Computerized Neurocognitive Testing for the Management of Sport-Related Concussions

Author:

Meehan William P.123,d’Hemecourt Pierre13,Collins Christy L.4,Taylor Alex M.135,Comstock R. Dawn4

Affiliation:

1. Sports Concussion Clinic, Division of Sports Medicine

2. Division of Emergency Medicine

3. Brain Injury Center

4. The Research Institute at Nationwide Children's Hospital, Columbus, Ohio

5. Department of Neurology, Children’s Hospital Boston, Boston, Massachusetts

Abstract

Objectives: To describe the prevalence of computerized neurocognitive testing for the assessment of high school athletes who sustain concussions, and to describe associations between using computerized neurocognitive tests, timing of return-to-play, and medical provider managing the athlete. Methods: Concussions recorded in the High School Reporting Information Online injury surveillance system during the 2009–2010 academic year were included. Measures of association between use of computerized neurocognitive testing and outcomes were analyzed. A questionnaire was sent to athletic trainers (ATs) querying the use of computerized neurocognitive testing. χ2 analyses were conducted for categorical variables. Logistic regression analyses were used to adjust for potential confounders. Statistical significance was set at P < .05. Results: High School Reporting Information Online recorded 1056 concussions. Athletes who underwent computerized neurocognitive testing were less likely to be returned to play within 10 days of injury (38.5% vs 55.7%, P < .001) and more likely to be returned to play by a physician (60.9% vs 45.6%, P < .001). We had a response rate of 97.3% for the survey. Of respondents, 39.9% used computerized neurocognitive testing; 93.0% of those used ImPACT. Tests were most often interpreted by ATs (78.9%) and/or physicians (78.8%), as opposed to neuropsychologists (16.9%). Conclusions: Approximately 40% of US high schools that employ an AT use computerized neurocognitive tests when managing sport-related concussions. Tests are most often interpreted by ATs and physicians, as opposed to neuropsychologists. Computerized neurocognitive tests are significantly associated with the timing of return-to-play.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference38 articles.

1. Neuropsychological functioning and recovery after mild head injury in collegiate athletes;Macciocchi;Neurosurgery,1996

2. Relationship between concussion and neuropsychological performance in college football players;Collins;JAMA,1999

3. Tracking neuropsychological recovery following concussion in sport;Iverson;Brain Inj,2006

4. Recovery from mild concussion in high school athletes;Lovell;J Neurosurg,2003

5. Is neuropsychological testing useful in the management of sport-related concussion?;Randolph;J Athl Train,2005

Cited by 88 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3