Citation

Lumba-Brown A, Ghajar J, Cornwell J, Bloom OJ, Chesnutt J, Clugston JR, Kolluri R, Leddy JJ, Teramoto M, Gioia G. Concussion 2019; 4(3): CNC65.

Affiliation

Division of Pediatric Neuropsychology, Safe Concussion Outcome Recovery & Education Program, Children's National Health System, Departments of Pediatrics & Psychiatry & Behavioral Sciences, George Washington University School of Medicine, Rockville, MD 20850, USA.

Copyright

(Copyright © 2019, The Drake Foundation, Publisher Future Medicine)

DOI

10.2217/cnc-2019-0005

PMID

31827883

PMCID

PMC6902310

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.

© 2019 Angela Lumba-Brown.

Language: en

Keywords

concussion; oculomotor; postconcussion symptoms; vestibular