scholarly journals Can Sport Concussion Assessment Tool (SCAT) Symptom Scores Be Converted to Rivermead Post-concussion Symptoms Questionnaire (RPQ) Scores and Vice Versa? Findings From the Toronto Concussion Study

2021 ◽  
Vol 3 ◽  
Author(s):  
Laura Kathleen Langer ◽  
Paul Comper ◽  
Lesley Ruttan ◽  
Cristina Saverino ◽  
Seyed Mohammad Alavinia ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Likert Scale ◽  
Self Report ◽  
Strongly Correlated ◽  
Specific Symptom ◽  
Sports Concussion ◽  
Sport Concussion ◽  
Research Findings ◽  
Highly Correlated ◽  
Observed Score

Background: The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) and the Sports Concussion Assessment Tool (SCAT) are widely used self-report tools assessing the type, number, and severity of concussion symptoms. There are overlapping symptoms and domains, though they are scored differently. The SCAT consists of 22 questions with a 7-point Likert scale for a total possible score 132. The RPQ has 16 questions and a 5-point Likert scale for a total of 80 possible points. Being able to convert between the two scores would facilitate comparison of results in the concussion literature.Objectives: To develop equations to convert scores on the SCAT to the RPQ and vice versa.Methods: Adults (17–85 years) diagnosed with a concussion at a referring emergency department were seen in the Hull-Ellis Concussion and Research Clinic, a rapid access concussion clinic at Toronto Rehab–University Health Network (UHN) Toronto Canada, within 7 days of injury. The RPQ and SCAT symptom checklists as well as demographic questionnaires were administered to all participants at Weeks 1, 2, 3, 4, 5, 6, 7, 8, 12, 16.Results: 215 participants had 1,168 matched RPQ and SCAT assessments. Total scores of the RPQ and the SCAT had a rho = 0.91 (p < 0.001); correlations were lower for sub-scores of specific symptom domains (range 0.74–0.87, p < 0.001 for all domain comparisons). An equation was derived to calculate SCAT scores using the number and severity of symptoms on the RPQ. Estimated scores were within 3 points of the observed total score on the SCAT. A second equation was derived to calculate the RPQ from the proportion weighted total score of the SCAT. This equation estimated corresponding scores within 3 points of the observed score on the RPQ.Conclusions: The RPQ and SCAT symptom checklists total scores are highly correlated and can be used to estimate the total score on the corresponding assessment. The symptom subdomains are also strongly correlated between the 2 scales however not as strongly correlated as the total score. The equations will enable researchers and clinicians to quickly convert between the scales and to directly compare concussion research findings.

scholarly journals How Accurate are Concussed College Athlete’s Self-reported Balance Problems?

2019 ◽  
Vol 34 (5) ◽  
pp. 793-793
Author(s):  
A DaCosta ◽  
M Fasciana ◽  
A Crane ◽  
A LoGalbo
Keyword(s):  
Assessment Tool ◽  
Collegiate Athletes ◽  
Self Report ◽  
Balance Performance ◽  
Post Injury ◽  
Sports Concussion ◽  
Baseline Testing ◽  
Balance Problems ◽  
Balance Error

Abstract Purpose The Balance Error Scoring System (BESS) has been determined to be a reliable and valid measure of balance performance (Bell et al., 2011). Previous research indicates self-reported balance difficulties and postural stability are positively correlated (Broglio et al., 2009). Furthermore, athletes exhibit an increase in errors on the BESS following a concussion (McCrea et al., 2004). Methods 68 collegiate athletes (age 18-23; M=19.62, SD=1.44) received baseline, post-concussion, and follow-up evaluations. Balance performance was measured via the BESS on the Sports Concussion Assessment Tool-5th edition (SCAT5), while symptom reporting was measured by the SCAT5 and ImPACT neurocognitive testing. Results Multiple simple linear regressions were conducted, suggesting that changes in BESS performance from baseline to post-trauma significantly predicted self-report of “balance problems” at post-trauma on ImPACT (F(1, 66)=11.94, p=.001; R2=.15) and SCAT5 (F(1, 66)=5.73, p=.02; R2=.08). While baseline BESS errors were significantly correlated with post-trauma BESS errors (r=.29, p=.02), BESS errors at post-trauma did not significantly predict self-reporting of balance problems on either assessment. Conclusion Results suggest that self-reported balance difficulties following a concussion are an indicator of change in intraindividual balance performance, but not post-trauma balance performance alone. Furthermore, it provides clinical context as the individuals’ perception of change may be greater, impacting the likelihood of self-reporting of balance problems at post-trauma. These results support the clinical utility of examining pre- and post-injury changes in balance by including balance measurements in pre-participation baseline testing.

