Youth Preseason Performance on the Sport Concussion Assessment Tool 5 Across Multiple Sports.

Jan 01, 2024

Experts: Benjamin Leggett,Paul Eliason,Stacy Sick,Joel S Burma,Sophie K Wong,David Laperrière,Claude Goulet,Pierre Fremont,Kelly Russell,Kathryn J Schneider,Carolyn A Emery

To examine preseason Sport Concussion Assessment Tool 5 (SCAT5) performance of adolescent sport participants by environment (in-person/virtual), sex, age, concussion history, collision/noncollision sport participation, and self-reported medical diagnoses.
Cross-sectional.
Canadian community and high-school sport settings.
Three thousand eight hundred five adolescent (2493 male, 1275 female, and 37 did not disclose; 11- to 19-year-old) sport participants.
Sport Concussion Assessment Tool 5 administration method (in-person/virtual), sex (male/female/unreported), age (years), concussion history (0/1/2/3+), collision/noncollision sport participant, and self-reported medical diagnoses [attention deficit disorder or attention-deficit/hyperactivity disorder, headache/migraine, learning disability, and psychiatric disorder (ie, anxiety/depression/other)].
Preseason SCAT5 outcomes including total number of symptoms (TNS; /22), symptom severity score (SSS; /132), Standardized Assessment of Concussion (SAC; /50), and modified Balance Error Scoring System (mBESS; /30).
Multiple multilevel linear or Poisson regression complete case analyses adjusting for clustering and robust standard errors, with β-coefficients (95% CI) back-transformed to indicate an increase/decrease in SCAT5 subdomains when relevant for clinical interpretation. Virtual (V) performance was associated with fewer symptoms reported [TNSDifference V-IP = -1.53 (95% CI, -2.22 to -0.85)], lower SSS [-2.49 (95% CI, -4.41 to -0.58)], and fewer mBESS errors (IP) [-0.52 (95% CI, -0.77 to -0.27)] compared with in-person. For every one-year increase in age, more symptoms [TNS = 0.22 (95% CI, 0.01-0.44)], higher SSS [0.52 (95% CI, 0.01-1.06)], higher SAC [0.27 (95% CI, 0.15-0.38), and poorer balance [mBESS = -0.19 (-0.28 to -0.09)] were observed. Differences between males and females were also seen across all SCAT5 outcomes. Individuals reporting any medical diagnosis or 3+ concussion history also reported more symptoms (TNS) and higher SSS than those who did not.
Administration environment, sex, age, concussion history, and medical diagnoses were associated with SCAT5 subdomains and are important considerations when interpreting the SCAT5 results.

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

Author

admin

View all posts

ABOUT THE EXPERTS

Benjamin Leggett,Paul Eliason,Stacy Sick,Joel S Burma,Sophie K Wong,David Laperrière,Claude Goulet,Pierre Fremont,Kelly Russell,Kathryn J Schneider,Carolyn A Emery

Benjamin Leggett

Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.

Cerebrovascular Concussion Laboratory, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.

O’Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada.

Alberta Children’s Hospital Research Institute, University of Calgary, Calgary, AB, Canada.

Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.

McCaig Institute for Bone and Joint Health, University of Calgary, Calgary, AB, Canada.

Paul Eliason

Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.

O’Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada.

Alberta Children’s Hospital Research Institute, University of Calgary, Calgary, AB, Canada.

Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.

Stacy Sick

Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.

O’Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada.

Alberta Children’s Hospital Research Institute, University of Calgary, Calgary, AB, Canada.

Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.

Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB, Canada.

Joel S Burma

Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.

Cerebrovascular Concussion Laboratory, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.

O’Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada.

Alberta Children’s Hospital Research Institute, University of Calgary, Calgary, AB, Canada.

Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.

McCaig Institute for Bone and Joint Health, University of Calgary, Calgary, AB, Canada.

Human Performance Laboratory, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.

Sophie K Wong

Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.

Human Performance Laboratory, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.

David Laperrière

Pavillon de l’Éducation physique et des sports, Université Laval, Québec City, QC, Canada.

Pediatrics and Child Health, University of Manitoba, Winnipeg, MN, Canada.

Department of Physical Education, Faculty of Education, Université Laval, Québec City, QC, Canada.

Claude Goulet

Department of Physical Education, Faculty of Education, Université Laval, Québec City, QC, Canada.

Pierre Fremont

Pavillon de l’Éducation physique et des sports, Université Laval, Québec City, QC, Canada.

Kelly Russell

Pediatrics and Child Health, University of Manitoba, Winnipeg, MN, Canada.

Children’s Hospital Research Institute of Manitoba, Winnipeg, MB, Canada.

Kathryn J Schneider

Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.

Alberta Children’s Hospital Research Institute, University of Calgary, Calgary, AB, Canada.

Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.

Sport Medicine Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.

Evidence Sport and Spine, Calgary, AB, Canada.

Carolyn A Emery

Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.

O’Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada.

Alberta Children’s Hospital Research Institute, University of Calgary, Calgary, AB, Canada.

Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.

McCaig Institute for Bone and Joint Health, University of Calgary, Calgary, AB, Canada.

Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada; and.

Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.