scholarly journals Variability in ImPACT Baseline Scores in Adolescent Athletes

2019 ◽  
Vol 34 (5) ◽  
pp. 779-779
Author(s):  
R Bennett ◽  
A Datoc ◽  
L Stebbins ◽  
L Lashley ◽  
A Posey
Keyword(s):  
Visual Memory ◽  
Reliable Change Index ◽  
Adolescent Athletes ◽  
Retest Reliability ◽  
Symptom Scores ◽  
Composite Scores ◽  
Test Retest Reliability ◽  
The Impact ◽  
One Way Anova ◽  
Over Time

Abstract Purpose The purpose of this study was to observe the test-retest-reliability of adolescent athlete Baseline ImPACT scores over a one and two-year interval. Methods Participants were selected from an archival de-identified sports medicine ImPACT database in Florida. The sample (N=4,044) consisted of primarily male (62.2%), adolescent athletes aged (Mage= 15.45, SD=1.291). Athletes were included in the study if they completed an initial and follow-up baseline ImPACT between 2016 and 2019, and if they had no history of concussion. One-Way ANOVA was conducted to determine the relationship between overall mean composite and total symptom scores between baseline tests. Results One-Way ANOVA revealed Verbal Memory (F[2,4041])=16.231, p<.001), Visual Memory (F[2,4041])=23.528, p<.001), and Visual Motor (F[2,4041)=46.111, p<.001) composite scores significantly differed over time. While these results yielded statistical significance over time, further descriptive statistics showed that the mean differences for these composite scores did not fall outside of the ImPACT Reliable Change Index (RCI) criteria. Conclusion Assuming no significant physical or cognitive changes between baseline administrations, ImPACT composite and total symptom scores are expected to be consistent over time. Results indicate that ImPACT composite and total symptom scores are reliable in an adolescent sample across one and two-year time periods. Previous literature regarding test-retest reliability of composite and total symptom scores on ImPACT in youth and adolescent athletes has been inconsistent, which has caused researchers and clinicians to question the clinical utility of this assessment. Future research is needed to highlight the utilization of clinical judgement and clarify the psychometric properties of this measure.

scholarly journals Test-Retest Reliability of ImPACT Across a Two-Year Interval in Collegiate Athletes

2019 ◽  
Vol 34 (5) ◽  
pp. 778-778
Author(s):  
C Burley ◽  
A Datoc ◽  
R Bennett ◽  
L Lashley
Keyword(s):  
Verbal Memory ◽  
Visual Memory ◽  
Intraclass Correlation ◽  
Collegiate Athletes ◽  
Motor Speed ◽  
Retest Reliability ◽  
Symptom Scores ◽  
Visual Motor ◽  
Composite Scores ◽  
Test Retest Reliability

Abstract Purpose To examine the two-year test-retest reliability of Immediate Post-concussion Assessment and Cognitive Testing (ImPACT) in a sample of collegiate athletes. Methods A total of 163 college athletes (63.8% female) completed two pre-season baseline assessments two years apart as mandated by their athletic programs. Participants completed the first baseline prior to their first year of competition (M age=18.38, M edu=12.13). Individuals with baselines flagged as invalid by ImPACT were excluded. No diagnosed concussions occurred between baseline assessments. Results Pearson r correlations for ImPACT composite scores between assessments ranged from .32 to .70. Paired samples t-tests indicated significant differences between verbal memory (t(162)=-4.61, p<.001, MD=-3.6) and visual-motor speed (t(162)=-4.10, p<.001, MD=-1.5) at time 1 and time 2. Intraclass correlation coefficients (ICCs) with a “two-way mixed” model and “consistency” type indicated higher reliability for all composite scores. Visual-motor speed (mean ICC=.83; .76–.87 95% confidence interval [CI]) was the most reliable composite score, followed by visual memory (.66; 95% CI .53-.75), impulse control (.62; 95% CI .48–.72), verbal memory (.58; 95% CI .43–.69), and reaction time (.49; 95% CI .30-.62). The total symptom score showed moderate reliability (.63; 95% CI .50–.73). Conclusion Overall, ImPACT composite and total symptom scores appear to maintain relative long-term stability in a collegiate sample across a two-year period. ImPACT composite scores showed moderate to good reliability, and total symptom scores showed moderate reliability. Results of this study corroborate previous research indicating moderately stable ImPACT scores across a 2-year test-retest period in collegiate athletes (Schatz, 2010).

scholarly journals ImPact Test-Retest Reliability: Reliably Unreliable?

