Reliability of the Sport Concussion Assessment Tool 5 baseline testing: A 2-week test–retest study
To examine short-term test-retest reliability of the Sport Concussion Assessment Tool 5 (SCAT5). Longitudinal study. Sixty-two professional male ice hockey players (mean age=22.5, SD=3.2) completed a preseason baseline test twice over a two-week interval. Half of the players were tested by the same...
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creator | Hänninen, Timo Parkkari, Jari Howell, David R. Palola, Vili Seppänen, Arttu Tuominen, Markku Iverson, Grant L. Luoto, Teemu M. |
description | To examine short-term test-retest reliability of the Sport Concussion Assessment Tool 5 (SCAT5).
Longitudinal study.
Sixty-two professional male ice hockey players (mean age=22.5, SD=3.2) completed a preseason baseline test twice over a two-week interval. Half of the players were tested by the same assessor on both testing sessions. Spearman’s correlations (rs) were used to determine linear agreements, and Wilcoxon signed rank tests (sig r) were used to determine mean differences, between testing sessions.
Symptoms had high test–retest reliability (Score: rs=0.85, p |
doi_str_mv | 10.1016/j.jsams.2020.07.014 |
format | Article |
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Longitudinal study.
Sixty-two professional male ice hockey players (mean age=22.5, SD=3.2) completed a preseason baseline test twice over a two-week interval. Half of the players were tested by the same assessor on both testing sessions. Spearman’s correlations (rs) were used to determine linear agreements, and Wilcoxon signed rank tests (sig r) were used to determine mean differences, between testing sessions.
Symptoms had high test–retest reliability (Score: rs=0.85, p<0.001, sig r p<0.001; Severity: rs=0.84, p<0.001, sig r p<0.001). The reliability coefficients for the SAC (rs=0.58, p<0.001, sig r: p=0.412), and mBESS (rs=0.40, p=0.001, sig r: p=0.607) were considerably lower than symptoms. More than half (52%) of the athletes reported at least one baseline symptom (Md=1, M=2.2, SD=3.3). The most commonly reported symptoms were fatigue or low energy and neck pain. The broad ranges of SAC total scores (range=28−45, Md=35, M=35.4, SD=4.2) and SAC test–retest change scores (range −7 to +11) were mostly due to variability on the memory performance, tested using 10-item word lists. The number of mBESS single leg stance errors (Md=1, Md 3.2, SD=4.0) was greater than Tandem stance errors (Md=0, Md=2.0, SD=3.6).
The two-week test–retest reliability of the SCAT5 baseline scores varied from moderate to high. However, there was considerable individual variability on the SAC and mBESS scores and most players have notable short-term fluctuation on performance even if uninjured. Recommendations for interpreting change on the SCAT5 are provided.</description><identifier>ISSN: 1440-2440</identifier><identifier>EISSN: 1878-1861</identifier><identifier>DOI: 10.1016/j.jsams.2020.07.014</identifier><identifier>PMID: 32868203</identifier><language>eng</language><publisher>OXFORD: Elsevier Ltd</publisher><subject>Athletes ; Baseline testing ; Brain Concussion - complications ; Brain Concussion - diagnosis ; Brain injuries ; Concussion ; Fatigue - etiology ; Head injuries ; Hockey - injuries ; Humans ; Ice hockey ; Life Sciences & Biomedicine ; Longitudinal Studies ; Male ; Neck Pain - etiology ; Neuropsychological Tests ; Reproducibility of Results ; SCAT5 ; Science & Technology ; Sport Sciences ; Standardized tests ; Variables ; Young Adult</subject><ispartof>Journal of science and medicine in sport, 2021-02, Vol.24 (2), p.129-134</ispartof><rights>2020</rights><rights>Copyright © 2020. Published by Elsevier Ltd.</rights><rights>Copyright Elsevier Limited Feb 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>15</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000608357100005</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c387t-b2433e359badfc2bfc37125407047080d52a8fe6dbe10fa68204fad346b760793</citedby><cites>FETCH-LOGICAL-c387t-b2433e359badfc2bfc37125407047080d52a8fe6dbe10fa68204fad346b760793</cites><orcidid>0000-0002-7329-3284 ; 0000-0001-7348-9570</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2502612294?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,782,786,3552,27931,27932,39265,46002,64392,64394,64396,72476</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32868203$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hänninen, Timo</creatorcontrib><creatorcontrib>Parkkari, Jari</creatorcontrib><creatorcontrib>Howell, David R.</creatorcontrib><creatorcontrib>Palola, Vili</creatorcontrib><creatorcontrib>Seppänen, Arttu</creatorcontrib><creatorcontrib>Tuominen, Markku</creatorcontrib><creatorcontrib>Iverson, Grant L.</creatorcontrib><creatorcontrib>Luoto, Teemu M.</creatorcontrib><title>Reliability of the Sport Concussion Assessment Tool 5 baseline testing: A 2-week test–retest study</title><title>Journal of science and medicine in sport</title><addtitle>J SCI MED SPORT</addtitle><addtitle>J Sci Med Sport</addtitle><description>To examine short-term test-retest reliability of the Sport Concussion Assessment Tool 5 (SCAT5).
