Performance of college athletes on the 10-item word list of SCAT5

Norheim, Nicole; Kissinger-Knox, Alicia; Cheatham, Megan Layne; Webbe, Frank M.

doi:10.1136/bmjsem-2018-000412

Cited by 34 publications

(29 citation statements)

References 19 publications

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“…This is in contrast to a previous report 17 on prior versions of the SCAT with 5 words demonstrating that 50% of high school athletes achieved a perfect score of 15 on immediate recall and one-third remembered all 5 words on delayed recall. The high school rugby athletes in this study performed similarly to the collegiate athletes in a recent study 18 who scored an average of 20.57 of 30 (range ¼ 9-29) on immediate recall and 6.59 of 10 (range ¼ 1-10) on delayed recall.…”

Section: Discussionsupporting

confidence: 55%

Baseline Performance of High School Rugby Players on the Sport Concussion Assessment Tool 5

Black

Miutz

et al. 2020

Journal of Athletic Training

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Context: Version 5 of the Sport Concussion Assessment Tool (SCAT5) was released in 2017 with an additional 10-word list option in the memory section and additional instructions for completing the symptom scale.Objective: To provide reference scores for high school rugby union players on the SCAT5, including immediate memory using the 10-word list, and examine how age, sex, and concussion history affected performance.Design: Cross-sectional study. Setting: Calgary, Alberta high schools.Patients or Other Participants: High school rugby union players (ages 15-18 years) participating in a 2018 season cohort study (n ¼ 380, males ¼ 210, females ¼ 170).Main Outcome Measure(s): Sport Concussion Assessment Tool 5 scores, including total number of symptoms (of 20), symptom severity (of 132), 10-word immediate memory (of 30), delayed memory (of 10), modified Standardized Assessment of Concussion (of 50), and balance examination (of 30).Results: The median number of symptoms reported at baseline ranged from 5 to 8 across sex and age stratifications. Median symptom severity was lowest in males with no concussion history (7; range, 0-28) and highest in females with a concussion history (13, range ¼ 0-45). Median total scores on immediate memory were 2-3 (range ¼ 0-4) for males and 21 (range ¼ 9-29) for females. Median total scores were 3 (range ¼ 0-4) on digits backward and 7 (range ¼ 0-20) on delayed memory (all groups). Based on simultaneous quantile (q) regression at 0.50 and 0.75, adjusted for age and concussion history, being female was associated with a higher total symptoms score (q0.75 b female ¼ 2.85; 99% confidence interval [CI] ¼ 0.33, 5.37), higher total symptom severity score (q0.75 b female ¼ 8.00; 99% CI ¼ 2.83, 13.17), and lower number of errors on the balance examination (q0.75 b female ¼ À3.00; 99% CI ¼ À4.85, À1.15). Age and concussion history were not associated with any summary measures.Conclusions: The 10-word list option in the memory section reduced the likelihood of a ceiling effect. A player's sex may be an important consideration when interpreting the SCAT5 after concussion.Despite changes to the instructions for the baseline symptoms assessment, the majority of high school rugby players reported symptoms at baseline. Addition of the 10-word list to version 5 of the Sport Concussion Assessment Tool eliminated a ceiling effect for memory scores in high school rugby players. This study informs the use and interpretation of the Sport Concussion Assessment Tool, version 5, in Alberta high school rugby players and indicates that reporting of symptoms is normal at baseline in this age group.

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Section: Discussionsupporting

confidence: 55%

Baseline Performance of High School Rugby Players on the Sport Concussion Assessment Tool 5

Black

Miutz

et al. 2020

Journal of Athletic Training

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“…Lastly, although the SCAT5 is relatively new, comparisons with limited published SCAT5 data can be made. For example, in a collegiate athlete sample, 29 the average total Immediate Memory score was 20.57 (SD=3.22) with an average Delayed Recall of 6.59 (SD=1.85). A sample of high school rugby players obtained a median total score on Immediate Memory of 23 for men and 21 for women, and scores of 7 in Delayed Recall and 3 in Digits Backward for the combined sample.…”

