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 vul...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2017-12, Vol.9 (12), p.e1922-e1922
Main Authors: Dessy, Alexa M, Yuk, Frank J, Maniya, Akbar Y, Gometz, Alex, Rasouli, Jonathan J, Lovell, Mark R, Choudhri, Tanvir F
Format: Article
Language:English
Subjects:
Athletes
Cognitive ability
Concussion
Eye movements
Medical diagnosis
Neurology
Neurosurgery
Orthopedics
Sports injuries
Student athletes
Traumatic brain injury
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Summary: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 recognized computerized neurocognitive test, the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT). The strengths and limitations of each of these tools, and the Concussion Resolution Index (CRI), CogSport, and King-Devick tests were evaluated. Based on the data, it appears that the most sensitive and specific of these is the ImPACT test. Additionally, the King-Devick test is an effective adjunct due to its ability to test eye movements and brainstem function.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.1922