Relationship Between Mood and Somatic Symptom at Initial Presentation of mTBI to a Concussion Clinic

Neurology ◽  
2020 ◽  
Vol 95 (20 Supplement 1) ◽  
pp. S7.1-S7
Author(s):  
Nicole Dorothy Reams ◽  
Erik John Beltran ◽  
Gary Wilk ◽  
Hannah Moulthrop ◽  
Roberta Frigerio
Keyword(s):  
Mental Health Treatment ◽  
Assessment Tool ◽  
Age Groups ◽  
Sports Concussion ◽  
Mood Symptoms ◽  
Gender And Age ◽  
Sport Concussion ◽  
Postconcussion Symptoms ◽  
Epidemiology Studies ◽  
The Relationship

ObjectiveTo examine the relationship between self-reported mood symptoms and severity of presenting concussion symptoms in an adult sports and non-sports post-concussion population.BackgroundPast studies have identified a relationship between pre-morbid and concurrent anxiety and depression and number, severity, and duration of postconcussion symptoms.Design/MethodsUsing our structured clinical documentation support toolkit for concussion patients, we analyzed previously collected discrete standardized data. Each patient with a confirmed mTBI diagnosis by the clinician, reported mood symptoms on the Generalized Anxiety Disorder 7-item (GAD-7) scale and Center for Epidemiology Studies Depression (CES-D) scale. Rivermead Post-concussion Symptoms Questionnaire (RPQ) was self-reported for non-sports concussion patients and the Sport Concussion Assessment Tool (SCAT) symptom checklist was self-reported for sports concussion patients. RPQ or SCAT scores were correlated with GAD-7 and CES-D scores at initial visit. Cohorts were stratified by gender and age decile.ResultsRPQ score was weakly correlated with GAD-7 scores and peaked at 0.71 for males in their 40s and 0.69 for females in their 50s. RPQ was weakly correlated with CES-D for males: corr = 0.65 for all age groups, and females around 0.50, peaking at 0.76 for females in their 50s. For SCAT and GAD-7, males had a stronger correlation than females (0.58–0.21) in their 20s, while females exhibited a stronger correlation for SCAT and CES-D than males (0.63–0.23) in their 20s.ConclusionsCorrelations were found between symptom scores and mood scores. Strongest correlations were found for non-sports mTBI patients between RPQ scores and GAD-7 scores in males in their 40s and females in their 50s, and between RPQ scores and CES-D scores in females in their 50s. This analysis lends support to the relationship between mood symptoms and intensity of somatic concussion symptoms following injury and may encourage clinicians to discuss mental health treatment or resources when appropriate.

Comparing Traumatic Brain Injury Symptoms Reported via Questionnaires Versus a Novel Structured Interview

2021 ◽  
pp. 1-11
Author(s):  
Natalie A. Emmert ◽  
Georgia Ristow ◽  
Michael A. McCrea ◽  
Terri A. deRoon-Cassini ◽  
Lindsay D. Nelson
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Response Bias ◽  
Minnesota Multiphasic Personality Inventory ◽  
Assessment Tool ◽  
Symptom Burden ◽  
Structured Interview ◽  
Self Report ◽  
Symptom Reporting ◽  
Clinical Interviews

