Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada.
Integrated Concussion Research Program, University of Calgary, Calgary, AB, Canada.
Clin J Sport Med. 2023 Mar 1;33(2):123-129. doi: 10.1097/JSM.0000000000001086. Epub 2022 Nov 8.
To provide preseason reference scores for Canadian youth tackle football players on the Sport Concussion Assessment Tool 5 (SCAT5) and to examine whether age, concussion history, and self-reported medical diagnoses are associated with SCAT5 subcomponent performance.
Cross-sectional study.
Calgary, Alberta.
Five hundred one male youth football players (ages 13-18 years) participating in the 2021 season.
SCAT5 subcomponents were assessed by age group (13-14, 15-16, 17-18), concussion history (0, 1, 2+, and yes/no), and self-reported diagnoses (headache disorder, attention-deficit/hyperactive disorder, learning disability/dyslexia, and depression, anxiety, or other psychiatric disorder).
Virtual video administration (vs traditional in-person testing) of the SCAT5 was completed, and subcomponent scores included total number of symptoms (/22), symptom-severity score (/132), Standardized Assessment of Concussion [orientation (/5), immediate memory (/30), concentration (/5), delayed recall (/10)], and modified Balance Error Scoring System (/30). Kruskal-Wallis, one-way analysis of variance , Mann-Whitney U , or independent t tests were used to assess possible associations depending on number of groups and data normality.
Virtual SCAT5 assessment scores across all outcomes did not differ by age group or concussion history. The median number of symptoms and median symptom-severity score at baseline was 2, and 173 players (34.5%) reported no symptoms. Median total number of errors on the modified Balance Error Scoring System was 3. Participants with certain self-reported diagnoses (attention-deficit/hyperactive disorder, dyslexia) demonstrated poorer performance on some SCAT5 subcomponents (symptom reporting, Standardized Assessment of Concussion).
Baseline SCAT5 performance did not differ by age group or concussion history in male youth football players. Diagnoses of the self-reported disorders examined may be important considerations for interpretation of the SCAT5 assessment.
为加拿大青少年触身式橄榄球运动员提供赛前参考分数，使用运动性脑震荡评估工具 5 版（SCAT5），并研究年龄、脑震荡史和自我报告的医学诊断是否与 SCAT5 亚组分表现相关。
横断面研究。
加拿大阿尔伯塔省卡尔加里。
501 名参加 2021 赛季的男性青少年橄榄球运动员（年龄 13-18 岁）。
根据年龄组（13-14 岁、15-16 岁、17-18 岁）、脑震荡史（0、1、2+，和是/否）和自我报告的诊断（头痛障碍、注意缺陷多动障碍、学习障碍/诵读困难、抑郁、焦虑或其他精神障碍）评估 SCAT5 亚组分。
完成 SCAT5 的虚拟视频管理（与传统的面对面测试相比），亚组分评分包括：症状总数（22 项中的）、症状严重程度评分（132 分中的）、标准化脑震荡评估[定向（5 项中的）、即刻记忆（30 项中的）、注意力（5 项中的）、延迟回忆（10 项中的）]和改良平衡错误评分系统（30 项中的）。根据组数和数据正态性，使用 Kruskal-Wallis、单因素方差分析、Mann-Whitney U 或独立 t 检验评估可能的关联。
所有结局的虚拟 SCAT5 评估评分不因年龄组或脑震荡史而不同。基线时症状总数中位数为 2，173 名（34.5%）运动员无症状，症状严重程度评分中位数为 173。改良平衡错误评分系统的总错误数中位数为 3。有某些自我报告诊断（注意缺陷多动障碍、诵读困难）的参与者在某些 SCAT5 亚组分（症状报告、标准化脑震荡评估）的表现较差。
在男性青少年触身式橄榄球运动员中，基线 SCAT5 表现不因年龄组或脑震荡史而不同。所检查的自我报告障碍的诊断可能是解释 SCAT5 评估的重要考虑因素。
