II. Indications
- Sideline Concussion evaluation in age over 10 years
III. Background
- SCAT5 uses an expanded version of this Standardized Assessment of Concussion
IV. Criteria: Orientation (total possible of 5 points)
- What month is it?
- What is the date today?
- What is the day of the week?
- What year is it?
- What time is it right now (within one hour)?
V. Criteria: Memory (total possible of 20 points)
- Primary word list (5)
- Trial 1 (Immediate): Ask patient to remember each of 5 words
- Instructions
- I am goimg to test your memory
- I will read you a list of words, and when I am done, repeat back as many words as you can remember
- Assign 1 point for each of the 5 words repeated correctly
- Instructions
- Trial 2 (Immediate): Repeat the same word list
- Caution to repeat the words even if they've said then on a prior trial
- Assign 1 point for each of the 5 words repeated correctly
- Trial 3 (Immediate): Repeat the same word list
- Assign 1 point for each of the 5 words repeated correctly
- Delayed Recall (performed 5 minutes later)
- Assign 1 point for each of the 5 words repeated correctly
VI. Criteria: Concentration (maximum of 6 points)
- Instructions - Digits Backwards
- I am going to read you a string of numbers
- When I am do, you repeat these numbers backwards (in reverse order)
- Example
- If I say 7-1-9
- You say 9-1-7
- Digit Recall (one point for each string of numbers correct, total of 5 points possible)
- Read at one digit per second
- If first try fails, give one more try with another sequence
- 4-9-3
- Alternatives: 6-2-9 or 5-2-6 or 4-1-5
- 3-8-1-4
- Alternatives: 3-2-7-9 or 1-7-9-5 or 4-9-6-8
- 6-2-9-7-1
- Alternatives: 1-5-2-8-6 or 3-8-5-2-7 or 6-1-8-4-3
- 7-1-8-4-6-2
- Alternatives: 5-3-9-1-4-8 or 8-3-1-9-6-4 or 7-2-4-8-5-6
- Months in reverse order (1 point for the entire sequence)
- Now tell me the months in the reverse order
- Start with last month and go backwards
- You'll say December, November...
- Correct Sequence:
- December, November, October
- September, August, July
- June, May, April
- March, February, January
VII. Resources
VIII. References
- McCrea (2001) Clinical Journal of Sports Medicine 11: 176-181