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A Neuroscientific Approach to the Examination of Concussions in Student-Athletes
Published on: December 8, 2014
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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.
Journal of Athletic Training
|January 11, 2017
Summary
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.
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.