Longitudinal study.
Sixty-two professional male ice hockey players (mean age=22.5, SD=3.2) completed a preseason baseline test twice over a two-week interval. Half of the players were tested by the same assessor on both testing sessions. Spearman’s correlations (rs) were used to determine linear agreements, and Wilcoxon signed rank tests (sig r) were used to determine mean differences, between testing sessions.
Symptoms had high test–retest reliability (Score: rs=0.85, p<0.001, sig r p<0.001; Severity: rs=0.84, p<0.001, sig r p<0.001). The reliability coefficients for the SAC (rs=0.58, p<0.001, sig r: p=0.412), and mBESS (rs=0.40, p=0.001, sig r: p=0.607) were considerably lower than symptoms. More than half (52%) of the athletes reported at least one baseline symptom (Md=1, M=2.2, SD=3.3). The most commonly reported symptoms were fatigue or low energy and neck pain. The broad ranges of SAC total scores (range=28−45, Md=35, M=35.4, SD=4.2) and SAC test–retest change scores (range −7 to +11) were mostly due to variability on the memory performance, tested using 10-item word lists. The number of mBESS single leg stance errors (Md=1, Md 3.2, SD=4.0) was greater than Tandem stance errors (Md=0, Md=2.0, SD=3.6).
The two-week test–retest reliability of the SCAT5 baseline scores varied from moderate to high. However, there was considerable individual variability on the SAC and mBESS scores and most players have notable short-term fluctuation on performance even if uninjured. Recommendations for interpreting change on the SCAT5 are provided.</description><subject>Athletes</subject><subject>Baseline testing</subject><subject>Brain Concussion - complications</subject><subject>Brain Concussion - diagnosis</subject><subject>Brain injuries</subject><subject>Concussion</subject><subject>Fatigue - etiology</subject><subject>Head injuries</subject><subject>Hockey - injuries</subject><subject>Humans</subject><subject>Ice hockey</subject><subject>Life Sciences & Biomedicine</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Neck Pain - etiology</subject><subject>Neuropsychological Tests</subject><subject>Reproducibility of Results</subject><subject>SCAT5</subject><subject>Science & Technology</subject><subject>Sport Sciences</subject><subject>Standardized tests</subject><subject>Variables</subject><subject>Young Adult</subject><issn>1440-2440</issn><issn>1878-1861</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkd-K1DAUxoso7h99AkEC3gjS8SRpm4ywF0PxHywIul6HtD3V1LYZc1KXufMd9g19EjM74154Id4kh_D7vpNzvix7wmHFgVcvh9VAdqKVAAErUCvgxb3slGulc64rfj_VRQG5SMdJdkY0AIhSSfUwO5FCV1qAPM26jzg627jRxR3zPYtfkX3a-hBZ7ed2IXJ-ZhsiJJpwjuzK-5GVrLGUdDOyiBTd_OUV2zCRXyN-u3359fMm4L5gFJdu9yh70NuR8PHxPs8-v3l9Vb_LLz-8fV9vLvNWahXzRhRSoizXje36VjR9KxUXZQEKCgUaulJY3WPVNciht_sJit52sqgaVYFay_Ps-cF3G_z3JbU3k6MWx9HO6BcyyX9dJVyKhD77Cx38Eub0OyNKEBUXYl0kSh6oNniigL3ZBjfZsDMczD4EM5jbEMw-BAPKpBCS6unRe2km7O40f7aeAH0ArrHxPbUO5xbvMACoQMtS8VRBWbtoY0qh9ssck_TF_0sTfXGgMW39h8NgjorOBWyj6bz75yS_ATQ2ucw</recordid><startdate>202102</startdate><enddate>202102</enddate><creator>Hänninen, Timo</creator><creator>Parkkari, Jari</creator><creator>Howell, David R.</creator><creator>Palola, Vili</creator><creator>Seppänen, Arttu</creator><creator>Tuominen, Markku</creator><creator>Iverson, Grant L.</creator><creator>Luoto, Teemu M.</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Elsevier Limited</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AYAGU</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7329-3284</orcidid><orcidid>https://orcid.org/0000-0001-7348-9570</orcidid></search><sort><creationdate>202102</creationdate><title>Reliability of the Sport Concussion Assessment Tool 5 baseline testing: A 2-week test–retest study</title><author>Hänninen, Timo ; Parkkari, Jari ; Howell, David R. ; Palola, Vili ; Seppänen, Arttu ; Tuominen, Markku ; Iverson, Grant L. ; Luoto, Teemu M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-b2433e359badfc2bfc37125407047080d52a8fe6dbe10fa68204fad346b760793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Athletes</topic><topic>Baseline testing</topic><topic>Brain Concussion - complications</topic><topic>Brain Concussion - diagnosis</topic><topic>Brain injuries</topic><topic>Concussion</topic><topic>Fatigue - etiology</topic><topic>Head injuries</topic><topic>Hockey - injuries</topic><topic>Humans</topic><topic>Ice hockey</topic><topic>Life Sciences & Biomedicine</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Neck Pain - etiology</topic><topic>Neuropsychological Tests</topic><topic>Reproducibility of Results</topic><topic>SCAT5</topic><topic>Science & Technology</topic><topic>Sport Sciences</topic><topic>Standardized tests</topic><topic>Variables</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hänninen, Timo</creatorcontrib><creatorcontrib>Parkkari, Jari</creatorcontrib><creatorcontrib>Howell, David R.