Abstract Objective: Mild traumatic brain injury (mTBI) symptoms are typically assessed via questionnaires in research, yet questionnaires may be more prone to biases than direct clinical interviews. We compared mTBI symptoms reported on two widely used self-report inventories and the novel Structured Interview of TBI Symptoms (SITS). Second, we explored the association between acquiescence response bias and symptom reporting across modes of assessment. Method: Level 1 trauma center patients with mTBI (N = 73) were recruited within 2 weeks of injury, assessed at 3 months post-TBI, and produced nonacquiescent profiles. Assessments collected included the SITS (comprising open-ended and closed-ended questions), Rivermead Post Concussion Symptoms Questionnaire (RPQ), Sport Concussion Assessment Tool-3 (SCAT-3) symptom checklist, and Minnesota Multiphasic Personality Inventory-2 Restructured Form True Response Inconsistency (TRIN-r) scale. Results: Current mTBI symptom burden and individual symptom endorsement were highly concordant between SITS closed-ended questions, the RPQ, and the SCAT-3. Within the SITS, participants reported significantly fewer mTBI symptoms to open-ended as compared to later closed-ended questions, and this difference was weakly correlated with TRIN-r. Symptom scales were weakly associated with TRIN-r. Conclusions: mTBI symptom reporting varies primarily by whether questioning is open- vs. closed-ended but not by mode of assessment (interview, questionnaire). Acquiescence response bias appears to play a measurable but small role in mTBI symptom reporting overall and the degree to which participants report more symptoms to closed- than open-ended questioning. These findings have important implications for mTBI research and support the validity of widely used TBI symptom inventories.

A comparison of the Remote Food Photography Method and the Automated Self-Administered 24-hour Dietary Assessment Tool for measuring full day dietary intake among school-aged children

2021 ◽  
pp. 1-26
Author(s):  
Traci A. Bekelman ◽  
Corby K. Martin ◽  
Susan L. Johnson ◽  
Deborah H. Glueck ◽  
Katherine A. Sauder ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Energy Intake ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
Ease Of Use ◽  
Self Report ◽  
Food Photography ◽  
Photography Method

Abstract The limitations of self-report measures of dietary intake are well known. Novel, technology-based measures of dietary intake may provide a more accurate, less burdensome alternative to existing tools. The first objective of this study was to compare participant burden for two technology-based measures of dietary intake among school-age children: the Automated-Self Administered 24-hour Dietary Assessment Tool-2018 (ASA24-2018) and the Remote Food Photography Method (RFPM). The second objective was to compare reported energy intake for each method to the Estimated Energy Requirement for each child, as a benchmark for actual intake. Forty parent-child dyads participated in 2, 3-day dietary assessments: a parent proxy-reported version of the ASA24 and the RFPM. A parent survey was subsequently administered to compare satisfaction, ease of use and burden with each method. A linear mixed model examined differences in total daily energy intake (TDEI) between assessments, and between each assessment method and the EER. Reported energy intake was 379 kcal higher with the ASA24 than the RFPM (p=0.0002). Reported energy intake with the ASA24 was 231 kcal higher than the EER (p = 0.008). Reported energy intake with the RFPM did not differ significantly from the EER (difference in predicted means = −148 kcal, p = 0.09). Median satisfaction and ease of use scores were 5 out of 6 for both methods. A higher proportion of parents reported that the ASA24 was more time consuming than the RFPM (74.4% vs. 25.6%, p = 0.002). Utilization of both methods is warranted given their high satisfaction among parents.

Assessing Patient Symptoms Due to Nasal Septal Perforation: Development and Validation of the NOSE-Perf Scale

2021 ◽  
pp. 019459982199201
Author(s):  
Cullen M. Taylor ◽  
Stephen F. Bansberg ◽  
Michael J. Marino
Keyword(s):  
Nasal Obstruction ◽  
Discriminant Validity ◽  
Assessment Tool ◽  
Tertiary Care ◽  
Control Group ◽  
Septal Perforation ◽  
Specific Symptom ◽  
Nose Scale ◽  
Nasal Septal Perforation ◽  
Patient Reported

Objective Reporting patient symptoms due to nasal septal perforation (NSP) has been hindered by the lack of a validated disease-specific symptom score. The purpose of this study was to develop and validate an instrument for assessing patient-reported symptoms related to NSP. Study Design Validation study. Setting A tertiary care center. Methods The Nasal Obstruction Symptom Evaluation (NOSE) scale was used as an initial construct to which 7 nonobstruction questions were added to measure septal perforation symptoms. The proposed NOSE-Perf instrument was distributed to consecutive patients evaluated for NSP, those with nasal obstruction without NSP, and a control group without rhinologic complaints. Questionnaires were redistributed to the subgroup with NSP prior to treatment of the perforation. Results The study instrument was completed by 31 patients with NSP, 17 with only nasal obstruction, and 22 without rhinologic complaint. Internal consistency was high throughout the entire instrument (Cronbach α = 0.935; 95% CI, 0.905-0.954). Test-retest reliability was demonstrated by very strong correlation between questionnaires completed by the same patient at least 1 week apart ( r = 0.898, P < .001). Discriminant validity was confirmed via a receiver operating characteristic ( P < .001, area under the curve = 0.700). The NOSE-Perf scale was able to distinguish among all 3 study groups ( P < .001) and between NSP and nasal obstruction ( P = .024). When used alone, the NOSE scale could not discriminate between NSP and nasal obstruction ( P = .545). Conclusions The NOSE-Perf scale is a validated and reliable clinical assessment tool that can be applied to adult patients with NSP.

