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Concussion Research: Assessment & Concussion Screening

Assessing Concussion

The following standardized tools are currently used by medical professionals to assess athletes, both youth and adult, for concussion.

These include:

Pocket CRT

This is a concussion recognition tool approved by the same governing organization that developed the SCAT3, and it is small enough to fit in a wallet or purse.

To open the file, click on PDF Full Text on the left-hand side of your screen.

ACE

Acute Concussion Evaluation

The ACE, developed by Gerald Giola and Micky Collins at the University of Pittsburgh Medical Center, is an evaluation tool for concussion in patients aged 3 to 18. The evaluation form itself is listed as Appendix A, which is on page 12 of the PDF.

K-D Test

King-Devick Test

Developed in 1976 by two optometrists, Alan King and Stephen Devick, the King-Devick test found its first success with young children in detecting learning disabilities, including dyslexia. In 2011, researchers from the University of Pennsylvania Perelman School of Medicine used the King-Devick to as a rapid sideline screening tool for mixed martial arts fighters and boxers and found it an effective tool for identifying athletes with head trauma.

From the King-Devick website:

"The King–Devick Test (K–D Test) is defined by Mosby’s Medical Dictionary as a tool for evaluation of saccade, consisting of a series of test cards of numbers. The test cards become progressively more difficult to read due to variability of spacing between the numbers. Both errors in reading and speed of reading are included in deriving a score. Saccades are quick, simultaneous movements of both eyes."

If you're interested in the full-text article, please see your campus librarians to request it via interlibrary loan.

SCAT3

Sport Concussion Assessment Tool - 3rd Edition

The SCAT3 is a standardized tool for for medical professionals, used to evaluate athletes aged 13 or older for concussion. This tool supercedes all earlier tools. There are 8 metrics to measure concussion symptoms, including Glasgow Coma scale, Maddocks Score, and Cognitive Assessment.This tool is used and endorsed by FIFA, IIHF, the International Rugby Board, and the Olympic Committee, among others.

Doctors are urged to get athletes immediate hospital care if the athlete presents with the following:

  • Glasgow Coma score less than 15
  • Deterioriating mental status
  • Potential spinal injury
  • Progressive, worsening symptoms or new neurological signs

Child SCAT3

Sport Concussion Assessment Tool - 3rd edition, for children ages 5 to 12 years

The Child-SCAT3 is a standardized tool for for medical professionals, used to evaluate athletes between the ages of 5 and 12 for concussion. This tool supercedes all earlier tools. There are 8 metrics to measure concussion symptoms, including Glasgow Coma scale, Maddocks score, and Cognitive assessment.This tool is used and endorsed by FIFA, IIHF, the International Rugby Board, and the Olympic Committee, among others.

Doctors are urged to get children immediate hospital care if he/she presents with the following:

- Glasgow Coma score less than 15
- deteriorating mental status
- potential spinal injury
- progressive, worsening symptoms or new neurologic signs
- persistent vomiting
- evidence of skull fracture
- post traumatic seizures
- coagulopathy
- history of neurosurgery (e.g. shunt)
- multiple injuries

VOMS Assessment

A Brief Vestibular/Ocular Motor Screening (VOMS) Assessment to Evaluate Concussion

This paper was published by the American Journal of Sports Medicine in October 2014 and provides a new & brief screening process to assess vestibular and ocular impairments after concussions.