2013 ◽  
Vol 48 (4) ◽  
pp. 506-511 ◽  
Author(s):  
Jacob Resch ◽  
Aoife Driscoll ◽  
Noel McCaffrey ◽  
Cathleen Brown ◽  
Michael S. Ferrara ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Visual Memory ◽  
Clinical Decision Making ◽  
Retest Reliability ◽  
Time Points ◽  
Group 2 ◽  
Composite Scores ◽  
Test Retest Reliability ◽  
Healthy Participants ◽  
Group 1

Context: Computerized neuropsychological testing is commonly used in the assessment and management of sport-related concussion. Even though computerized testing is widespread, psychometric evidence for test-retest reliability is somewhat limited. Additional evidence for test-retest reliability is needed to optimize clinical decision making after concussion. Objective: To document test-retest reliability for a commercially available computerized neuropsychological test battery (ImPACT) using 2 different clinically relevant time intervals. Design: Cross-sectional study. Setting: Two research laboratories. Patients or Other Participants: Group 1 (n = 46) consisted of 25 men and 21 women (age = 22.4 ± 1.89 years). Group 2 (n = 45) consisted of 17 men and 28 women (age = 20.9 ± 1.72 years). Intervention(s): Both groups completed ImPACT forms 1, 2, and 3, which were delivered sequentially either at 1-week intervals (group 1) or at baseline, day 45, and day 50 (group 2). Group 2 also completed the Green Word Memory Test (WMT) as a measure of effort. Main Outcome Measures: Intraclass correlation coefficients (ICCs) were calculated for the composite scores of ImPACT between time points. Repeated-measures analysis of variance was used to evaluate changes in ImPACT and WMT results over time. Results: The ICC values for group 1 ranged from 0.26 to 0.88 for the 4 ImPACT composite scores. The ICC values for group 2 ranged from 0.37 to 0.76. In group 1, ImPACT classified 37.0% and 46.0% of healthy participants as impaired at time points 2 and 3, respectively. In group 2, ImPACT classified 22.2% and 28.9% of healthy participants as impaired at time points 2 and 3, respectively. Conclusions: We found variable test-retest reliability for ImPACT metrics. Visual motor speed and reaction time demonstrated greater reliability than verbal and visual memory. Our current data support a multifaceted approach to concussion assessment using clinical examinations, symptom reports, cognitive testing, and balance assessment.

Measurement Properties of Headache-Specific Outcomes Scales in Adolescent Athletes

2011 ◽  
Vol 20 (1) ◽  
pp. 129-142 ◽  
Author(s):  
Sarah K. Piebes ◽  
Alison R. Snyder ◽  
R. Curtis Bay ◽  
Tamara C. Valovich McLeod
Keyword(s):  
High School ◽  
Psychometric Properties ◽  
Outcome Measures ◽  
Internal Consistency ◽  
Measurement Properties ◽  
Adolescent Athletes ◽  
Healthy Adolescent ◽  
Retest Reliability ◽  
Test Retest Reliability ◽  
The Impact

