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Evaluation of Cognitive Symptoms Following Concussion
Myron Goldberg1, Renee Madathil
1Department of Rehabilitation Medicine, University of Washington Medical Center, P.O. Box 356490, Seattle, WA, 98195-6490, USA, goldbm@u.washington.edu.
Current Pain and Headache Reports
|July 31, 2015
Summary
Assessing cognitive symptoms after concussion lacks a gold standard. Effective clinical use of cognitive assessments depends on practitioner expertise and a holistic view of post-concussion symptoms.
Area of Science:
- Neuroscience
- Clinical Psychology
- Rehabilitation Medicine
Background:
- Cognitive symptom assessment post-concussion has gained prominence in research and clinical practice.
- Evolving methodologies aim to improve the accuracy and utility of these assessments.
- Understanding cognitive changes is crucial for effective patient management.
Purpose of the Study:
- To identify challenges in assessing cognitive functioning after concussion.
- To review current self-report, performance-based, and computerized cognitive assessments (CBAs).
- To evaluate traditional comprehensive neuropsychological evaluations.
Main Methods:
- Literature review of cognitive assessment tools for post-concussion syndrome.
- Analysis of self-report questionnaires.
- Evaluation of computerized-based assessments (CBAs) and traditional neuropsychological tests.
Main Results:
- No single "gold standard" assessment method currently exists for all clinical settings.
- The interpretation and application of cognitive assessment results are influenced by the clinician's background.
- Cognitive symptom assessment is most valuable when integrated with a broader evaluation of other post-concussion symptoms.
Conclusions:
- The field requires further development to establish standardized, universally accepted assessment protocols.
- Clinician training and experience significantly impact the utility of cognitive assessment data.
- A comprehensive approach, considering all post-concussion symptoms, is essential for optimal patient care.

