Physiological and Performance Measures for Baseline Concussion Assessment
Context:
Baseline testing is a common strategy for concussion assessment and management. Research continues to evaluate novel measures for potential to improve baseline testing methods.
Objectives:
The primary objective was to (1) determine the feasibility of including physiological, neuromuscular, and mood measures as part of baseline concussion testing protocol, (2) describe typical values in a varsity athlete sample, and (3) estimate the influence of concussion history on these baseline measures.
Design:
Prospective observational study.
Setting:
Ryerson University Athletic Therapy Clinic.
Participants:
One hundred varsity athletes.
Main Outcome Measures:
Frequency and domain measures of heart rate variability, blood pressure, grip strength, profile of mood states-short form, and the Sport Concussion Assessment Tool-2.
Results:
Physiological, neuromuscular performance, and mood measures were feasible at baseline. Participants with a history of 2 or more previous concussions displayed significantly higher diastolic blood pressure. Females reported higher total mood disturbance compared with males.
Conclusions:
Physiological and neuromuscular performance measures are safe and feasible as baseline concussion assessment outcomes. History of concussion may have an influence on diastolic blood pressure.
