A review of modifying factors affecting usage of diagnostic rating scales in concussion management

Clin Neurol Neurosurg. 2014 Jul:122:59-63. doi: 10.1016/j.clineuro.2014.04.003. Epub 2014 Apr 24.

Abstract

Sport-related concussion has gained increasing recognition as a result of recent legislation, public health initiatives and media coverage. Moreover, there have been substantial paradigm shifts in the management of concussion. This article will discuss the variables that affect the use of diagnostic rating scales such as ImPACT and SCAT in the current management of concussed individuals. Specifically, patient-specific modifying factors affecting test interpretation, including age, gender, fitness level, psychiatric conditions, learning disorders and other components of medical history will be addressed, as well as methodological concerns with baseline testing.

Keywords: Athletes; Mild traumatic brain injury; Neurocognitive testing; Return-to-play; Sports-related concussion.

Publication types

  • Review

MeSH terms

  • Athletic Injuries / diagnosis*
  • Athletic Injuries / therapy
  • Brain Concussion / diagnosis*
  • Brain Concussion / therapy
  • Humans
  • Neuropsychological Tests / standards*
  • Trauma Severity Indices*