Context:Recurrent headaches significantly affect health-related quality of life (HRQOL) in adults; the impact of headache on HRQOL among adolescents is unknown, and the psychometric properties of headache-specific outcomes instruments have not been adequately studied in this population.Objective:To evaluate the psychometric properties of the Headache Impact Test (HIT-6) and Pediatric Migraine Disability Assessment (PedMIDAS) in healthy adolescent athletes.Design:Descriptive survey.Setting:High school athletic training facilities during the fall sports season.Participants:177 high school athletes (89 males and 88 females).Interventions:A survey consisting of a demographic and concussion-history questionnaire, a graded symptom scale, the HIT-6, and the PedMIDAS. Internal consistency (α), test–retest reliability (rs), Bland-Altman analyses, and the Mann-Whitney U test were used to evaluate psychometric properties and age and gender differences.Main Outcome Measures:The HIT-6 and PedMIDAS item and total scores.Results:Test–retest reliability for the HIT-6 total score was rs = .72, and reliability of individual items ranged from rs = .52 to .67. The test–retest reliability for the PedMIDAS total score was rs = .61, and reliability of individual items ranged from rs = .23 to .62. Both scales demonstrated acceptable internal consistency: HIT-6 α = .89−.90 and PedMIDAS α = .71−.75.Conclusions:The authors found moderate test–retest reliability for the HIT-6 and the PedMIDAS in a healthy adolescent athlete population. Research on the applicability and utility of the HIT-6 and PedMIDAS in concussed adolescents is warranted.

Neuropsychological Testing for Assessment of Treatment Effects: Methodologic Issues

CNS Spectrums ◽  
2002 ◽  
Vol 7 (4) ◽  
pp. 300-306 ◽  
Author(s):  
William B. Barr
Keyword(s):  
Drug Treatment ◽  
Treatment Effects ◽  
Neuropsychological Testing ◽  
Individual Characteristics ◽  
Reliable Change Index ◽  
Regression To The Mean ◽  
Treatment Protocols ◽  
Retest Reliability ◽  
Test Retest Reliability ◽  
The Impact

ABSTRACTNeuropsychological (NP) testing is now recognized as an important method for evaluating treatment effects. However, there are limitations to how these tests are currently used in most drug treatment protocols. Changes in cognition are typically defined in statistical terms, with little knowledge as to whether the observed differences are meaningful in any other sense. Methods for assessing changes in test scores need to account for test-retest reliability, practice effects, regression to the mean, and the impact of initial performance. All of these factors may vary according to the individual characteristics of the subject. This article reviews two methods from the NP literature that have attempted to account for these sources of test-retest bias. The reliable change index provides a confidence interval for predicted change by taking into account the test-retest reliability of the measure. Standardized regression-based measures use a more sophisticated statistical approach that enables them to better account for other potential sources of confound. Use of this methodology has been limited to studies of epilepsy surgery and sports-related concussion. These methods have the potential for enhancing the interpretation of NP test data in drug treatment protocols by providing an empirically based definition of clinically meaningful change.

scholarly journals Tandem Gait Test-Retest Reliability Among Healthy Child and Adolescent Athletes

2019 ◽  
Vol 54 (12) ◽  
pp. 1254-1259 ◽  
Author(s):  
David R. Howell ◽  
Anna N. Brilliant ◽  
William P. Meehan
Keyword(s):  
Dual Task ◽  
Healthy Child ◽  
Outcome Measure ◽  
Child And Adolescent ◽  
Adolescent Athletes ◽  
Single Task ◽  
Retest Reliability ◽  
Task Conditions ◽  
Test Retest Reliability ◽  
Tandem Gait

Context The tandem gait test is a method for assessing dynamic postural control and part of the Sport Concussion Assessment Tool, versions 3 and 5. However, its reliability among child and adolescent athletes has yet to be established. Objective To examine the test-retest reliability of the single-task and dual-task tandem gait test among healthy child and adolescent athletes. Design Descriptive laboratory study. Setting Sports injury-prevention center. Patients or Other Participants Uninjured and healthy athletes between the ages of 9 and 18 years. Intervention(s) Tandem gait measures repeated 3 times across the period of approximately 1 month. Main Outcome Measure(s) Participants completed the tandem gait test under single-task and dual-task (ie, while simultaneously executing a cognitive task) conditions. Our primary outcome measure was completion time during the single-task and dual-task conditions. We also assessed cognitive accuracy and response rate while participants completed the dual-task tandem gait test. Results Thirty-two child and adolescent athletes completed the study (mean age = 14.3 ± 2.4 years; females = 16). Single-task tandem gait times were similar across the 3 testing sessions (14.4 ± 4.8, 13.5 ± 4.2, and 13.8 ± 4.8 seconds; P = .45). Dual-task tandem gait times steadily improved across the test timeline (18.6 ± 6.9, 16.6 ± 4.5, and 15.8 ± 4.7 seconds; P = .02). Bivariate correlations indicated moderately high to high agreement from test 1 to test 2 (single-task r = .627; dual-task r = 0.655) and from test 2 to test 3 (single-task r = 0.852; dual-task r = 0.775). Both the single-task (intraclass correlation coefficient; ICC [3,1] = 0.86; 95% confidence interval [CI] = 0.73, 0.93) and dual-task (ICC [3,1] = 0.84; 95% CI = 0.69, 0.92) conditions demonstrated high reliability across testing sessions. Conclusions Tandem gait outcome measures demonstrated high test-retest reliability in both the single- and dual-task conditions. The overall reliability was within the acceptable range for clinical practice, but improvements across tests suggested a moderate practice effect. Tandem gait represents a reliable, dynamic, postural-control test that requires minimal space, cost, and time.

