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Concussion Vital Signs Report Test Date Local ... - School Health

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<strong>Concussion</strong> <strong>Vital</strong> <strong>Signs</strong> <strong>Report</strong> <strong>Test</strong> <strong>Date</strong> <strong>Local</strong>: February 6, 2009 13:10:46<br />

Post Injury for: Sport<strong>Concussion</strong> <strong>Test</strong> <strong>Date</strong> GMT: February 6, 2009 18:47:11<br />

Age: 20<br />

Total <strong>Test</strong> Time: 36:25 (min:secs)<br />

<strong>Test</strong>ing Supervision: Supervised by clinician or medical technician<br />

Administrator: Athletic Trainer<br />

Language: English (United States)<br />

<strong>Test</strong>ing Environment: Alone<br />

Baseline (Aug 28, 2008)<br />

Post Injury<br />

Domain Scores<br />

Subject<br />

Valid Subject<br />

Valid At Baseline Within 5%<br />

Percentile<br />

Percentile<br />

Score<br />

Score Score<br />

Score or Better of Baseline<br />

Neurocognitive Index (NCI) 77 Yes 81 Yes Yes Yes<br />

Verbal Memory 59 93 Yes 58 88 Yes No Yes<br />

Visual Memory 55 92 Yes 58 98 Yes Yes Yes<br />

Psychomotor Speed 205 81 Yes 201 75 Yes No Yes<br />

Executive Functioning 55 68 Yes 56 70 Yes Yes Yes<br />

Cognitive Flexibility 54 66 Yes 55 70 Yes Yes Yes<br />

CPT Correct Responses 40 61 Yes 40 61 Yes Yes Yes<br />

Reaction Time* 549 70 Yes 550 70 Yes No Yes<br />

Reaction Time Detail<br />

Simple Reaction Time* 229 70 Yes 231 70 Yes No Yes<br />

Choice Reaction Time Correct* 381 63 Yes 396 50 Yes No Yes<br />

Shifting Attention Correct RT* 967 53 Yes 976 50 Yes No Yes<br />

As with the baseline test, the entire test must be re-administered if the athlete has any "No" values in the Post Injury Valid Score<br />

column. If the athlete cannot score a valid score on repeated test attempts consider contacting the team/referring physician. A "No"<br />

value in the At Baseline or Better column indicates the athlete did not achieve a score equal to or better than of the baseline test. A<br />

"No" value in the Within 5% of Baseline column indicates the athlete did not achieve a score within 5% of the baseline test and the<br />

athlete may be impaired. Consider contacting the team/referring physician if a "No" value is present in either of the At Baseline or<br />

Better or Within 5% of Baseline columns. An * denotes that "lower is better", otherwise higher scores are better.<br />

Domain Scores are defined as follows:<br />

Verbal Memory is the score for the Verbal Memory <strong>Test</strong>s.<br />

Visual Memory is the score for the Visual Memory <strong>Test</strong>s.<br />

Psychomotor Speed is the combined score for both the Finger Tapping and the Symbol Digit Coding <strong>Test</strong>.<br />

Executive Function reflects performance on the Shifting Attention <strong>Test</strong>.<br />

Reaction Time* is the average reaction time on parts 2 and 3 of the Stroop <strong>Test</strong>s.<br />

CPT Correct Responses is the number of correct responses on the Continuous Performance <strong>Test</strong>.<br />

Reaction Time Detail Scores are defined as follows:<br />

Simple Reaction Time* is the average reaction time on part 1 of the Stroop <strong>Test</strong>s. Time required to press the spacebar from the time<br />

a word first appears on the display.<br />

Choice Reaction Time Correct* is the average correct reaction time on the Continuous Performance <strong>Test</strong>. Time required to press the<br />

spacebar from the time a B first appears on the display.<br />

Shifting Attention Correct RT* is the average correct reaction time on the Shifting Attention <strong>Test</strong>.<br />

There are seven tests in the battery:<br />

Verbal Memory <strong>Test</strong> - a 15 word memory test where the athlete will respond with the spacebar if they have seen one of the words<br />

before when challenged with another word list. This is a measure of memory.<br />

