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Review
. 2017 Dec 7;9(12):e1922.
doi: 10.7759/cureus.1922.

Review of Assessment Scales for Diagnosing and Monitoring Sports-related Concussion

Alexa M Dessy  1 , Frank J Yuk  1 , Akbar Y Maniya  1 , Alex Gometz  2 , Jonathan J Rasouli  1 , Mark R Lovell  3 , Tanvir F Choudhri  1
Affiliations
Review

Review of Assessment Scales for Diagnosing and Monitoring Sports-related Concussion

Alexa M Dessy et al. Cureus. .

Abstract

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.

Keywords: concussion; impact; sac; scat3; sports-related injury.

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Conflict of interest statement

The authors have declared financial relationships, which are detailed in the next section.

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