Baseline & Post-Injury Testing Cheat Sheet

-Make sure all athletes pre-register prior to network.completeconcussions.com/register

-Individual tests (1 on 1) – book 30 mins-Team tests 1 stream = 1 CCMI clinician & 2 staff = 10 athletes/hour

-Clinician must do station 1 Medical Hx to King-Devick Test-Order:

1) Athlete(s) arrive2) Front desk asks for account number & athlete provides (if athlete doesn’t have an account number, front desk tells them to register and helps the next patient)3) Front desk selects “Start Baseline” and enters in athlete account # and assigns concussion ID card to the file – then reviews personal info to make sure that it has been filled out correctly4) Athlete sits down with ID card in hand in waiting area5) Clinician takes athlete into quiet room, selects “Start Baseline” and enters in ID card # and begins medical history and finishes with King-Devick Testing

-Select to send athlete an ImPACT test, if 13 years or older6) Athlete leaves and goes to Station 2 (Staff 1 – Balance Testing)

-Staff 1 selects “Test in Progress” and enters ID card number – once athlete has been verified, BESS testing begins

7) Athlete leaves and goes to Station 3 (Staff 2 – Reaction Time, Grip Strength, Delayed Recall)

-Staff 2 selects “Test in Progress” and enters ID card number – once athlete has been verified, Station 3 testing begins

Effort Indicators During Testing-it is important that athletes are giving maximal effort during baseline tests!-if you notice indications of poor effort during any test, stop the test, confront them and encourage them to put more effort in.

-Example: reading slow on King-Devick – “Is that your absolute fastest? I think you can go faster than that. Let’s re-try even faster!”

-Things to watch for:-High symptom scores (>7 symptoms & >12 severity) – be sure they understand what you are asking-Answering quickly and incorrectly on numbers in reverse-Reading slowly on King-Devick (>55 seconds for 13 & older)-Goofing around during balance assessment – not focused-Grip Strength – Knuckles not whitening, wrist and forearm not shaking, face not grimacing, teeth not clenching

13 & up Norms & Invalidity Indicators for Physical Testing-Note: Invalidity Indicators are only important during baseline testing and only for 13 & up – during post-injury testing, scores may fall into these invalid ranges due to the injury-With new SCAT5 we don’t know much about normative yet (Anderson et al., 2018 was first study

Test Normative InvalidSymptom Number (/22) (0-6) No Invalidity IndicatorSymptom Severity (/132) (0-9) No Invalidity IndicatorStandard Assessment of Concussion (SAC) (/45)

34.80 + 5.2 (Anderson et al., 2018)

21 or less (Zottoli et al., 2015)

(24 & under = suspicious)-Orientation (/5) (4-5) --Immediate Memory (/30) 19.97+ 3.4 (Anderson) --Concentration (/5) (3-4) --Delayed Recall (/10) 6.88 + 1.7 (Anderson) -King-Devick Test - >57 seconds (King-Devick)

Balance Error Scoring System (/30)

(27-30) 22 or less(Chin et al., 2016)

Postural Sway (COP Area) (182-753mm) >1,038 (CCMI Data)

Reaction Time (15.5cm – 25.5cm) >31 cm (CCMI Data)

Grip Strength 20-40 Kg -

**Any change from pre-injury baseline scores indicates a clinically significant change =

NO CLEARANCE**