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Title: What tests and measures should be added to the SCAT3 and related tests to improve their reliability, sensitivity and/or specificity in sideline concussion diagnosis? A systematic review.
Austin Authors: Echemendia, Ruben J;Broglio, Steven P;Davis, Gavin A ;Guskiewicz, Kevin M;Hayden, K Alix;Leddy, John J;Meehan, William P;Putukian, Margot;Sullivan, S John;Schneider, Kathryn J;McCrory, Paul R
Affiliation: The Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia
Department of Emergency Medicine, Children's Hospital Boston, Boston, Massachusetts, USA
Department of Athletic Medicine, Princeton University, Princeton, New Jersey, USA
School of Physiotherapy, University of Otago, Dunedin, New Zealand
Faculty of Kinesiology, University of Calgary, Calgary, Canada
Department of Psychology, University of Missouri - Kansas, Kansas City, Missouri, USA
Concussion Care Clinic, University Orthopedic Centre, State College, Pennsylvania, USA
Department of Kinesiology, University of Michigan, Ann Arbor, Michigan, USA
Murdoch Childrens Research Institue & Florey Institute of Neuroscience and Mental Health, Melbourne, Victoria, Australia
Sports Medicine Research Laboratory, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
Libraries and Cultural Resources Alberta, University of Calgary, Calgary, Canada
Department of Orthopaedics, SUNY Buffalo, Buffalo, New York, USA
Department of Sports Medicine, Children's Hospital Boston, Boston, Massachusetts, USA
Issue Date: Jun-2017
Publication information: British journal of sports medicine 2017; 51(11): 895-901
Abstract: Several iterations of the Sport Concussion Assessment Tool (SCAT) have been published over the past 16 years. Our goal was to systematically review the literature related to the SCAT and provide recommendations for improving the tool. To achieve this goal, five separate but related searches were conducted and presented herein. Systematic literature review. Medline, Embase, PsycINFO, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Cochrane Central Register of Controlled Trials, SPORTDiscus and PubMed. Original, empirical, peer-reviewed findings published in English and included sports-related concussion (SRC). Review papers, case studies, editorials and conference proceedings/abstracts were excluded. The age range for the ChildSCAT was 5-12 years and for the Adult SCAT was 13 years and above. Out of 2961 articles screened, a total of 96 articles were included across the five searches. Searches were not mutually exclusive. The final number of articles included in the qualitative synthesis for each search was 21 on Adult SCAT, 32 on ChildSCAT, 21 on sideline, 8 on video/observation and 14 on oculomotor. The SCAT is the most widely accepted and deployable sport concussion assessment and screening tool currently available. There is some degree of support for using the SCAT2/SCAT3 and ChildSCAT3 in the evaluation of SRC, with and without baseline data. The addition of an oculomotor examination seems indicated, although the most valid method for assessing oculomotor function is not clear. Video-observable signs of concussion show promise, but there is insufficient evidence to warrant widespread use at this time.
DOI: 10.1136/bjsports-2016-097466
ORCID: 0000-0001-6116-8462
Journal: British Journal of Sports Medicine
PubMed URL: 29098982
Type: Journal Article
Subjects: assessment
head trauma
preseason baseline testing
signs and symptoms
systematic review
Appears in Collections:Journal articles

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