Choice of reliable change model can alter decisions regarding neuropsychological impairment after sports-related concussion

Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine
A D Hinton-Bayre

Abstract

Impaired neuropsychological test performance after concussion has been used to guide restraint from play, in particular using reliable change indices (RCI). It remains unclear which of the RCI is most appropriate. Athletes were assessed prospectively before and after cerebral concussion and compared with control athletes. Athletes were assessed in a clinical office environment after referral from a Sports Physician. One hundred ninety-four Australian rugby league athletes were assessed preseason (time 1). Twenty-seven concussed athletes were assessed 2 days after trauma (time 2) and compared with 26 distribution-matched volunteer uninjured controls. Cognitive performance was assessed on 5 neuropsychological measures of speed of information processing, psychomotor speed, and response inhibition. Four previously reported RCI models used in sports concussion were contrasted, as described by Barr and McCrea (2001) and Maassen et al (2006). Reliable change index models were marginally comparable in classifying the control sample. In the concussed sample, no one model seemed to be consistently more or less sensitive. Moreover, the same model could be most sensitive for one individual and least sensitive for another, even on the same ...Continue Reading

References

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Citations

Dec 7, 2013·Neuropsychology Review·Jacob E ReschC Munro Cullum
May 13, 2014·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·Andrea G LoueyPaul Mccrory
Dec 19, 2015·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Anton D Hinton-Bayre
Aug 1, 2015·Developmental Neuropsychology·Arthur MaerlenderC Condiracci
Jan 20, 2015·The Clinical Neuropsychologist·Adina M PiovesanaRoslyn N Boyd
Sep 4, 2016·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·Anton D Hinton-Bayre
Mar 6, 2015·Asian Journal of Sports Medicine·Elham ZamaniMohammad Shariati
Mar 13, 2020·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·Stefan PiantellaBradley J Wright

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