Use of the Sport Concussion Assessment Tool 5 (SCAT5) in professional hockey, part 2: which components differentiate concussed and non-concussed players?
| Autor: | Paul Comper, Willem H. Meeuwisse, Michael G. Hutchison, Jared M. Bruce, John Rizos, Ruben J. Echemendia, Joanie Thelen |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Human factors and ergonomics Poison control Physical Therapy Sports Therapy and Rehabilitation 030229 sport sciences General Medicine medicine.disease Suicide prevention Occupational safety and health 03 medical and health sciences Ice hockey 0302 clinical medicine Physical medicine and rehabilitation Injury prevention Concussion medicine Orthopedics and Sports Medicine medicine.symptom Psychology human activities 030217 neurology & neurosurgery Balance problems |
| Zdroj: | British journal of sports medicine. |
| ISSN: | 1473-0480 |
| Popis: | ObjectivesTo examine the utility of Sport Concussion Assessment Tool (SCAT5) subcomponents in differentiating physician diagnosed concussed players from controls.MethodsWe evaluated 1924 professional hockey players at training camp using the National Hockey League (NHL) Modified SCAT5 prior to the 2018–2019 season. Over the course of the season, 314 English-speaking players received SCAT5 evaluations within 1 day of a suspected concussive event. Of these players, 140 (45%) were subsequently diagnosed with concussion by their team physicians.ResultsConcussed players reported more symptoms (Concussed M=8.52, SD=4.78; Control M=3.32, SD=3.97), and recalled fewer words than Controls on both the Immediate Memory (Concussed M=19.34, SD=4.06; Control M=21.53, SD=2.94) and Delayed Recall (Concussed z=−0.91; Control z=−0.09) tasks during the acute evaluation. Concussed players also made more errors than Controls on the mBESS and were more likely to report double vision and exhibit clinician-observed balance problems than controls. There were no between-group differences on the Concentration component of the SCAT5. Stepwise regression revealed that symptom report and list learning tasks both accounted for independent variance in identifying players diagnosed with concussion.ConclusionsThese findings provide support for use of the SCAT5 to assist in identifying concussed professional hockey players. When examining SCAT5 subtests, both symptom report and the 10-item word list accounted for independent variance in identifying concussion status in this sample of professional hockey players. The mBESS also differentiated Concussed players and Controls. The Concentration component of the SCAT5 did not significantly differentiate Concussed players and Controls. |
| Databáze: | OpenAIRE |
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