scholarly journals Virtual Reality Functional Capacity Assessment Tool (VRFCAT-SL) in Parkinson’s Disease

2021 ◽  
pp. 1-9
Author(s):  
Travis H. Turner ◽  
Alexandra Atkins ◽  
Richard S.E. Keefe
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Virtual Reality ◽  
Cognitive Impairment ◽  
Functional Capacity ◽  
Visual Memory ◽  
Assessment Tool ◽  
Task Force ◽  
Self Report ◽  
Capacity Assessment

Background: Cognitive impairment is common in Parkinson’s disease (PD) and highly associated with loss of independence, caregiver burden, and assisted living placement. The need for cognitive functional capacity tools validated for use in PD clinical and research applications has thus been emphasized in the literature. The Virtual Reality Functional Capacity Assessment Tool (VRFCAT-SL) is a tablet-based instrument that assesses proficiency for performing real world tasks in a highly realistic environment. Objective: The present study explored application of the VRFCAT-SL in clinical assessments of patients with PD. Specifically, we examined associations between VRFCAT-SL performance and measures of cognition, motor severity, and self-reported cognitive functioning. Methods: The VRFCAT-SL was completed by a sample of 29 PD patients seen in clinic for a comprehensive neuropsychological evaluation. Fifteen patients met Movement Disorders Society Task Force criteria for mild cognitive impairment (PD-MCI); no patients were diagnosed with dementia. Non-parametric correlations between VRFCAT-SL performance and standardized neuropsychological tests and clinical measures were examined. Results: VRFCAT-SL performance was moderately associated with global rank on neuropsychological testing and discriminated PD-MCI. Follow-up analyses found completion time was associated with visual memory, sustained attention, and set-switching, while errors were associated with psychomotor inhibition. No clinical or motor measures were associated with VRFCAT-SL performance. Self-report was not associated with VRFCAT-SL or neuropsychological test performance. Conclusion: The VRFCAT-SL appears to provide a useful measure of cognitive functional capacity that is not confounded by PD motor symptoms. Future studies will examine utility in PD dementia.

Effects of exercise on symptoms, cognitive and motor performance tasks using the sport concussion assessment tool (SCAT2) in healthy young adults and children

2013 ◽  
Vol 47 (5) ◽  
pp. e1.20-e1
Author(s):  
Nour Boutros ◽  
Mary Catherine Norcia ◽  
Jamila Sammouda ◽  
Chi-Lan Tran ◽  
Isabelle Pearson ◽  
...  
Keyword(s):  
Young Adults ◽  
Motor Performance ◽  
Assessment Tool ◽  
Performance Tasks ◽  
Sport Concussion ◽  
Adults And Children

Culturally Sensitive Assessment of Anxious-Depressive Distress in Vietnam: Avoiding Category Truncation

2018 ◽  
Vol 55 (3) ◽  
pp. 384-404 ◽  
Author(s):  
Devon E. Hinton ◽  
Amie Alley Pollack ◽  
Bahr Weiss ◽  
Lam T. Trung
Keyword(s):  
Psychiatric Symptoms ◽  
Anxiety And Depression ◽  
Strongly Correlated ◽  
General Survey ◽  
General Anxiety Disorder ◽  
General Anxiety ◽  
Study Results ◽  
Standing Up ◽  
Patient Health ◽  
Highly Correlated

The present study investigated what complaints are prominent in psychologically distressed Vietnamese in Vietnam beyond standard symptoms assessed by Western diagnostic instruments for anxiety and depression. To form the initial Vietnamese Symptom and Cultural Syndrome Addendum (VN SSA), we reviewed the literature, consulted experts, and conducted focus groups. The preliminary VN SSA was then used in a general survey (N = 1004) of five provinces in Vietnam. We found that the VN SSA items were highly and significantly correlated with a measure of anxious-depressive psychopathology (a composite measure of the General Anxiety Disorder-7; Posttraumatic Diagnostic Scale; and Patient Health Questionnaire-9). The VN SSA item most highly correlated to anxious-depressive psychopathology was “thinking a lot” ( r = .54), reported by 15.8% of the sample. Many other symptoms in the addendum also were prominent, such as orthostatic dizziness (i.e., dizziness upon standing up; r = .41), reported by 22.9% of the sample. By way of comparison, somatic complaints more typically assessed to profile Western anxious-depressive distress, such as palpitations, were less prominent, as evidenced by being less strongly correlated to Western psychiatric symptoms and being less frequent (e.g., palpitations: r = .31, 7.1% of the sample). Study results suggest that to avoid category truncation when profiling anxious-depressive distress among Vietnamese that items other than those in standard psychopathology measures should also be assessed.

scholarly journals Inferring object properties from human interaction and transferring them to new motions

2021 ◽  
Author(s):  
Qian Zheng ◽  
Weikai Wu ◽  
Hanting Pan ◽  
Niloy Mitra ◽  
Daniel Cohen-Or ◽  
...  
Keyword(s):  
Human Interaction ◽  
Strongly Correlated ◽  
Recognition Method ◽  
Fine Grained ◽  
Object Property ◽  
Correlated Motions ◽  
Object Properties ◽  
New Synthesis ◽  
Related Object ◽  
Highly Correlated

AbstractHumans regularly interact with their surrounding objects. Such interactions often result in strongly correlated motions between humans and the interacting objects. We thus ask: “Is it possible to infer object properties from skeletal motion alone, even without seeing the interacting object itself?” In this paper, we present a fine-grained action recognition method that learns to infer such latent object properties from human interaction motion alone. This inference allows us to disentangle the motion from the object property and transfer object properties to a given motion. We collected a large number of videos and 3D skeletal motions of performing actors using an inertial motion capture device. We analyzed similar actions and learned subtle differences between them to reveal latent properties of the interacting objects. In particular, we learned to identify the interacting object, by estimating its weight, or its spillability. Our results clearly demonstrate that motions and interacting objects are highly correlated and that related object latent properties can be inferred from 3D skeleton sequences alone, leading to new synthesis possibilities for motions involving human interaction. Our dataset is available at http://vcc.szu.edu.cn/research/2020/IT.html.

Meat qualities in the sheep with special reference to Scottish breeds and crosses. I

1939 ◽  
Vol 29 (4) ◽  
pp. 544-626 ◽  
Author(s):  
H. Pálsson
Keyword(s):  
Scientific Basis ◽  
Accurate Estimate ◽  
Quantitative Composition ◽  
Carcass Quality ◽  
Strongly Correlated ◽  
Precise Measure ◽  
Total Fat ◽  
Highly Correlated ◽  
High Degree ◽  
The Relationship

1. By establishing the relationship between linear carcass measurements and the quantitative composition of the carcass in terms of bone, muscle and fat, we have provided a scientific basis for the use of many measurements hitherto only presumed to provide an index to carcass quality.2. External carcass measurements are correlated with weight of the skeleton. The most useful for this purpose are length of tibia + tarsus and length of the fore-cannon.3. As indices of muscle, external measures are only of indirect value. Thus, both F – T and G/F × 100 are strongly correlated with weight of muscle as a percentage of skeletal weight.4. Similarly, F provides an index of fat, being negatively correlated with fat as a percentage of bone.5. For muscle and fat internal measures permit a more precise estimate to be made. A + B is the best index of the former while C + J + Y provide the most accurate estimate of the weight of fat.6. Still better indices for muscle and fat are provided by suitable combinations of external and internal measurements. Thus L/10 + A + B is very highly correlated with the weight of muscle, and L/10 × (C + J + Y) is the best index of fat in the hoggets. For bone, a most efficient single index is shown to be the weight of the fore-cannon bone.7. The weight of the skeleton can be estimated with a high degree of accuracy from the weight of the bones in either one leg or loin. Both these joints combined, however, provide a still better estimate.8. The muscle in one leg or loin + leg provides an excellent index of the weight of muscle in the whole carcass.9. The fat in one leg, loin, or both these joints combined provides a good index of the weight of the total fat in the carcass. Both joints combined give the most precise measure.10. The value of certain measurements which are not necessarily associated with the quantity of the major tissues of the carcass, but which nevertheless have important qualitative significance, is emphasized.

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