Evaluation of the SCAT 5 tool in the assessment of concussion in Para athletes: a Delphi study.

Autor:	Dyer B; Faculty of Science & Technology, Bournemouth University, Poole, UK brdyer@bournemouth.ac.uk., Ahmed OH; Physiotherapy Department, University Hospitals Dorset NHS Foundation Trust, Poole, UK.; The FA Centre for Para Football Research, The Football Association, Burton-Upon-Trent, UK., Dahlén S; Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway., Dalton K; School of Optometry & Vision Science, University of Waterloo, Waterloo, Ontario, Canada., Derman W; Dept of Exercise, Sport & Lifestyle Medicine, Stellenbosch University Faculty of Medicine and Health Sciences, Stellenbosch, South Africa.; IOC Research Center, Stellenbosch, South Africa., Donaldson A; United States Olympic and Paralympic Committee, Colorado Springs, Colorado, USA.; US Coalition for the Prevention of Illness and Injury in Sport, Colorado Springs, Colorado, USA., Fagher K; Department of Health Sciences, Lund University, Lund, Sweden., Lexell J; Department of Health Sciences, Lund University, Lund, Sweden., Pinheiro L; Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil., Van de Vliet P; Immune-Oncological Centre Cologne, Cologne, Germany., Weiler R; Department of Public and Occupational Health, VU University Medical Centre Amsterdam, Amsterdam, The Netherlands.; Sport & Exercise Medicine Fortius Clinic, London, UK., Webborn N; School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.
Jazyk:	angličtina
Zdroj:	British journal of sports medicine [Br J Sports Med] 2024 May 31; Vol. 58 (12), pp. 655-664. Date of Electronic Publication: 2024 May 31.
DOI:	10.1136/bjsports-2023-107426
Abstrakt:	Objectives: To investigate if the sport concussion assessment tool version 5 (SCAT5) could be suitable for application to Para athletes with a visual impairment, a spinal cord injury, or a limb deficiency. Methods: A 16-member expert panel performed a Delphi technique protocol. The first round encompassed an open-ended questionnaire, with round 2 onwards being composed of a series of closed-ended statements requiring each expert's opinion using a five-point Likert scale. A predetermined threshold of 66% was used to decide whether agreement had been reached by the panel. Results: The Delphi study resulted in a four-round process. After round 1, 92 initial statements were constructed with 91 statements obtaining the targeted level of agreement by round 4. The expert panellist completion rate of the full four-round process was 94%. In the case of athletes with a suspected concussion with either limb deficiencies or spinal cord injuries, the panel agreed that a baseline assessment would be needed on record is ideal before a modified SCAT5 assessment. With respect to visual impairments, it was conceded that some tests were either difficult, infeasible or should be omitted entirely depending on the type of visual impairment. Conclusion: It is proposed that the SCAT5 could be conducted on athletes with limb deficiencies or spinal cord injuries with some minor modifications and by establishing a baseline assessment to form a comparison. However, it cannot be recommended for athletes with visual impairment in its current form. Further research is needed to determine how potential concussions could be more effectively evaluated in athletes with different impairments. Competing Interests: Competing interests: There are no commercial or financial associations to report. However, it should be noted that one of the authors is currently employed as the chairperson of a Para sport national governing body and multiple authors are members of the International Paralympic Committee (IPC) Medical Committee. (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu