title: A review of modifying factors affecting usage of diagnostic rating scales in concussion management.
abstract: Sport-related concussion has gained increasing recognition as a result of recent legislation, public health initiatives and media coverage. Moreover, there have been substantial paradigm shifts in the management of concussion. This article will discuss the variables that affect the use of diagnostic rating scales such as ImPACT and SCAT in the current management of concussed individuals. Specifically, patient-specific modifying factors affecting test interpretation, including age, gender, fitness level, psychiatric conditions, learning disorders and other components of medical history will be addressed, as well as methodological concerns with baseline testing.
authors.affiliation: Ichan School of Medicine at Mount Sinai, Department of Neurosurgery, New York, USA. Electronic address: Alexa.dessy@mountsinai.org.
authors.forename: Alexa
authors.initials: A
authors.lastname: Dessy
authors.affiliation: Ichan School of Medicine at Mount Sinai, Department of Neurosurgery, New York, USA.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Rasouli
authors.affiliation: Concussion Management of New York, New York, USA.
authors.forename: Alex
authors.initials: A
authors.lastname: Gometz
authors.affiliation: Ichan School of Medicine at Mount Sinai, Department of Neurosurgery, New York, USA.
authors.forename: Tanvir
authors.initials: T
authors.lastname: Choudhri
mesh_terms: D001265:Athletic Injuries / Q000175:diagnosis* / Q000628:therapy; D001924:Brain Concussion / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D009483:Neuropsychological Tests / Q000592:standards*; D015599:Trauma Severity Indices
keywords: Athletes; Mild traumatic brain injury; Neurocognitive testing; Return-to-play; Sports-related concussion