Physiological and Performance Measures for Baseline Concussion Assessment

Abstract

Context: Baseline testing is a common strategy for concussion assessment and management. Research continues to evaluate novel measures for potential to improve baseline testing methods. Objectives: The primary objective was to (1) determine the feasibility of including physiological, neuromuscular, and mood measures as part of baseline concussion testing protocol, (2) describe typical values in a varsity athlete sample, and (3) estimate the influence of concussion history on these baseline measures. Design: Prospective observational study. Setting: Ryerson University Athletic Therapy Clinic. Participants: One hundred varsity athletes. Main Outcome Measures: Frequency and domain measures of heart rate variability, blood pressure, grip strength, profile of mood states—short form, and the Sport Concussion Assessment Tool-2. Results: Physiological, neuromuscular performance, and mood measures were feasible at baseline. Participants with a history of 2 or more previous concussions displayed significantly higher diastolic blood pressure. Females reported higher total mood disturbance compared with males. Conclusions: Physiological and neuromuscular performance measures are safe and feasible as baseline concussion assessment outcomes. History of concussion may have an influence on diastolic blood pressure.