PDF(Pubmed)
Abstract：
Tools used for the identification, evaluation, and monitoring of concussion have not been sufficiently studied in youth or real-world settings. Normative and reliability data on sideline concussion assessment measures in the youth athlete population is needed. Pre-season normative data for 515 athletes (93.5% male) aged 5 to 16 on the Standardized Assessment of Concussion (SAC/SAC-Child), modified Balance Errors Scoring System (mBESS), Timed Tandem Gait (TTG), and the King-Devick Test (KDT) are provided. A total of 212 non-injured athletes repeated the measures post-season to assess test-retest reliability. Mean performance on the SAC-C, mBESS, TTG, and KDT tended to improve with age. KDT was the only measure that demonstrated good to excellent stability across age ranges (ICC = 0.758 to 0.941). Concentration was the only SAC/SAC-C subtest to demonstrate moderate test-retest stability (ICC = 0.503 to 0.706). TTG demonstrated moderate to good (ICC = 0.666 to 0.811) reliability. mBESS demonstrated poor to moderate reliability (ICC = -0.309 to 0.651). Commonly used measures of concussion vary regarding test-retest reliability in youth. The data support the use of at least annual sport concussion baseline assessments in the pediatric population to account for the evolution in performance as the child ages. Understanding the variation in the stability and the evolution of baseline performance will enable improved identification of possible injury.
摘要：
用于识别的工具，评估，在青年或现实环境中，脑震荡的监测尚未得到充分研究。需要有关青年运动员人群副线脑震荡评估措施的规范性和可靠性数据。在脑震荡标准化评估（SAC/SAC-Child）中，5至16岁的515名运动员（男性占93.5％）的季前规范数据，修改后的平衡错误评分系统（MBESS），定时串联步态(TTG),并提供King-Devick测试(KDT)。共有212名未受伤的运动员在赛季后重复了这些措施，以评估重测的可靠性。SAC-C的平均性能，MBESS,TTG,KDT随着年龄的增长而趋于改善。KDT是在不同年龄范围(ICC=0.758至0.941)内表现出良好至优异稳定性的唯一量度。浓度是唯一的SAC/SAC-C子测试以证明中等的测试-重测稳定性(ICC=0.503至0.706)。TTG显示中等至良好(ICC=0.666至0.811)的可靠性。mBESS显示差到中等的可靠性(ICC=-0.309至0.651)。在青年中，常用的脑震荡测量因重测可靠性而异。数据支持在儿科人群中至少使用年度运动脑震荡基线评估，以说明随着儿童年龄的增长表现。了解稳定性的变化和基线性能的演变将能够改进对可能损伤的识别。