Visual Memory <strong>Test</strong> - a 15 image memory test where the athlete will respond with the spacebar if they have seen one of the images<br />

before when challenged with another image list. This is a measure of memory.<br />

Finger Tapping <strong>Test</strong> - the athlete will tap the spacebar as many times as possible in 10 second. There will be three trials with each<br />

hand. This is a measure of psychomotor speed.<br />

Symbol Digit Coding <strong>Test</strong> - the athlete will complete a grid where an answer key is presented and using the numbers from the key,<br />

match a number with a shape in the grid. The number keys across the top of the keyboard will be used to respond. This is a measure<br />

of psychomotor speed.<br />

Stroop <strong>Test</strong> - the athlete will respond to colors and words in three different subtests. This is a measure of reaction time, simple<br />

reaction time, complex reaction time and cognitive flexibility.<br />

Shifting Attention <strong>Test</strong> - the athlete will respond to changing rules (Match Color or Match Shape) by responding with the two shift keys.<br />

This is a measure of Shifting Attention Reaction Time, Executive Function and Cognitive Flexibility<br />

Continuous Performance <strong>Test</strong> - the athlete will respond with the spacebar each time they see a letter "B" on the screen. This is a<br />

measure of choice reaction time and CPT Correct Responses.


Percentile<br />

Percentile<br />

Percentile<br />

Percentile<br />

100<br />

90<br />

80<br />

70<br />

Neurocognitive Index (NCI)<br />

60<br />

50<br />

40 77<br />

30<br />

20<br />

10<br />

0<br />

1<br />

100<br />

90<br />

80<br />

70<br />

60<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

100<br />

90<br />

80<br />

70<br />

60<br />

50<br />

40<br />

66<br />

30<br />

20<br />

10<br />

0<br />

1<br />

100<br />

90<br />

80<br />

70<br />

60<br />

50<br />

40<br />

70<br />

30<br />

20<br />

10<br />

0<br />

1<br />

81<br />

14<br />

2<br />

3<br />

Visual Memory<br />

92<br />

98<br />

75<br />

1<br />

2<br />

3<br />

Cognitive Flexibility<br />

70<br />

1 2 3<br />

Simple Reaction Time<br />

70 70<br />

2<br />

3<br />

Percentile<br />

Percentile<br />

Percentile<br />

Percentile<br />

100<br />

90<br />

80<br />

70<br />

60<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

100<br />

90<br />

80<br />

70<br />

60<br />

50<br />

40 81<br />

30<br />

20<br />

10<br />

0<br />

1<br />

100<br />

90<br />

80<br />

70<br />

Verbal Memory<br />

93<br />

88<br />

32<br />

1<br />

2<br />

3<br />

Psychomotor Speed<br />

75<br />

32<br />

2<br />

3<br />

CPT Correct Responses<br />

60<br />

50<br />

40<br />

30 61<br />

20<br />

10<br />

0<br />

1<br />

100<br />

90<br />

80<br />

70<br />

61 61<br />

2<br />

3<br />

Choice Reaction Time Correct<br />

60<br />

50<br />

40<br />

30 63<br />

20<br />

10<br />

0<br />

1<br />

47 50<br />

2<br />

3<br />

Percentile<br />

Percentile<br />

Percentile<br />

100<br />

90<br />

80<br />

70<br />

60<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

100<br />

90<br />

80<br />

70<br />

60<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

100<br />

90<br />

80<br />

70<br />

60<br />

50<br />

40<br />

30<br />

20<br />

10<br />

0<br />

<strong>Concussion</strong> <strong>Vital</strong> <strong>Signs</strong> <strong>Report</strong><br />

<strong>Report</strong> for Sport<strong>Concussion</strong><br />

1 Baseline August 28, 2008<br />

2 Post Injury 1 January 5, 2009<br />

3 Post Injury 2 February 6, 2009<br />

Executive Functioning<br />

68<br />

1<br />

5<br />

2<br />

Reaction Time<br />

70<br />

1<br />

68<br />

2<br />

70<br />

3<br />

70<br />

Shifting Attention Correct RT<br />

53<br />

1<br />

42<br />

2<br />

3<br />

50<br />

3

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