TY  - JOUR
PY  - 2022//
TI  - Evaluation and utility of the King-Devick with integrated eye tracking as a diagnostic tool for sport-related concussion
JO  - Orthopaedic journal of sports medicine
A1  - Hecimovich, Mark
A1  - Murphy, Myles
A1  - Chivers, Paola
A1  - Stock, Payton
SP  - e23259671221142255
EP  - e23259671221142255
VL  - 10
IS  - 12
N2  - BACKGROUND: Eye-tracking technology for detecting eye movements has been gaining increasing attention as a possible assessment and monitoring tool for sport-related concussion (SRC). <br><br>PURPOSE: To determine the diagnostic accuracy of a rapid number-naming task with eye tracking, the King-Devick Eye Tracking (K-D ET) assessment, in identifying SRC. STUDY DESIGN: Cohort study. <br><br>METHODS: One female and 1 male team of United States collegiate rugby-15 players competing during the 2018 season were recruited. Variables assessed were total saccades, saccade velocity, total fixations, fixation duration, fixation polyarea, and test duration. A generalized estimating equation was used to examine group (concussion vs nonconcussion), time (baseline vs postinjury/postseason), and sex-based differences for each outcome measure. In addition, the different components of diagnostic accuracy of the K-D ET were calculated. <br><br>RESULTS: Baseline K-D ET assessment for 49 participants (25 male, 24 female) were assessed at the beginning of the season, with 28 participants who did not sustain a head injury during the season completing the postseason assessments and 6 participants completing a postinjury (suspected concussion) assessment. Significant differences were observed between concussed and nonconcussed groups for total saccades (P =.024), fixation duration (P =.007), and fixation polyarea (P =.030), with differences from baseline to follow-up observed for saccade velocity (P =.018) in both groups. Sex-based differences were noted for total fixations (P =.041), fixation polyarea (P =.036), and completion time (P =.035). No significant Group × Time interactions were noted. The K-D ET test duration indicated high specificity (0.86) but not high sensitivity (0.40). No other variables reported high sensitivity or specificity. <br><br>CONCLUSION: Other than completion time of the K-D ET test, no K-D ET oculomotor parameter was highly sensitive or specific in the diagnosis of concussion in this study.<p />  <p>Language: en</p>
LA  - en
SN  - 2325-9671
UR  - http://dx.doi.org/10.1177/23259671221142255
ID  - ref1
ER  -