Concussion Outcome Measures Flashcards

1
Q

what 3 things does the SCAT5 look at?

A
  • red flags
  • memory assessment
  • GCS
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2
Q

which outcome measure is the primary method of evaluation of neurocognitive impairments?

A

ImPACT Test (the sideline imPACT test is a modified version that can be used as a sideline assessment)

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3
Q

what are the 4 components of the NFL Sideline Tool?

A
  • Symptom evaluation (Post-Concussive Symptom Scale)
  • Neuro screen
  • Standardized Assessment of Concussion (SAC)
  • Modified BESS
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4
Q

what are the 5 components of the SAC? (NO IDC)

A
  • Neuro screen
  • Orientation
  • Immediate memory
  • Delayed recall
  • Concentration
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5
Q

what is included in the King-Devick test?

A
  • 2 minute rapid naming assessment

- Eye movements, attention, language function

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6
Q

what does a higher score on the Post Concussive Symptom Scale (PCSS) indicate?

A

worse symptoms

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7
Q

what 5 tests/measures are included on the Vestibular/Ocular-Motion Screening (VOMS)?

A
  • Smooth pursuits
  • Saccades (horizontal/vertical)
  • Convergence
  • VOR (horizontal/vertical)
  • Visual motion sensitivity test
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8
Q

what are the cut-off scores for the Motion Sensitivity Quotient?

A

0-10 → mild vestib dysfunction
11-30 → moderate vestib dysfunction
31-100 → severe vestib dysfunction

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9
Q

what are the 2 components of the Dynamic Exertional Testing (EXiT)?

A

Aerobic endurance + dynamic moving tasks

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10
Q

what is the goal of EXiT?

A
  • replicate sport movement, particular tasks that require spatial orientation
  • “In order to exit the room, you have to be able to go fast and you don’t want to run into the door”
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11
Q

what 4 things does EXiT measure?

A
  • Time to complete task
  • # of errors (rest, etc)
  • Physiological response to activity (HR, BP, RPE)
  • Symptoms
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12
Q

the Balance Error Scoring System (BESS) evaluates ____ stability in ____ conditions

A

postural, static

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13
Q

what does a lower score on the BESS indicate?

A

less errors, better balance

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14
Q

the Star Excursion Balance Test evaluates ____ control and ____ function

A

postural, LE

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15
Q

the Star Excursion Balance Test is a screening tool for ____ participation as well as a post-rehab test to ensure dynamic functional ____

A

sport, symmetry

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16
Q

why is the Star Excursion Balance Test important?

A

athletes post-SRC have higher incidence of proprioceptive impairment and and are at greater risk of LE injury

17
Q

what is the minimum mobility requirement for the High-level Mobility Assessment Tool (HiMAT)?

A

pt must be able to independently ambulate 20m w/o gait deviations

18
Q

what is a limitation of the HiMAT?

A

Some concern for ceiling effects (male > female)

19
Q

what is the gold standard for investigating exercise tolerance in pts w/ post-concussive symptoms > 3 weeks?

A

Buffalo Concussion Treadmill Test (BCTT)

20
Q

what are 3 goals of the BCTT?

A
  • Help establish appropriate levels of exercise to aid in return to play/activity
  • Differentiate between possible diagnoses for concussive symptoms
  • ID physiological variables associated w exacerbation of symptoms and the pt’s level of recovery
21
Q

what are the stopping criteria for the BCTT? (only one needs to be met!)

A
  • Symptom exacerbation (inc in 3+ points on VAS)
  • Voluntary exhaustion (RPE > 17)
  • Pt demos rapid progression of complaints, appears faint, has stopped communicating, or continuing the test constitutes sig. health risk for the pt
  • Pt reaches 90% or more of age-predicted HRmax
22
Q

what are the prescription guidelines for the BCTT?

A
  • 80% of max HR reached w/o symptom exacerbation
  • 20 min/day w/o exceeding time or HR constraints
  • Swimming, walking, or stationary cycling → do NOT attempt resistance training
  • If any post-concussion symptoms return along the progression, the pt must return to the previous asymptomatic stage/max HR