@article{ref1,
title="Modest utility of brief oculomotor test for concussion screening in military mixed-martial arts training",
journal="Brain injury",
year="2019",
author="Dretsch, Michael N. and Fauth, Jenifer and Moya, Marcelo M. and Connaboy, Chris and Kontos, Anthony",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="<b>Primary Objective</b>: To assess a rapid concussion screening tool in Service members participating in combatives (mixed martial arts; MMA) training school. <b>Research Design</b>: This prospective study included baseline and either post-training or post-injury assessments. <b>Methods and Procedures</b>: Baseline (N = 152) and post-assessments (n = 129) of Service members included symptom reporting and the King-Devick (KD) oculomotor test. <b>Outcomes and Results</b>: Headache, balance problems, and dizziness were the most severe concussive symptoms. KD scores for those who sustained a concussion (n = 31) were significantly worse compared to baseline, but not for participants who finished the course with no concussion (n = 98). For concussed, 74.2% had scores that were worse from baseline (slower) compared to 39.8% of the post-training group. KD scores were worse 34.4% more in individuals who sustained a concussion compared to those who did not. However, there was poor discriminant ability of the KD test (AUC = .60, sensitivity/specificity) to distinguish between concussed and non-concussed participants. <b>Conclusions</b>: The KD test should not be used in isolation as a sideline or field concussion assessment during training scenarios. Rather, it has potential utility for evaluating individual cases to supplement decision making when an established baseline is available.<p /> <p>Language: en</p>",
language="en",
issn="0269-9052",
doi="10.1080/02699052.2019.1658226",
url="http://dx.doi.org/10.1080/02699052.2019.1658226"
}