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Standardized Assessment Of Concussion With Concussion Software

By Lindsay Barton,
MomsTeam Health & Safety Editor
Reviewed By Robert Cantu, MD


It is now widely recognized that stereotypic questions such as "how many fingers am I holding up?" and "where are you?" are of little diagnostic value to the sports medicine clinician in determining whether an athlete has sustained a concussion and, if so, determining the severity of the injury. Most are now aware of the importance of systematically assessing the injured athlete's mental status and neurocognitive functioning to detect deficits in orientation, memory and concentration after a concussion but simply lack an objective and systematic method for doing so.

Concussion Software

Neuropsychological testing and testing of mental status in order to determine the grade of a concussion can be performed using the Standardized Assessment Of Concussion (SAC), a brief screening concussion software instrument designed for the assessment of concussion by athletic trainers, coaches, and sideline medical personnel, to record and track (SAC), Standard Symptoms Checklist, and Balance Error Scoring System (BESS) results. Recent studies have shown that the use of the SAC has value in helping sports medicine professionals in the diagnosis and management of concussion in athletes on the sport sideline, particularly in identifying concussions in the 90% of cases where there is no loss of consciousness or other obvious signs of concussion.

The SAC gives the athletic trainer a convenient way to record SAC Baselines and post-injury follow-up measurements along with the Standard Symptom Checklist and BESS results. Once recorded, the SAC compares the Baseline to all follow-up measurements.

 

The SAC is intended as a supplement to other clinical information during injury assessment, but not as a stand-alone measure of injury severity or readiness to return to play following a sports-related injury.

The SAC takes approximately 5 minutes to administer and includes measures of:

  • Orientation (month, date, day of week, year, time)

  • Immediate memory (recall of 5 words in 3 separate trials)

  • Neurologic screening

    • Loss of consciousness (occurrence, duration)

    • Post-traumatic Amnesia (PTA) (either retrograde or anterograde) (recollection of events pre- and post-injury)

    • Strength

    • Sensation

    • Coordination

  • Concentration (reciting numbers backwards; months in reverse order)

  • Exertional maneuvers (jumping jacks, sit-ups)

  • Delayed recall (5 words)

Please contact MomsTeam for any additional information on where to purchase SAC Software.

Please share your questions, comments and stories with us. All information is kept confidential. Please send an email to editors@momsteam.com


Article updated and reviewed August 1, 2007



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