TY  - JOUR
PY  - 2014//
TI  - A portable non-invasive multi-modal approach to actively assess sports concussion and mild traumatic brain injury
JO  - Archives of clinical neuropsychology
A1  - Simon, A.
A1  - Tatsuakawa, K.
A1  - Van Gelder, J.
A1  - Ashrafiuon, H.
A1  - Devilbiss, D.
SP  - 595
EP  - 596
VL  - 29
IS  - 6
N2  - OBJECTIVE: To determine the degree to which skiing-related concussion can be identified from predictive models of neuropsychological testing data or in combination with single-lead electroencephalographic (EEG) data. <br><br>METHOD: Adults who suffered traumatic brain injury (TBI; n = 26) while skiing were compared to n = 45 non-injured age matched comparator subjects in a cross-sectional study design under Aspire-IRB supervision. Each participant was tested using a novel single-lead EEG device during an eyes closed (EC) and eyes closed (EO) state. Further testing was performed during a neuropsychological saccade card test. Cognitive metrics (e.g., error-free card recital time) and EEG spectral and wavelet features were extracted from EC/EO baseline and neuropsychological test epochs. Univariate and multivariate logistic regression, linear discriminant analysis and random forest models were compared for the ability to predict a concussive event. <br><br>RESULTS: Independently, EEG spectral power in the beta band (12-30Hz), relative to overall power, had an overall predictive accuracy of 65% (p < 0.004). Additionally, total card read time alone was 62% accurate (p < 0.015). Combined, these two features were found to be 70% accurate (p < 0.006). However, including age and gender as co-variates with card read time and relative-beta EEG power were 76% accurate at differentiating concussed from control subjects (p < 0.003). <br><br>CONCLUSION(S): Neuropsychological testing benefits by the addition of other testing modalities in the predictive performance of concussion/TBI testing. These results are preliminary and need to be independently replicated for validation and expanded to other clinical settings such as team sports and emergency department use.<p />  <p>Language: en</p>
LA  - en
SN  - 0887-6177
UR  - http://dx.doi.org/10.1093/arclin/acu038.240
ID  - ref1
ER  -