Summary / conclusions The SCAT is the most widely accepted and deployable sport concussion assessment and screening tool currently available .
There is some degree of support for using the SCAT2/SCAT3 and ChildSCAT3 in the evaluation of SRC , with and without baseline data .
The addition of an oculomotor examination seems indicated , although the most valid method for assessing oculomotor function is not clear .
Video-observable signs of concussion show promise , but there is insufficient evidence to warrant widespread use at this time
Objectives Several iterations of the Sport Concussion Assessment Tool ( SCAT ) have been published over the past 16 years .
Our goal was to systematic ally review the literature related to the SCAT and provide recommendations for improving the tool .
Influence of Age on Postconcussive Postural Control Measures and Future Implications for Assessment
Objective : To examine the influence of age , sex , attention-deficit hyperactivity disorder ( ADHD ) status , previous history of concussion , and days since injury on postconcussion postural control assessment in adolescents who have suffered a concussion . Design : Prospect i ve cohort study . Setting : Hospital-based outpatient clinic . Participants : Seventy-one participants ( 42 males ; 29 females ) with mean age 14.14 ± 2.44 . Independent Variables : Age , sex , previous concussion history , ADHD status , total and severity of postconcussion symptoms , and days since injury . Main Outcome Measures : Total Balance Error Scoring System score , path length , center-of-pressure ( COP ) area , sample entropy , and Romberg quotient . Results : Pearson product – moment correlation coefficients were calculated to test for potential associations between the continuous participant characteristics and the postural control variables . Spearman correlation was used to test the association between symptom severity and the postural control variables . St and ard multiple regression was used to model the extent to which participant characteristics accounted for the variance in the postural sway variables . Age was significantly associated with all of the postural sway variables except COP area for the eyes open condition and sample entropy in the anterior – posterior direction for the eyes closed condition . Sex , ADHD status , and previous concussion history did not significantly predict postural control scores . Conclusions : Age significantly influences scores on common postconcussion postural control assessment s. Clinical Relevance : This study demonstrates that age is a critical factor that needs to be accounted for to improve the clinical appropriateness and utility of current postconcussion postural control assessment
Summary / conclusions The SCAT is the most widely accepted and deployable sport concussion assessment and screening tool currently available .
There is some degree of support for using the SCAT2/SCAT3 and ChildSCAT3 in the evaluation of SRC , with and without baseline data .
The addition of an oculomotor examination seems indicated , although the most valid method for assessing oculomotor function is not clear .
Video-observable signs of concussion show promise , but there is insufficient evidence to warrant widespread use at this time
Objectives Several iterations of the Sport Concussion Assessment Tool ( SCAT ) have been published over the past 16 years .
Our goal was to systematic ally review the literature related to the SCAT and provide recommendations for improving the tool .