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Standardized Assessment of Concussion

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1. 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

2. 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

3. 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

4. Phasic Electrodermal Activity During the Standardized Assessment of Concussion (SAC) (PubMed)

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

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2016 Journal of athletic training

5. Utility of providing a concussion definition in the assessment of concussion history in former NFL players (PubMed)

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

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2017 Brain Injury

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

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

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2017 The journal of headache and pain

7. 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 (...) [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

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2017 Journal of athletic training

8. Diagnostic and prognostic ability of biofluid derived biomarkers for the assessment of sports-related concussion: a systematic review

Diagnostic and prognostic ability of biofluid derived biomarkers for the assessment of sports-related 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 record (...) 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. Not an in vivo animal

2019 PROSPERO

9. 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

10. Artificial intelligence for understanding concussion: Retrospective cluster analysis on the balance and vestibular diagnostic data of concussion patients. (PubMed)

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

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2019 PLoS ONE

11. Systematic review and image-based meta-analysis of diffusion MRI scalars in concussed sportspeople compared to non-concussed people

Systematic review and image-based meta-analysis of diffusion MRI scalars in concussed sportspeople compared to non-concussed people 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 record (...) 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. Not an in vivo animal

2019 PROSPERO

12. Systematic review of multiple prior concussions as a vulnerability factor for worse outcome following sport-related concussion

Systematic review of multiple prior concussions as a vulnerability factor for worse outcome following sport-related concussion 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 record, any (...) : 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. Not an in vivo animal study 3

2019 PROSPERO

13. Developing the Standard of Care for Post-Concussion Treatment: Neuroimaging-Guided Rehabilitation of Neurovascular Coupling (PubMed)

uncoupling provides a template for establishing a new concussion treatment standard in the assessment and therapeutic guidance of concussion.The degree and localization of neurovascular uncoupling were statistically contextualized against a normative-based atlas in 270 concussed patients. Functional NeuroCognitive ImagingTM was used to establish pre-treatment benchmarks and guide neurotherapy. Conventional and functional neurocognitive imaging-directed measures were used to evaluate post-rehabilitative (...) Developing the Standard of Care for Post-Concussion Treatment: Neuroimaging-Guided Rehabilitation of Neurovascular Coupling Emerging research proposes the imbalance between microvascular supply and metabolic demand as a contributing factor in the pathophysiology of mild traumatic brain injury. Prolonged effects on the dysregulation of neurovascular coupling may explain persistent symptomatic models such as Post-Concussion Syndrome.Increased knowledge of what we refer to as neurovascular

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2017 The open neuroimaging journal

14. Concussion Assessment With Smartglasses: Validation Study of Balance Measurement Toward a Lightweight, Multimodal, Field-Ready Platform (PubMed)

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

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2018 JMIR mHealth and uHealth

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

-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

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2018 BMJ Open Sport — Exercise Medicine

16. Concussion Biomarkers Assessed in Collegiate Student-Athletes (BASICS) I: Normative study. (PubMed)

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

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

, 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

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

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 (...) 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

2016 EvidenceUpdates

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

) 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

20. Contact Sports-related Concussion in Amateur Athletes, Primary Prevention of

, 2018 Correspondence to: Dr Toby M Enniss, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT 84132, USA; Abstract Background Awareness of the magnitude of contact sports-related concussions has risen exponentially in recent years. Our objective is to conduct a prospectively registered systematic review of the scientific evidence regarding interventions to prevent contact sports-related concussions. Methods Using the Grading of Recommendations Assessment, Development (...) of both scientific and public awareness, manifested by the exponential increase in research from less than 100 articles published annually during the 1980s to over 900 during 2016. Concomitantly, numerous evidence-based guidelines have been generated, focusing on topics such as sideline assessment, diagnostic evaluation, management, and prevention of secondary concussion. A major tenet of modern trauma care is primary prevention of injury. However, as it relates to sports-related concussion

2018 Eastern Association for the Surgery of Trauma

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