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• W2472405327 abstract "Sports medicine practitioners continue to search for sideline assessment tools and neuropsychological tests to accurately identify concussion in athletes. Such an instrument should be brief, valid, reliable, and discriminating, as well as practical for the sidelines. PURPOSE: The purpose of this study was to evaluate which questions most accurately detect neurological impairment in the form of cognitive disturbances. METHODS: For the past 7 years we have evaluated many instruments for validity, specificity, and discriminating qualities of each task. From those data, we have combined, modified, and developed an equally-weighted 12-question cognitive assessment tool evaluating; simple orientation (SO), complex orientation (CO), immediate recall (IR), delayed recall (DR), concentration (C), and staged commands (SC). Subjects had their mental status assessed before and after competing in an amateur boxing bout. A convenience sample of 223 subjects (n=211 males/12 females, mean age=31.2 y, height=179.9 cm, mass=91.0 kg) were used. Descriptive data are presented as percentage (%) of responses. RESULTS: The questions which were easiest to answer (greatest number of correct answers) to hardest to answer were as follows; SC, IR, IR, CO, SO, SO, SC, CO, C, C, DR, and DR. Subjects scored better on the post-test than pre-test for the two questions involving DR (59.8% correct pre to 65.6 correct post, and 71.0% correct pre to 75.0 correct post). One question from the “easiest category” (SO [day of the week]) also increased in mean percent correct from pre-test (96.0%) to post-test (98.2%). CONCLUSIONS: The DR and SC questions involving; reading, comprehension, detailed concentration, memory, counting, reasoning, and motor skills were thought to be the more difficult questions, however both increased from pre- to post-test. We believe that they are more subject to a learning effect, and are confident that the subjects took those complex questions “more seriously” during the post-test after missing it on the pre-test. We found this instrument to quickly and accurately assess cognitive function in athletes, making it a reasonable alternative to other sideline assessment tools. This instrument, along with other modalities should be part of the standard protocol to assess concussion in athletes." @default.
• W2472405327 created "2016-07-22" @default.
• W2472405327 creator A5045875067 @default.
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• W2472405327 date "2015-05-01" @default.
• W2472405327 modified "2023-09-27" @default.
• W2472405327 title "The Development of a Sideline Screening Instrument for Concussion" @default.
• W2472405327 doi "https://doi.org/10.1249/01.mss.0000478452.75910.6e" @default.
• W2472405327 hasPublicationYear "2015" @default.
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