Consensus_Statement_on_Concussion_in_Sport_the_4th_1

Time frame is an arbitrary one nevertheless the

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time frame is an arbitrary one, nevertheless the expert panel agreed that a period of rest was important prior to assessment. Future research should consider the ef fi cacy for inclusion of vision tests such as the King Devick Test and clinical reaction time tests. 155,156 Recent studies suggest that these may be useful additions to the sideline assessment of concussion. However, the need for additional equipment may make them impractical for sideline use. It was further agreed that the SCAT3 would be suitable for adults and youths age 13 and over, while a new tool (Child-SCAT3) be developed for younger children. 5. Advances in neuropsychology: are computerized tests sufficient for concussion diagnosis? Sport-related concussions are frequently associated with 1 or more symptoms, impaired balance, and/or cognitive de fi cits. These problems can be measured using symptom scales, balance testing, and neurocognitive testing. All 3 modalities can identify signi fi cant changes in the fi rst few days following injury, generally with normalization over 1 to 3 weeks. The presentation of symptoms and the rate of recovery can be variable, which reinforces the value of assessing all 3 areas as part of a comprehensive sport concussion program. Neuropsychological assessment has been described by the Concussion in Sport Group as a cornerstone of concus- sion management. Neuropsychologists are uniquely quali fi ed to interpret neuropsychological tests and can play an impor- tant role within the context of a multifaceted-multimodal and multidisciplinary approach to managing sport-related concus- sion. Concussion management programs that use neuropsy- chological assessment to assist in clinical decision-making have been instituted in professional sports, colleges, and high schools. Brief computerized cognitive evaluation tools are the mainstay of these assessments worldwide given the logistical limitation in accessing trained neuropsychologists, however it should be noted that these are not substitutes for formal neu- ropsychological assessment. At present, there is insuf fi cient evidence to recommend the widespread routine use of base- line neuropsychological testing. 7. What evidence exits for new strategies/ technologies in the diagnosis of concussion and assessment of recovery? A number of novel technological platforms exist to assess concussion including (but not limited to) iPhone/smart phone apps, quantitative electroencephalography, robotics sensory motor assessment, telemedicine, eye tracking technology, func- tional imaging/advanced neuroimaging and head impact sensors. At this stage only limited evidence exists for their role in this setting and none have been validated as diagnostic. It will be important to reconsider the role of these technologies once evi- dence is developed.
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  • Winter '12
  • ChantalComeau
  • Sport Group, sport-related concussion

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