II. Indications
- Sideline Concussion evaluation in age over 10 years
III. Advantages
- Most comprehensive Concussion sideline assessment tool
- Widely used
IV. Disadvantages
- Not validated
V. Components: Initial, Immediate Evaluation (on Field)
- Red Flags
- Observable signs
- Lying motionless on playing field
- Balance or gait difficulties, motor Incoordination, stumbling or slow, labored movements
- Disorientation or confusion, or inability to respond appropriately to questions
- Blank or vacant look
- Facial injury after Head Trauma
- Cervical Spine Assessment
- Other immediate tests
- Glasgow Coma Scale (15 points)
- Maddocks Score (5 points)
VI. Components: Additional Evaluation (on Field, office or emergency department)
- Concussion Symptom Checklist (22 points)
- Modified Balance Error Scoring System or MBess (30 points)
- Cognitive Screening (Standardized Assessment of Concussion)
- Orientation (5 points)
- Immediate Memory (5 or 10 points)
- Delayed Recall (5 or 10 points)
- Concentration with Digits Backwards and Months in Reverse (5 points)
- Neurologic screening exam
- Read aloud
- Cervical Neck passive range of motion
- Finger-to-Nose Test
- Diplopia
- Tandem Gait
VII. Resources
- Sideline: Sport Concussion Assessment Tool (SCAT6)
- Age 13 years old and older (SCAT6)
- Age 8 to 12 years old (Child-SCAT6)
- Office: Sport Concussion Office Assessment Tool (SCOAT6)
- Age 13 years old and older (SCOAT6)
- Age 8 to 12 years (Child SCOAT6)
VIII. Resources: Other Tools
- Computer based Neuropsychological Testing (e.g. ImPACT)
- In some sports, baseline testing is performed
- Baseline testing is not recommended in young children (high variability)
- Postconcussive Symptom Scale