2 years) nonconcussed collegiate athletes without recent exposure to head impacts. Standardized normative distributions are reported for each biomarker. We evaluated main effects (analyses of variance) of sex and race, reporting demographic-specific normative metrics when appropriate. In a subset of 31 female participants, test-retest

2018 Neurology

13. Concussion Assessment With Smartglasses: Validation Study of Balance Measurement Toward a Lightweight, Multimodal, Field-Ready Platform Full Text available with Trip Pro

Concussion Assessment With Smartglasses: Validation Study of Balance Measurement Toward a Lightweight, Multimodal, Field-Ready Platform Lightweight and portable devices that objectively measure concussion-related impairments could improve injury detection and critical decision-making in contact sports and the military, where brain injuries commonly occur but remain underreported. Current standard assessments often rely heavily on subjective methods such as symptom self-reporting. Head-mounted (...) wearables, such as smartglasses, provide an emerging platform for consideration that could deliver the range of assessments necessary to develop a rapid and objective screen for brain injury. Standing balance assessment, one parameter that may inform a concussion diagnosis, could theoretically be performed quantitatively using current off-the-shelf smartglasses with an internal accelerometer. However, the validity of balance measurement using smartglasses has not been investigated.This study aimed

2018 JMIR mHealth and uHealth

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

, 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 (...) 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

2018 American journal of preventive medicine

15. Role of biomarkers and emerging technologies in defining and assessing neurobiological recovery after sport concussion: a systematic review

Role of biomarkers and emerging technologies in defining and assessing neurobiological recovery after sport concussion: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration (...) criteria: Exclusion criteria: Example: Screening will be performed in two phases, namely initial screening based on title and abstract, followed by full-text screening of the eligible articles for final inclusion. In each phase, 2 observers will independently assess each article. Discrepancies will be resolved through discussion, or by consulting a third investigator. ">Procedure for study selection Example : Title-abstract screening: 1. Not an original full research paper (e.g. review, editorial) 2

2020 PROSPERO

16. Guidelines for diagnosing and managing pediatric concussion

answer as to the ideal duration. Extreme prolonged rest may delay recovery. Therefore, we offer tools for two approaches. Tools followed by “a” reflect a standard approach, those followed by “b” reflect a more conservative approach. Use clinical judgment. • Use the following tool to assess progress. o Tool 0.4a: Parachute After a Concussion Guidelines for Return to Play. o Tool 0.4b: CanChild Return to Activity Guidelines for Children and Youth. • Develop an individual education plan (IEP) at school (...) on maintaining social networks and interactions. B 3.1g Advise on avoiding alcohol and other recreational drugs. B 3.1h Advise on avoiding driving during recovery. B 3.1i Advise on general monitoring, regular follow up with primary care or a sport medicine physician until symptoms disappear, and referral to specialized care after one month if symptoms persist. B/C Chapter: Tipsheet Guidelines for Diagnosing and Managing Pediatric Concussion 4 Tipsheet / List of Tools On Interim Assessment (when can the child

2019 CPG Infobase

17. Influences of Mental Illness, Current Psychological State, and Concussion History on Baseline Concussion Assessment Performance. (Abstract)

) to determine if history of concussion affects Brief Symptom Inventory-18 (BSI-18) subscores of state anxiety, depression, and somatization.Cross-sectional study; Level of evidence, 3.A sample of 8652 collegiate student-athletes (54.5% males, 45.5% females) participated in the Concussion Assessment, Research and Education (CARE) Consortium. Baseline assessments included a demographic form, a symptom evaluation, Standardized Assessment of Concussion, Balance Error Scoring System, a psychological state (...) Influences of Mental Illness, Current Psychological State, and Concussion History on Baseline Concussion Assessment Performance. A student-athlete's mental state, including history of trait anxiety and depression, or current psychological state may affect baseline concussion assessment performance.(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

2018 American Journal of Sports Medicine

18. Artificial intelligence for understanding concussion: Retrospective cluster analysis on the balance and vestibular diagnostic data of concussion patients. Full Text available with Trip Pro

Artificial intelligence for understanding concussion: Retrospective cluster analysis on the balance and vestibular diagnostic data of concussion patients. We propose a bottom-up, machine-learning approach, for the objective vestibular and balance diagnostic data of concussion patients, to provide insight into the differences in patients' phenotypes, independent of existing diagnoses (unsupervised learning).Diagnostic data from a battery of validated balance and vestibular assessments were (...) extracted from the database of the Swiss Concussion Center. The desired number of clusters within the patient database was estimated using Calinski-Harabasz criteria. Complex (self-organizing map, SOM) and standard (k-means) clustering tools were used, and the formed clusters were compared.A total of 96 patients (81.3% male, age (median [IQR]): 25.0[10.8]) who were expected to suffer from sports-related concussion or post-concussive syndrome (52[140] days between diagnostic testing and the concussive

2019 PLoS ONE

19. Phasic Electrodermal Activity During the Standardized Assessment of Concussion (SAC) Full Text available with Trip Pro

Phasic Electrodermal Activity During the Standardized Assessment of Concussion (SAC) The long-term effects of concussion on brain function during cognitive tasks are not fully understood and neuroimaging findings are equivocal. Some images show hyperactivation of prefrontal brain regions in previously concussed individuals relative to controls, suggesting increased cognitive resource allocation. Others show prefrontal hypoactivation and hyperactivation in other regions as a presumed (...) individuals with a self-reported history of physician-diagnosed, sport-related concussion (number of previous concussions = 1.43 ± 0.53; time since most recent concussion = 0.75 to 6 years, median = 3 years) and 10 individuals without a history of concussion participated in this study.All participants wore bilateral wrist electrodermal activity sensors during the Standardized Assessment of Concussion. We measured normalized phasic (reactive) electrodermal activity during each test element (orientation

2016 Journal of athletic training

20. Exploring Accelerometer Versus Self-Report Sleep Assessment in Youth With Concussion Full Text available with Trip Pro

Exploring Accelerometer Versus Self-Report Sleep Assessment in Youth With Concussion This study examines accelerometer-based and self-report assessment of sleep disturbance from a larger prospective cohort of youth 5 to 18 years of age with postconcussive injury. Twenty-one participants with self-reported sleep disturbance were evaluated using accelerometers. Participants completed the Pittsburgh Sleep Quality Index (PSQI) every 48 hours and also measured sleep via accelerometry. Correlations (...) were conducted matching PSQI scores to accelerometry assessment. PSQI scores were significantly correlated only with "average number of awakenings" (r = -0.21; P = .049). Accelerometer-measured mean (standard deviation) sleep efficiency was 79.9% (5.20%), with normal sleep defined as >85%. The mean (standard deviation) PSQI global score was 10.5 (3.78) out of 21, where scores of >5 indicate subjective insomnia. Results suggest the PSQI and accelerometers may be measuring different attributes

2017 Global pediatric health

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