</creatorcontrib><creatorcontrib>Palola, Vili</creatorcontrib><creatorcontrib>Seppänen, Arttu</creatorcontrib><creatorcontrib>Tuominen, Markku</creatorcontrib><creatorcontrib>Iverson, Grant L.</creatorcontrib><creatorcontrib>Luoto, Teemu M.</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Australia & New Zealand Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of science and medicine in sport</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hänninen, Timo</au><au>Parkkari, Jari</au><au>Howell, David R.</au><au>Palola, Vili</au><au>Seppänen, Arttu</au><au>Tuominen, Markku</au><au>Iverson, Grant L.</au><au>Luoto, Teemu M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reliability of the Sport Concussion Assessment Tool 5 baseline testing: A 2-week test–retest study</atitle><jtitle>Journal of science and medicine in sport</jtitle><stitle>J SCI MED SPORT</stitle><addtitle>J Sci Med Sport</addtitle><date>2021-02</date><risdate>2021</risdate><volume>24</volume><issue>2</issue><spage>129</spage><epage>134</epage><pages>129-134</pages><issn>1440-2440</issn><eissn>1878-1861</eissn><abstract>To examine short-term test-retest reliability of the Sport Concussion Assessment Tool 5 (SCAT5).
Longitudinal study.
Sixty-two professional male ice hockey players (mean age=22.5, SD=3.2) completed a preseason baseline test twice over a two-week interval. Half of the players were tested by the same assessor on both testing sessions. Spearman’s correlations (rs) were used to determine linear agreements, and Wilcoxon signed rank tests (sig r) were used to determine mean differences, between testing sessions.
Symptoms had high test–retest reliability (Score: rs=0.85, p<0.001, sig r p<0.001; Severity: rs=0.84, p<0.001, sig r p<0.001). The reliability coefficients for the SAC (rs=0.58, p<0.001, sig r: p=0.412), and mBESS (rs=0.40, p=0.001, sig r: p=0.607) were considerably lower than symptoms. More than half (52%) of the athletes reported at least one baseline symptom (Md=1, M=2.2, SD=3.3). The most commonly reported symptoms were fatigue or low energy and neck pain. The broad ranges of SAC total scores (range=28−45, Md=35, M=35.4, SD=4.2) and SAC test–retest change scores (range −7 to +11) were mostly due to variability on the memory performance, tested using 10-item word lists. The number of mBESS single leg stance errors (Md=1, Md 3.2, SD=4.0) was greater than Tandem stance errors (Md=0, Md=2.0, SD=3.6).
The two-week test–retest reliability of the SCAT5 baseline scores varied from moderate to high. However, there was considerable individual variability on the SAC and mBESS scores and most players have notable short-term fluctuation on performance even if uninjured. Recommendations for interpreting change on the SCAT5 are provided.</abstract><cop>OXFORD</cop><pub>Elsevier Ltd</pub><pmid>32868203</pmid><doi>10.1016/j.jsams.2020.07.014</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-7329-3284</orcidid><orcidid>https://orcid.org/0000-0001-7348-9570</orcidid></addata></record> |
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subjects | Athletes Baseline testing Brain Concussion - complications Brain Concussion - diagnosis Brain injuries Concussion Fatigue - etiology Head injuries Hockey - injuries Humans Ice hockey Life Sciences & Biomedicine Longitudinal Studies Male Neck Pain - etiology Neuropsychological Tests Reproducibility of Results SCAT5 Science & Technology Sport Sciences Standardized tests Variables Young Adult |
title | Reliability of the Sport Concussion Assessment Tool 5 baseline testing: A 2-week test–retest study |
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