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Concussion Baseline Testing: Preexisting Factors, Symptoms, and Neurocognitive Performance.

Jordan E Cottle1, Eric E Hall1, Kirtida Patel1

  • 1Department of Exercise Science, Elon University, NC.

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|January 11, 2017
PubMed
Summary
This summary is machine-generated.

Preexisting factors like sex and medical history significantly impact baseline neurocognitive test scores used in concussion management. Understanding these influences is crucial for accurate concussion assessment and care.

Keywords:
ImPACTneurocognitive testingreturn to play

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Area of Science:

  • Sports Medicine
  • Neuroscience
  • Psychology

Background:

  • Neurocognitive tests are vital for concussion management.
  • Understanding baseline performance factors is essential for accurate assessment.
  • Preexisting conditions can influence initial test results.

Purpose of the Study:

  • To identify preexisting factors affecting performance on the Immediate Post-Concussion Assessment and Cognitive Test (ImPACT).
  • To inform concussion management protocols by understanding baseline variability.

Main Methods:

  • Cross-sectional study involving 486 NCAA Division I collegiate student-athletes.
  • ImPACT administered to assess neurocognitive function and symptom scores.
  • Multivariate analyses used to evaluate the impact of demographic and medical history factors.

Main Results:

  • Female athletes outperformed males in verbal memory, visual motor speed, and reaction time.
  • Attention-deficit/hyperactivity disorder diagnosis impacted visual motor speed.
  • History of headaches, migraines, psychiatric conditions, or ADHD affected total symptom scores.

Conclusions:

  • Multiple preexisting factors significantly influence baseline neurocognitive data.
  • Sports medicine professionals must consider these factors in concussion protocols.
  • Accurate baseline assessment is key for effective concussion management.