Baseline Neuropsychological Testing in Managing Sport-Related Concussion: Does It Modify Risk?

@article{Randolph2011BaselineNT,
  title={Baseline Neuropsychological Testing in Managing Sport-Related Concussion: Does It Modify Risk?},
  author={Christopher Randolph},
  journal={Current Sports Medicine Reports},
  year={2011},
  volume={10},
  pages={21-26}
}
  • C. Randolph
  • Published 1 January 2011
  • Psychology
  • Current Sports Medicine Reports
Baseline neuropsychological testing is mandated at various levels of play for hundreds of thousands of athletes each year. This paper reviews the risks associated with sport-related concussion, and the clinical validity and reliability data for the most commonly used baseline test, the ImPACT program. There is no evidence to suggest that the use of baseline testing alters any risk from sport-related concussion, nor is there even a good rationale as to how such tests might influence outcome… 
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110 Citations

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Citation Type

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The proposed neuropsychological concussion management guidelines are evidence based, but also allow for accommodating trends in the literature which suggest that increasingly individualistic clinical concussion management approaches are most prudent.
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  • Medicine
    Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
  • 2012
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NP with or without BNP may come to be perceived as a “standard of medical care,” with obvious medicolegal implications for both the sport medicine practitioner and sport organizations.
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TLDR
There is good evidence to support the use of neuropsychological assessment to inform treatments and return-to-play decision making in children and adolescents diagnosed with sport-related concussion.
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TLDR
Baseline evaluation data revealed the presence of normal variability in a student athlete population, and certain individuals have risk factors which may increase the range of variability, and should be explored further in future research.
Normative Versus Baseline Paradigms for Detecting Neuropsychological Impairment Following Sports-Related Concussion
TLDR
Despite being a time and resource intensive process, the baseline paradigm as a repeated-measures design may be more sensitive than the between-subjects design of the normative paradigm for detecting changes following concussion.
Computerized Neurocognitive Testing in the Management of Sport-Related Concussion: An Update
TLDR
A review of the literature from 2005 to 2013 was conducted to gather evidence of test-retest reliability and clinical validity of computerized neurocognitive tests available for use in the assessment of SRC.
Neuropsychological Testing in Sports Concussion Management: An Evidence-Based Model when Baseline Is Unavailable
Since Barth and colleagues’ seminal study used baseline neuropsychological testing as a model for sports concussion management, many collegiate sports medicine programs have adopted variations of…
Baseline Neurocognitive Performance and Clearance for Athletes to Return to Contact.
TLDR
Athletes should be educated regarding the lack of association between baseline neurocognitive scores and the presence or absence of a reliable decline after concussion, as well as the fact that, on average, individuals with a reliability decline across multiple domains did not miss more time after concussion.
Validity and Reliability of Baseline Testing in a Standardized Environment
  • K. Higgins, T. Caze, A. Maerlender
  • Psychology
    Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists
  • 2018
TLDR
Examination of the effects of a standardized environment and administration protocol on the reliability and performance validity of athletes' baseline test scores on ImPACT suggests that athletes may be reliably performing at levels lower than their best effort would produce.
Sport-Related Concussion and Neuropsychological Testing: Shaken or Stirred?
TLDR
An overview of definition, history and development of neuropsychological testing, its uses and issues related to its interpretation are discussed in this paper, with implications for future research.
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