Do neurocognitive SCAT3 baseline test scores differ between footballers (soccer) living with and without disability? A cross-sectional study

Weiler, Richard, van Mechelen, Willem, Fuller, Colin, Ahmed, Osman Hassan and Verhagen, Evert (2017) Do neurocognitive SCAT3 baseline test scores differ between footballers (soccer) living with and without disability? A cross-sectional study. Clinical Journal of Sport Medicine, 28 1: 43-50. doi:10.1097/JSM.0000000000000407


Author Weiler, Richard
van Mechelen, Willem
Fuller, Colin
Ahmed, Osman Hassan
Verhagen, Evert
Title Do neurocognitive SCAT3 baseline test scores differ between footballers (soccer) living with and without disability? A cross-sectional study
Journal name Clinical Journal of Sport Medicine   Check publisher's open access policy
ISSN 1536-3724
1050-642X
Publication date 2017-01-01
Sub-type Article (original research)
DOI 10.1097/JSM.0000000000000407
Open Access Status Not yet assessed
Volume 28
Issue 1
Start page 43
End page 50
Total pages 8
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Language eng
Subject 2732 Orthopedics and Sports Medicine
3612 Physical Therapy, Sports Therapy and Rehabilitation
Abstract To determine if baseline Sport Concussion Assessment Tool, third Edition (SCAT3) scores differ between athletes with and without disability.

Cross-sectional comparison of preseason baseline SCAT3 scores for a range of England international footballers.

Team doctors and physiotherapists supporting England football teams recorded players' SCAT 3 baseline tests from August 1, 2013 to July 31, 2014.

A convenience sample of 249 England footballers, of whom 185 were players without disability (male: 119; female: 66) and 64 were players with disability (male learning disability: 17; male cerebral palsy: 28; male blind: 10; female deaf: 9).

Between-group comparisons of median SCAT3 total and section scores were made using nonparametric Mann-Whitney-Wilcoxon ranked-sum test.

All footballers with disability scored higher symptom severity scores compared with male players without disability. Male footballers with learning disability demonstrated no significant difference in the total number of symptoms, but recorded significantly lower scores on immediate memory and delayed recall compared with male players without disability. Male blind footballers' scored significantly higher for total concentration and delayed recall, and male footballers with cerebral palsy scored significantly higher on balance testing and immediate memory, when compared with male players without disability. Female footballers with deafness scored significantly higher for total concentration and balance testing than female footballers without disability.

This study suggests that significant differences exist between SCAT3 baseline section scores for footballers with and without disability. Concussion consensus guidelines should recognize these differences and produce guidelines that are specific for the growing number of athletes living with disability.
Formatted abstract
Objective: To determine if baseline Sport Concussion Assessment Tool, third Edition (SCAT3) scores differ between athletes with and without disability.

Design: Cross-sectional comparison of preseason baseline SCAT3 scores for a range of England international footballers.

Setting: Team doctors and physiotherapists supporting England football teams recorded players╩╝ SCAT 3 baseline tests from August 1, 2013 to July 31, 2014.

Participants: A convenience sample of 249 England footballers, of whom 185 were players without disability (male: 119; female: 66) and 64 were players with disability (male learning disability: 17; male cerebral palsy: 28; male blind: 10; female deaf: 9).

Assessment and Outcome Measures: Between-group comparisons of median SCAT3 total and section scores were made using nonparametric Mann–Whitney–Wilcoxon ranked-sum test.

Main Results: All footballers with disability scored higher symptom severity scores compared with male players without disability. Male footballers with learning disability demonstrated no significant difference in the total number of symptoms, but recorded significantly lower scores on immediate memory and delayed recall compared with male players without disability. Male blind footballers╩╝ scored significantly higher for total concentration and delayed recall, and male footballers with cerebral palsy scored significantly higher on balance testing and immediate memory, when compared with male players without disability. Female footballers with deafness scored significantly higher for total concentration and balance testing than female footballers without disability.

Conclusions: This study suggests that significant differences exist between SCAT3 baseline section scores for footballers with and without disability. Concussion consensus guidelines should recognize these differences and produce guidelines that are specific for the growing number of athletes living with disability.
Keyword Concussion
Neurocognitive testing
SCAT
Disability sport
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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