Section: Discussionmentioning

confidence: 99%

Use of the Sport Concussion Assessment Tool 5 (SCAT5) in professional hockey, part 1: cross-cultural normative data

Echemendía¹,

Thelen

Meeuwisse³

et al. 2020

Br J Sports Med

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ObjectivesThis paper provides comprehensive normative data stratified by language preference and age on the components of the National Hockey League (NHL) Sport Concussion Assessment Tool 5 (SCAT5) in a multilingual sample of professional ice hockey players and compares the findings from a paper form of the NHL SCAT5 with an electronic (App) version of the tool.MethodsA total of 1924 male NHL and American Hockey League (AHL) players (ages 17–41) were assessed during preseason medical evaluations (baseline); 1881 were assessed with the NHL SCAT5 App via tablet and 43 received the paper version of the NHL Modified SCAT5.ResultsNo significant differences between the App and paper modes of administration emerged in a subsample of English preference players. Significant SCAT5 differences among language preference groups emerged on measures of cognitive functioning (Immediate Memory,Concentration). No language preference differences emerged on the Delayed Recall component. Using age as a continuous variable, older participants outperformed younger players on Immediate Memory, Delayed Recall and Concentration. Players wearing skates demonstrated significantly more modified Balance Error Scoring System (mBESS) total errors than barefoot players. Normative data tables for language preference groups are presented.ConclusionsSignificant differences were found between English and non-English language preference groups on the components of SCAT5, which suggest that language-specific normative data, rather than aggregated normative data, are preferable when interpreting test scores. Similarly, age-specific normative data tables may provide greater precision in data interpretation. Due to clear ceiling effects on the mBESS single leg and tandem stances, players should not be tested while wearing skates.

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“…The SCAT5 comprised a brief neurological examination, a symptom checklist, a brief cognitive assessment (the Standardized Assessment of Concussion [SAC]) and a balance assessment (the modified-Balance Error Scoring System). The SAC in the SCAT5 offers optional 10-word lists for immediate and delayed memory and longer digit backwards sequencing to minimise the ceiling effect, which was a weakness of the SCAT3 43. There are currently no studies of the SCAT5 or Child SCAT5’s sensitivity and specificity for SRC to determine if these versions are improved over the earlier versions.…”

Section: Diagnosis Of Concussionmentioning

confidence: 99%

American Medical Society for Sports Medicine position statement on concussion in sport

et al. 2019

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Sport-related concussion (SRC) is a common injury in recreational and organised sport. Over the past 30 years, there has been significant progress in our scientific understanding of SRC, which in turn has driven the development of clinical guidelines for diagnosis, assessment and management of SRC. In addition to a growing need for knowledgeable healthcare professionals to provide evidence-based care for athletes with SRC, media attention and legislation have created awareness and, in some cases, fear about many issues and unknowns surrounding SRC. The American Medical Society for Sports Medicine (AMSSM) formed a writing group to review the existing literature on SRC, update its previous position statement, and to address current evidence and knowledge gaps regarding SRC. The absence of definitive outcomes-based data is challenging and requires relying on the best available evidence integrated with clinical experience and patient values. This statement reviews the definition, pathophysiology and epidemiology of SRC, the diagnosis and management of both acute and persistent concussion symptoms, the short-term and long-term risks of SRC and repetitive head impact exposure, SRC prevention strategies, and potential future directions for SRC research. The AMSSM is committed to best clinical practices, evidence-based research and educational initiatives that positively impact the health and safety of athletes.

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Performance of college athletes on the 10-item word list of SCAT5

Cited by 34 publications

References 19 publications

Baseline Performance of High School Rugby Players on the Sport Concussion Assessment Tool 5

Baseline Performance of High School Rugby Players on the Sport Concussion Assessment Tool 5

Use of the Sport Concussion Assessment Tool 5 (SCAT5) in professional hockey, part 1: cross-cultural normative data

American Medical Society for Sports Medicine position statement on concussion in sport

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