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Updated: May 2, 2026
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A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
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One-Week Reliability of the Multimodal Exertional Test for Concussion in Healthy Athletes
Kyla L Pyndiura1,2, Alex P Di Battista1,2,3, Doug Richards1,2
1Centre for Sport-Related Concussion Research, Innovation, and Knowledge, University of Toronto, Toronto, ON, Canada.
Journal of Sport Rehabilitation
|April 30, 2026
Summary
The Multimodal Exertional Test (MET) shows good reliability for assessing athletes. Clinicians should consider practice effects and sex differences in concussion evaluations.
Area of Science:
- Sports Medicine
- Neurology
- Exercise Physiology
Background:
- The Multimodal Exertional Test (MET) is used to assess athletes.
- Reliability of the MET in healthy athletes is not well-established.
Purpose of the Study:
- To estimate the test-retest reliability of performance metrics, heart rates, and symptoms during the MET in healthy interuniversity athletes.
Main Methods:
- Twenty-five healthy athletes completed the MET twice, one week apart.
- Performance metrics, symptom severity, average, and maximum heart rates were recorded.
Main Results:
- Most MET tasks showed good reliability (CCCs .61-.80) with slight improvements in completion times at retest.
- Performance metrics like word count and jumps were consistent between sessions.
- Heart rates and symptom severity scores demonstrated good reliability between test sessions.
Conclusions:
- The MET is a reliable tool for assessing symptom reporting, physiological responses, and performance metrics in athletes.
- Clinicians should be aware of potential practice effects and sex differences when using the MET for concussion assessment.