scholarly journals The Reliability, Validity and Normative Scores of the Bene-Anthony Family Relations Test for Use With Arab Children

2021 ◽  
Vol 12 ◽  
Author(s):  
Abdrabo Soliman ◽  
Abdel-Salam G. Abdel-Salam ◽  
Mervat Ahmed
Keyword(s):  
Family Relations ◽  
Clinical Status ◽  
Psychological Disorder ◽  
Normative Values ◽  
Future Research ◽  
Retest Reliability ◽  
Arab Children ◽  
Starting Point ◽  
Test Retest Reliability ◽  
The Impact

Background: The Bene-Anthony Family Relations Test (BAFRT) is one of the most widely used measures of family dynamics seen from a child’s perspective. However, the most common issue surrounding this test is the lack of accurate normative scores for use with non-white ethnic groups. The purpose of this study was to examine the BAFRT’s reliability and validity for use with Arab children, as well as to provide normative data for this group. Methods: The BAFRT was translated into Arabic and back-translated to ensure accuracy. The test was administered to a cohort of 394 Arab children, consisting of both cognitively normal children (n = 269) and children diagnosed with a psychological disorder (n = 125), all aged 5–8 years old. Test-retest reliability was assessed using a sub-set of children and validity was tested against clinical status as well as CBCL and SDQ measures. Normative measures were calculated after examining the impact of influencing variables such as age and gender. Results: Statistical analyses showed that in our cohort of Arab children the BAFRT has good test-retest reliability, correlates well with measures of emotional and behavioral adjustment, and discriminates accurately between clinical and non-clinical children. Age, gender, and clinical status all significantly impacted upon BAFRT scores and therefore normative values are presented from our cohort when considering these variables. Conclusion: The normative scores we present will provide researchers and clinicians an appropriate reference point for the comparison of scores from Arab children and a starting point for future research into this area.

scholarly journals Computerized Symbol Digit Modalities Test in a Swiss Pediatric Cohort Part 1: Validation

2021 ◽  
Vol 12 ◽  
Author(s):  
Céline Hochstrasser ◽  
Sarah Rieder ◽  
Ursina Jufer-Riedi ◽  
Marie-Noëlle Klein ◽  
Anthony Feinstein ◽  
...  
Keyword(s):  
High Reliability ◽  
Age Groups ◽  
Reliable Change Index ◽  
Information Processing Speed ◽  
Retest Reliability ◽  
Norm Values ◽  
Significant Difference ◽  
Test Retest Reliability ◽  
The University ◽  
Mean Time

