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Article abstract-The recent formulation of guidelines for the management of concussion in sports adopted by the American Academy of Neurology specifically calls for the development of a standardized, systematic sideline evaluation for the immediate assessment of concussion in athletes. The present study involved the preliminary investigation of the feasibility and clinical validity of a standardized version of a brief sideline examination complied in accordance with these guidelines. This examination, intended for use by athletic trainers, was administered by three trainers to 141 nonconcussed high school football players at three separate schools. All players suspected of suffering a concussion (N = 6) during the fall 1995 season were also tested immediately following their injury. The examination was easily administered and scored. The concussed players as a group scored significantly below the nonconcussed controls and below their own baseline (pre-injury) performance, despite their all having been considered by the trainers to have suffered mild, grade 1 concussions. Although preliminary, these data suggest that a standardized sideline examination of this type can be useful in detecting concussion and determining fitness to return to play.
NEUROLOGY 1997;48: 586-588

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Published In

Neurology®
Volume 48Number 3March 1997
Pages: 586-588
PubMed: 9065531

Publication History

Published online: March 1, 1997
Published in print: March 1997

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Authors

Affiliations & Disclosures

From Northwestern University Medical School (Drs. McCrea and Kelly, B. Ackley, and Dr. Randolph) and The Rehabilitation Institute of Chicago (Dr. Kelly), Chicago, IL; and Covenant Medical Center (J. Kluge), Waterloo, IA.
Received July 10, 1996. Accepted in final form December 24, 1996.
Address correspondence and reprint requests to Dr. Christopher Randolph, 111 N. Wabash, #1021, Chicago, IL 60602.

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  1. Enhancing Protocols for Concussion Management in Professional Soccer Events, Cureus, (2024).https://doi.org/10.7759/cureus.64064
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  3. Baseline Normative and Test–Retest Reliability Data for Sideline Concussion Assessment Measures in Youth, Diagnostics, 14, 15, (1661), (2024).https://doi.org/10.3390/diagnostics14151661
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  5. Return to Play Following Concussion: Role for Imaging?, Seminars in Musculoskeletal Radiology, 28, 02, (193-202), (2024).https://doi.org/10.1055/s-0043-1778031
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  6. Diagnosis of Sports-Related Concussion Using Symptom Report or Standardized Assessment of Concussion, JAMA Network Open, 7, 6, (e2416223), (2024).https://doi.org/10.1001/jamanetworkopen.2024.16223
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  8. The Effect of Exercise on a Novel Dual-Task Assessment for Sport Concussion, Medicine & Science in Sports & Exercise, 56, 1, (22-28), (2023).https://doi.org/10.1249/MSS.0000000000003274
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  9. Neurology and the military, Neurology Clinical Practice, 3, 1, (30-38), (2023)./doi/10.1212/CPJ.0b013e318283ffa2
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  10. Optimizing baseline and post-concussion assessments through identification, confirmation, and equivalence of latent factor structures: Findings from the NCAA-DoD CARE Consortium, The Clinical Neuropsychologist, 38, 5, (1156-1174), (2023).https://doi.org/10.1080/13854046.2023.2271614
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