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Combined Neurocognitive and Exercise Tolerance Testing Improves Objectivity of Buffalo Concussion Treadmill Test

Daniel Miner and Brent Harper

domains. 17 This highlights the importance of assessing multiple domains of cognitive function following concussion. There is currently no gold standard for the assessment of neurocognitive function following a concussion. Though they are widely used, computerized neurocognitive assessments such as the

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Computerized Cognitive Function Does Not Correlate With Choice Reaction Time During a Hopping Task

Ke’La H. Porter, Nathan Morelli, Nicholas R. Heebner, Jenna Wilson, Allison M. Parks, Dong Y. Han, and Matthew C. Hoch

Context: Cognitive performance has been shown to be associated with musculoskeletal injury risk. Cognitive assessments are often administered in controlled environments despite sport settings challenging cognition in uncontrolled, less predictable environments. Cognitive assessments should be representative of sport demands; thus, integrating motor with cognitive assessments may be more clinically relevant. Accordingly, the purpose of this research was to investigate the relationship between tablet-based cognitive tests and choice reaction time during a hopping task. Design: Cross-sectional. Methods: A total of 20 healthy participants volunteered to participate. Participants completed 3 tablet-based cognitive assessments. Average raw response time and fully corrected scores were used for analysis. In addition, participants completed a choice reaction hopping task to capture neuromuscular–cognitive reaction time. Participants completed a forward hop over a hurdle, landing on a single limb. Light sensors were utilized for the choice reaction component to capture reaction time in seconds, cue them when to hop, and indicate the landing limb. The relationship between the tablet-based cognitive assessments and reaction time during a hopping task was examined with Pearson correlations (α = .05). Results: The choice reaction time from the hop task had a negligible correlation (r = −.20−.07) to the fully corrected tablet-based cognitive tests. The choice reaction time from the hop task had a negligible correlation (r = .02) to the average response time of the Pattern Comparison Processing Speed Test and a low correlation (r = .34−.36) to the Dimensional Change Card Sort Test and Flanker Inhibitory Control and Attention Test. Conclusions: This study determined that tablet-based cognitive assessments had trivial relationships to choice reaction time during a hopping task. This research has implications as clinicians aim to evaluate and analyze cognitive performance. Although reaction time was a critical component of all the assessments in this study, an individual’s performance on a tablet-based assessment does not indicate performance during a functional reaction time assessment.

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A Pediatric Perspective on Sport-Related Concussion

Tamara C. Valovich McLeod, Megan N. Houston, and Cailee E. Welch

Concussions resulting from sports and recreational activities are a significant concern in the pediatric population. The number of children and adolescents sustaining sport-related concussions is increasing and, as a result, legislation has been passed in all 50 states to ensure appropriate recognition and referral of pediatric athletes following concussion. The developing brain may make the diagnosis, assessment, and management of concussion more challenging for health care providers and requires the use of specific age-appropriate assessment tools. Concussion management must also include considerations for cognitive and physical rest, a collaborative concussion management team that includes medical and school personnel, and more conservative stepwise progressions for returning to school and to physical activity.

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Determining the Appropriate Model for Concussion Health Care in the College or University Setting

Charles R. Thompson

The incidence of concussions and potential for long-term health effects has captured the attention of the media, general public, medical professionals, parents, and obviously the athletes themselves. Concussions have been blamed for a variety of mental and physical health issues. The athletic trainer is at the forefront of the concussion management team, as they are typically on the scene when the concussion occurs and are often the first medical personnel to evaluate and, hopefully, remove the athlete from activity. There has been controversy of late regarding the influence of coaches in the care of concussed athletes. Therefore, a move to the “medical model” of sports medicine management can go a long way in resolving conflict of interest issues regarding the care of concussed athletes. A comprehensive concussion team and protocol are also essential to providing the highest level of care. This article takes a closer look at concussion management in the collegiate arena, with a particular focus on Princeton University.

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The Ability of Baseline and Normative Neurocognitive Testing to Identify Cognitive Impairments Following Concussion: A Critically Appraised Topic

Nicholas M. Hattrup, Rebekah L. Gardiner, Hannah Gray, Cailee E. Welch Bacon, and Tamara C. Valovich McLeod

necessary or required to meet the standard of care. While there may be differing opinions on the need for baseline neurocognitive testing, 1 , 3 the use of baseline neurocognitive assessments are widely utilized with 71.2% of athletic trainers in the secondary school setting 4 and 74.9% in the collegiate

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Concussion Management Among National Collegiate Athletic Association Swim Programs

Katie Ritter, Ashley N. Marshall, Keenan Robinson, Dilaawar J. Mistry, Meeryo C. Choe, and Tamara Valovich McLeod

institutions included baseline assessments in their concussion protocols compared with Division I. The use of the ImPACT computerized neurocognitive assessment tool as the most commonly used computerized neurocognitive assessment tool is consistent with previous studies. 6 , 7 , 12 However, the percentage of

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Differences in Neurocognitive Functions Between Healthy Controls and Anterior Cruciate Ligament-Reconstructed Male Athletes Who Passed or Failed Return to Sport Criteria: A Preliminary Study

Maryam Kiani Haft Lang, Razieh Mofateh, Neda Orakifar, and Shahin Goharpey

patients who passed RTS criteria, score was minimum 90% on all RTS criteria, whereas in failed group, the score was less than the cutoff value in one or more of the RTS criteria. 27 Neurocognitive Assessment Neurocognitive functions were assessed using the Cambridge Neuropsychological Test Automated

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The Relationship Between Neurocognitive Function and Biomechanics: A Critically Appraised Topic

Ke’La Porter, Carolina Quintana, and Matthew Hoch

neuromuscular control during a dripping task, more specifically increased knee valgus. Assessing this neurocognitive domain may be useful in identifying athletes with reduced neuromuscular control. Athletes who performed poorer on baseline neurocognitive assessments also demonstrated knee kinetics and

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Twelve-Week Exercise Influences Memory Complaint but not Memory Performance in Older Adults: A Randomized Controlled Study

Enzo Iuliano, Giovanni Fiorilli, Giovanna Aquino, Alfonso Di Costanzo, Giuseppe Calcagno, and Alessandra di Cagno

exercise. Neurocognitive Assessment The neurocognitive assessment was performed in the university’s medical offices, without any kinds of distraction to avoid influences on the neurocognitive scores. The three tests used for the assessment of memory and memory complaint are described below. The Rey 15

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Athletic Trainers’ Perceived Challenges Toward Comprehensive Concussion Management in the Secondary School Setting

Cailee E. Welch Bacon, Gary W. Cohen, Melissa C. Kay, Dayna K. Tierney, and Tamara C. Valovich McLeod

athletic trainers noted the lack of experience community physicians had with interpreting information collected from neurocognitive assessments, such as the ImPACT test. In her local area in South Dakota, Sydney noted, “we do not have any neuropsychologists that are able to look at the ImPACT test results