Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Technology and concussion: A scoping review

“…29 The C3 App was successful at detecting significant differences for simple reaction time, choice reaction time, and Trail Making Test B when comparing individuals who recovered within three weeks of a concussion to individuals who remained symptomatic after three weeks. 21 When the C3 App was combined with a dual task activity, a significant difference was found in simple reaction time, choice reaction time, gait speed, and stride length when comparing concussed and healthy individuals. 23 One study evaluated the effectiveness of a portable neuropsychological assessment device with a distraction-free, immersive visual and auditory environment, the DETECT system, in eliminating external audio and visual stimuli in healthy college students.…”

“…There were significant differences in two of the six BESS stances as measured by the C3 App including double limb stance on foam and tandem stance on foam. 21 Finally, one additional study explored the use of a wearable inertial measurement unit (IMU) to quantify head movements in response to vestibular rehabilitation. Here, it was found that this technolology had good agreement with a room-based motion capture system.…”

“…Seven studies described the use of technology for identifying, managing, or developing normative data in relation to neurocognitive symptoms commonly seen with concussion (Table 2). A variety of technology was used including the C3 App, 21,24 the Display Enhanced Testing for Concussions mTBI (DETECT System), 25 the CogSport, 26 the ImPACT, 27 the Cambridge Neuropsychological Test Automated Battery (CANTAB), 28 and the BrainScope Ahead 300. 29 The C3 App was successful at detecting significant differences for simple reaction time, choice reaction time, and Trail Making Test B when comparing individuals who recovered within three weeks of a concussion to individuals who remained symptomatic after three weeks.…”

“…Three of these explored technology in identification of visual deficits post-concussion. 21,24,33 Within these studies, the technology described included the C3 App; a computer based program to examine deficits in visuomotor target tracking; and the use of a non-Liquid Crystal Display to decrease visual sensitivity. Across the three studies, one found that the technology was useful to detect velocity error, which was greater for the concussion group when compared to healthy controls.…”

Stakeholder Recommendations to Increase the Accessibility of Online Health Information for Adults Experiencing Concussion Symptoms

“…Research on the potential of harnessing technology for concussion care includes virtual reality gaming as an assessment and/or neurorehabilitation tool ( 32 , 33 ); eye tracking technology for concussion assessment among sports medicine clinicians ( 34 ); mobile applications ( 35 ); wearable technology, such as helmets and mouthguards, to aid in the detection of sports-related concussion ( 36 ); blood-based biomarkers ( 37 ); fluid biomarkers and genetic testing ( 38 ) and more. While the healthcare and workplace professionals interviewed within the present research acknowledged the burgeoning field of technological research and development in regards to concussion care, they stressed the need for low-tech solutions.…”