Citation

Lee JH, Howell DR, Meehan WP, Iverson GL, Gardner AJ. Orthop. J. Sports Med. 2017; 5(9): e2325967117727261.

Affiliation

Sports Concussion Clinic, John Hunter Hospital, Newcastle, New South Wales, Australia.

Copyright

(Copyright © 2017, American Orthopaedic Society for Sports Medicine, Publisher SAGE Publishing)

DOI

10.1177/2325967117727261

PMID

28944251

PMCID

PMC5602215

Abstract

BACKGROUND: The Sport Concussion Assessment Tool-Third Edition (SCAT3) is currently considered the standard sideline assessment for concussions. In-game exercise, however, may affect SCAT3 performance and the diagnosis of concussions.

PURPOSE: To examine the influence of exercise on SCAT3 performance in professional male athletes. STUDY DESIGN: Controlled laboratory study.

METHODS: We examined the SCAT3 performance of 82 professional male athletes under 2 conditions: at rest and after exercise.

RESULTS: Athletes reported significantly fewer total symptoms (mean, 1.0 ± 1.5 vs 1.6 ± 2.3 total symptoms, respectively; P =.008; Cohen d = 0.34), committed significantly fewer errors on the modified Balance Error Scoring System (mean, 3.5 ± 3.5 vs 4.6 ± 4.1 errors, respectively; P =.017; d = 0.31), and required significantly less time to complete the tandem gait test (mean, 9.5 ± 1.4 vs 9.9 ± 1.7 seconds, respectively; P =.02; d = 0.30) during the at-rest condition compared with the postexercise condition.

CONCLUSION: The interpretation of in-game (sideline) SCAT3 results should consider the effects of postexercise fatigue levels on an athlete's performance, particularly if preseason baseline data have been collected when the athlete was well rested. CLINICAL RELEVANCE: Exercise appears to affect symptom burden and physical abilities, such as balance and tandem gait, more so than the cognitive components of the SCAT3.

Language: en

Keywords

SCAT3; athletes; concussion; sideline assessment