ObjectiveThe objective of this study was to validate the computerized Symbol Digit Modalities Test (c-SDMT) in a Swiss pediatric cohort, in comparing the Swiss sample to the Canadian norms. Secondly, we evaluated sex effects, age-effects, and test–retest reliability of the c-SDMT in comparison to values obtained for the paper and pencil version of the Symbol Digit Modalities Test (SDMT).MethodsThis longitudinal observational study was conducted in a single-center setting at the University Children’s Hospital of Bern. Our cohort consisted of 86 children (45 male and 41 female) aged from 8 to 16 years. The cohort included both healthy participants (n = 38) and patients (n = 48) hospitalized for a non-neurological disease. Forty eight participants were assessed during two testing sessions with the SDMT and the c-SDMT.ResultsTest–retest reliability was high in both tests (SDMT: ICC = 0.89, c-SDMT: ICC = 0.90). A reliable change index was calculated for the SDMT (RCIp = −3.18, 14.01) and the c-SDMT (RCIp = −5.45, 1.46) corrected for practice effects. While a significant age effect on information processing speed was observed, no such effect was found for sex. When data on the c-SDMT performance of the Swiss cohort was compared with that from a Canadian cohort, no significant difference was found for the mean time per trial in any age group. Norm values for age groups between 8 and 16 years in the Swiss cohort were established.ConclusionNorms for the c-SDMT between the Swiss and the Canadian cohort were comparable. The c-SDMT is a valid alternative to the SDMT. It is a feasible and easy to administer bedside tool due to high reliability and the lack of motor demands.

scholarly journals State-of-the-art assessment allows for improved vestibular evoked myogenic potential test-retest reliability

2018 ◽  
Vol 8 (2) ◽  
Author(s):  
Lydia Behtani ◽  
Maxime Maheu ◽  
Audrey Delcenserie ◽  
Mujda Nooristani ◽  
François Champoux
Keyword(s):  
State Of The Art ◽  
Vestibular Evoked Myogenic Potentials ◽  
Vestibular Evoked Myogenic Potential ◽  
Retest Reliability ◽  
Vestibular Assessment ◽  
Myogenic Responses ◽  
Neurologically Normal ◽  
Test Retest Reliability ◽  
The Impact ◽  
Potential Test

The goal of the present study was to evaluate the test-retest reliability values of myogenic responses using the latest guidelines for vestibular assessment. Twenty-two otologically and neurologically normal adults were assessed twice, on two different days. The analyses were carried out using interclass correlations. The results showed that the latest recommendations for vestibular assessment lead to test-retest reliability values that are as high, or greater, than those reported in previous studies. The results suggest that state-of-the-art testing, using the latest recommendations as well as electromyography control, improves reliability values of myogenic responses, more specifically for the cervical vestibular evoked myogenic potentials. The impact of small differences in experimental procedures on the reliability values of myogenic responses is also addressed.

scholarly journals A-44 ImPACT of Amnesia Related Concussions Across Developmental Stages

2020 ◽  
Vol 35 (5) ◽  
pp. 640-640
Author(s):  
K Unjia ◽  
R Bennett ◽  
L Lashley
Keyword(s):  
Retrograde Amnesia ◽  
Sports Medicine ◽  
Developmental Stages ◽  
Future Research ◽  
Age Group ◽  
Adolescent Athletes ◽  
Significant Difference ◽  
The Impact ◽  
The Relationship ◽  
One Way Anova

Abstract Objective This study aimed to examine the relationship between developmental stages and concussions that resulted in amnesia as measured by ImPACT. Method Participants were selected from an archival de-identified sports medicine ImPACT database. The sample (N = 4,200) was primarily male (62.2%) student athletes with ages ranging from 10 to 25 years. Participants were divided into three groups: Young athletes (n = 1,400), Adolescent (n = 1,400), and Adult (n = 1,400). A One-Way ANOVA was conducted to determine the relationship between age group and prevalence of concussions resulting in anterograde or retrograde amnesia. Results The One-Way ANOVA revealed significant differences between age group and anterograde F(2,4197) = 107.449, p &lt; .001 and retrograde amnesia F(2,4197) = 82.949, p &lt; .001. Bonferroni pairwise comparison revealed the adolescent athlete group experienced more concussions that result in both anterograde and retrograde amnesia compared to young and adult athletes. There was no significant difference between young and adult athletes. Additionally, there is a significant difference regarding total games missed following concussion F(2,4197) = 117.723, p &lt; .001, with adolescent athletes missing more games compared to young and adult athletes. Conclusions The findings of this study suggest adolescent athletes tend to experience more amnesia-related concussions compared to young and adult athletes. Additionally, adolescent athletes miss more games following these types of concussions. This study highlights the impact that certain types of concussions have on athletes across the developmental stages. Future research should analyze the cognitive effects of various types of concussions across the developmental stages.

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