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Neuro 1 > Concussion Outcome Measures > Flashcards

Concussion Outcome Measures Flashcards

1
Q

What is the # 1 neurocognitive impairment outcome measure?

A

ImPACT

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2
Q

What are the 5 sideline concussion assessments?

A
  • SCAT5
  • Sideline ImPACT test
  • NFL Sideline Tool
  • Standardized Assessment of Concussion (SAC)
  • King-Devick Test
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3
Q

SCAT5 characteristics

A
  • immediate on-field assessment and office-based assessment
  • red flags, memory assessment, GCS
  • symptom evaluation, cognition and neuro screen
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4
Q

NFL sideline tool characteristics

A
  • symptom evaluation (Post-Concussive Symptom Scale)
  • neuro screen
  • standardized assessment of concussion
  • modified BESS
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5
Q

Standardized Assessment of Concussion (SAC) characteristics

A
  • orientation
  • immediate memory
  • neuro screen
  • concentration
  • delayed recall
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6
Q

King-Devick Test characteristics

A
  • 2 min rapid naming assessment
  • eye movements
  • attention
  • language function
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7
Q

What is the PCSS? What does it measure?

A

Post Concussive Symptom Scale

  • measure types and length of concussive symptoms
  • higher scores = worse symptoms
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8
Q

What is the VOMS? What does it measure?

A

Vestibular/Ocular-Motion Screening

- looks at symptom provocation as it related to tests and measures and compares them to baseline

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9
Q

What is visual motion sensitivity test? How do you perform it?

A
  • part of VOMS and looks at eyes ability to stop movement when your vestibular system is working
  • as a unit, patient extends arms and focuses on thumbs and moves head, neck, and trunk 80 degrees to R and L x5 reps at 50 bpm rate
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10
Q

What is the only concussion measure that has direct incorporation of evaluating for BPPV?

A

Motion Sensitivity Quotient

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11
Q

What is the Motion Sensitivity Quotient? What does it measure?

A

evaluates motion sensitivity related to functional tasks like sit to stand, etc.

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12
Q

Likely provoked S & S of motion sensitivity (8)

A
  • episodic dizziness/vertigo
  • pallor
  • diaphoresis
  • tiredness
  • salivation
  • N/V
  • imbalance
  • disorientation
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13
Q

What are the cutoffs available for the Motion Sensitivity Quotient?

A

0-10 - mild vestibular dysfunction
11-30 - moderate vestibular dysfunction
31-100 - severe vestibular dysfunction

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14
Q

What is the EXiT? What does it measure?

A

dynamic exertional testing

  • looks at aerobic endurance + dynamic moving tasks
  • takes agility into account - great for athletes

Measures

  • time to complete task
  • # of errors
  • physiological response to activity (HR, BP, RPE)
  • symptoms
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15
Q

What is the BESS Test? What does it measure? Scoring?

A

evaluates postural stability in static conditions

  • sensory organization in static stance
  • double, single, tandem stance on floor and foam surface (6 total conditions)
  • scored 0-60 with lower scores = less errors and better balance
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16
Q

What is the Star Excursion Balance Test? What does it measure?

A

tests postural control + LE function

- tests dynamic functional symmetry due to increased risk for LE injury post concussion

17
Q

Why is there an increased risk for LE injury post concussion?

A

increased incidence of proprioceptive impairment

18
Q

What is the HiMAT? What does it measure?

A

High-Level Mobility Assessment tool

  • looks at high level mobility skills like running, jumping, skipping, hopping, etc.
  • higher score is better
19
Q

What is required for HiMAT and what are some concerns?

A

independent 20m mobility w/ no gait deviations required

concern for ceiling effects (males > females)

20
Q

What is the purpose of the Buffalo Concussion Treadmill Test?

A

exercise tolerance after concussion > 3 weeks

  • gold standard
  • speed and incline is progressed while physiological and symptoms are monitored
  • helps differentiate between possible diagnoses for concussive symptoms b/c not all have exercise intolerance
21
Q

List the 4 stopping criteria for the BCTT

A
  • symtpom exacerbation (increase of 3 on visual analog scale)
  • voluntary exhaustion (RPE > 17 w/o significant symptom exacerbation)
  • pt has rapid progression of complaints, appears faint, stopped talking, or shows health risk
  • pt reaches 90% or more of age-predicted HRmax
22
Q

What type of exercise prescription can we make from the BCTT?

A

Can be used to create sub-max exercise levels for recovery/return to sport

23
Q

How does symptom provocation factor into exercise prescription from the BCTT?

A

some subtypes of concussions shouldn’t have issues with the test because PA doesn’t bring on symptoms
- cervical

Neuro 1 (11 decks)

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