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Representation of concussion subtypes in common postconcussion symptom-rating scales

Authors :
Raina Kolluri
Gerard A. Gioia
Angela Lumba-Brown
Jordan Cornwell
Jamshid Ghajar
O. Josh Bloom
James C. Chesnutt
Masaru Teramoto
James R Clugston
John J. Leddy
Source :
Concussion
Publication Year :
2019
Publisher :
Future Medicine Ltd, 2019.

Abstract

Aim: Postconcussion symptom-rating scales are frequently used concussion assessment tools that do not align directly with new expert, consensus-based concussion subtype classification systems. This may result in delays in concussion diagnosis, subspecialty referral and rehabilitative strategies. Objective: To determine the representation of subtype-directed symptomatology in common postconcussion symptom-rating scales. Methods: Literature review and expert consensus were used to compile commonly used concussion symptom-rating scales. Statistics were generated to describe the degree of representation of the consensus symptom set. Results: The percentage of symptoms representing each subtype/associated condition is low overall (15–26%). The ocular-motor (11%) and vestibular subtypes (19%) and cervical strain (5%)-associated condition were the most under-represented and also had the greatest unmet needs. Conclusion: Concussion subtypes do not have equal representation on commonly used concussion symptom-rating scales. There is a need for a subtype-directed symptom assessment to allow for increased accuracy of diagnosis and to guide management.

Details

Language :
English
ISSN :
20563299
Volume :
4
Issue :
3
Database :
OpenAIRE
Journal :
Concussion
Accession number :
edsair.doi.dedup.....83c02683f2015e83c3862852f5018921