Neuropsychological Testing as It Relates to Recovery From Sports‐related Concussion

Putukian, Margot

doi:10.1016/j.pmrj.2011.08.003

Cited by 16 publications

(7 citation statements)

References 82 publications

(129 reference statements)

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“…The transition to computerized neurocognitive test platforms was necessary due to the time-and labor-intensive work demand of paper -pencil tests, the standardization of test instructions and scoring of results by computerized administration, the precision of response times afforded by computers, and the absence of sufficient numbers of clinical neuropsychologists to administer and score the paper -pencil tests. Many computerized test programs also encompass alternate test versions (with computerized randomization of test stimuli) in order to minimize practice effects across frequent administrations (Johnson, Kegel, & Collins, 2011;Putukian, 2011;Schatz & Zilmer, 2003). There are several computerized neurocognitive tests that have been utilized in the assessment of athletes over the past decade, including the Automated Neuropsychological Assessment Matrices (ANAM; Vista Life Sciences, Washington DC), CogSport (CogState Ltd, Australia), and HeadMinder (HeadMinder, Inc., New York).…”

Section: Introductionmentioning

confidence: 99%

Neurocognitive Performance and Symptom Profiles of Spanish-Speaking Hispanic Athletes on the ImPACT Test

Ott¹,

Schatz

Solomon

et al. 2014

Archives of Clinical Neuropsychology

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This study documented baseline neurocognitive performance of 23,815 athletes on the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) test. Specifically, 9,733 Hispanic, Spanish-speaking athletes who completed the ImPACT test in English and 2,087 Hispanic, Spanish-speaking athletes who completed the test in Spanish were compared with 11,955 English-speaking athletes who completed the test in English. Athletes were assigned to age groups (13-15, 16-18). Results revealed a significant effect of language group (p < .001; partial η(2) = 0.06) and age (p < .001; partial η(2) = 0.01) on test performance. Younger athletes performed more poorly than older athletes, and Spanish-speaking athletes completing the test in Spanish scored more poorly than Spanish-speaking and English-speaking athletes completing the test in English, on all Composite scores and Total Symptom scores. Spanish-speaking athletes completing the test in English also performed more poorly than English-speaking athletes completing the test in English on three Composite scores. These differences in performance and reported symptoms highlight the need for caution in interpreting ImPACT test data for Hispanic Americans.

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Section: Introductionmentioning

confidence: 99%

Neurocognitive Performance and Symptom Profiles of Spanish-Speaking Hispanic Athletes on the ImPACT Test

Ott¹,

Schatz

Solomon

et al. 2014

Archives of Clinical Neuropsychology

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“…To further complicate matters, patients, especially athletes, are often reluctant to report any symptoms at all (McCrea et al, 2004; Kutcher et al, 2010). Initial evaluations performed on suspected concussed patients involve a review of the patient's history of head injuries followed by an array of cognitive and behavioral tests in order to make appropriate diagnoses (Putukian, 2011; Scorza et al, 2012). Because there may be changes in neurological function, even in the absence of behavioral abnormalities (Gosselin et al, 2010), there has been a move toward advanced imaging and biomarker-based approaches (Davis et al, 2009; Difiori and Giza, 2010; Jeter et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Understanding the neuroinflammatory response following concussion to develop treatment strategies

Patterson¹,

Holahan²

2012

Front. Cell. Neurosci.

104

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Mild traumatic brain injuries (mTBI) have been associated with long-term cognitive deficits relating to trauma-induced neurodegeneration. These long-term deficits include impaired memory and attention, changes in executive function, emotional instability, and sensorimotor deficits. Furthermore, individuals with concussions show a high co-morbidity with a host of psychiatric illnesses (e.g., depression, anxiety, addiction) and dementia. The neurological damage seen in mTBI patients is the result of the impact forces and mechanical injury, followed by a delayed neuroimmune response that can last hours, days, and even months after the injury. As part of the neuroimmune response, a cascade of pro- and anti-inflammatory cytokines are released and can be detected at the site of injury as well as subcortical, and often contralateral, regions. It has been suggested that the delayed neuroinflammatory response to concussions is more damaging then the initial impact itself. However, evidence exists for favorable consequences of cytokine production following traumatic brain injuries as well. In some cases, treatments that reduce the inflammatory response will also hinder the brain's intrinsic repair mechanisms. At present, there is no evidence-based pharmacological treatment for concussions in humans. The ability to treat concussions with drug therapy requires an in-depth understanding of the pathophysiological and neuroinflammatory changes that accompany concussive injuries. The use of neurotrophic factors [e.g., nerve growth factor (NGF)] and anti-inflammatory agents as an adjunct for the management of post-concussion symptomology will be explored in this review.

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“…12,13 Currently, all SMs who are to be deployed to a combat zone are mandated by congressional law to have completed a predeployment neurocognitive assessment using the Automated Neuropsychological Assessment Metrics Version 4 TBI Military battery (ANAM4 TBI-MIL, hereby referred to as the ANAM) with the intention of establishing a baseline for postinjury comparison. 14,15 It should be noted that the ANAM, by design, is not a diagnostic tool and is not intended to be used solely as an assessment tool for SMs who may have neurocognitive changes as a result of an injury.…”

mentioning

confidence: 99%

Reliable Change Estimates for Assessing Recovery From Concussion Using the ANAM4 TBI-MIL

Haran¹,

Alphonso

Creason

et al. 2016

Journal of Head Trauma Rehabilitation

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Neuropsychological Testing as It Relates to Recovery From Sports‐related Concussion

Cited by 16 publications

References 82 publications

Neurocognitive Performance and Symptom Profiles of Spanish-Speaking Hispanic Athletes on the ImPACT Test

Neurocognitive Performance and Symptom Profiles of Spanish-Speaking Hispanic Athletes on the ImPACT Test

Understanding the neuroinflammatory response following concussion to develop treatment strategies

Reliable Change Estimates for Assessing Recovery From Concussion Using the ANAM4 TBI-MIL

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