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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Veröffentlicht in:Journal of science and medicine in sport 2021-02, Vol.24 (2), p.129-134
Hauptverfasser: Hänninen, Timo, Parkkari, Jari, Howell, David R., Palola, Vili, Seppänen, Arttu, Tuominen, Markku, Iverson, Grant L., Luoto, Teemu M.
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container_end_page 134
container_issue 2
container_start_page 129
container_title Journal of science and medicine in sport
container_volume 24
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
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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&lt;0.001, sig r p&lt;0.001; Severity: rs=0.84, p&lt;0.001, sig r p&lt;0.001). The reliability coefficients for the SAC (rs=0.58, p&lt;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 &amp; Biomedicine ; Longitudinal Studies ; Male ; Neck Pain - etiology ; Neuropsychological Tests ; Reproducibility of Results ; SCAT5 ; Science &amp; 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. 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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&lt;0.001, sig r p&lt;0.001; Severity: rs=0.84, p&lt;0.001, sig r p&lt;0.001). The reliability coefficients for the SAC (rs=0.58, p&lt;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. 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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&lt;0.001, sig r p&lt;0.001; Severity: rs=0.84, p&lt;0.001, sig r p&lt;0.001). The reliability coefficients for the SAC (rs=0.58, p&lt;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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