Home > Riviste > The Journal of Sports Medicine and Physical Fitness > Fascicoli precedenti > The Journal of Sports Medicine and Physical Fitness 2014 February;54(1) > The Journal of Sports Medicine and Physical Fitness 2014 February;54(1):70-7

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Estratti

THE JOURNAL OF SPORTS MEDICINE AND PHYSICAL FITNESS

Rivista di Medicina, Traumatologia e Psicologia dello Sport


Indexed/Abstracted in: Chemical Abstracts, CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,215


eTOC

 

ORIGINAL ARTICLES  SPORTS INJURIES AND REHABILITATION


The Journal of Sports Medicine and Physical Fitness 2014 February;54(1):70-7

Copyright © 2014 EDIZIONI MINERVA MEDICA

lingua: Inglese

The King-Devick test as a concussion screening tool administered by sports parents

Leong D. F. 1, Balcer L. J. 2, Galetta S. L. 2, Liu Z. 3, Master C. L. 4, 5

1 King-Devick Test, LLC, Oakbrook Terrace, IL, USA; 2 Department of Neurology, New York University Langone Medical Center New York, NY, USA; 3 Department of Internal Medicine, Beverly Hospital, Danvers, MA, USA; 4 Department of Pediatrics, Children’s Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA; 5 Department of Sports Medicine, Children’s Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA


PDF  


Background: Sports-related concussion has received increasing awareness due to short- and long-term neurologic sequelae seen among athletes. The King-Devick (K-D) test captures impairment of eye movements and other correlates of suboptimal brain function. We investigated the K-D test as a screening for concussion when administered by layperson sports parents in a cohort of amateur boxers.
Methods: The K-D test was administered pre-fight and post-fight by laypersons masked to the head trauma status of each athlete. Matches were watched over by a ringside physician and boxing trainer. Athletes with suspected head trauma received testing with the Military Acute Concussion Evaluation (MACE) by the ringside physician to determine concussion status. Athletes sustaining concussion were compared to the athletes screened using the K-D test.
Results: Post-fight K-D scores were lower (better) than the best baseline score (41 vs. 39.3 s, P=0.34, Wilcoxon signed-rank test), in the absence of concussion. One boxer sustained a concussion as determined by the ringside physician. This boxer was accurately identified by the layperson K-D testers due to a worsening in K-D test compared to baseline (3.2 seconds) and an increased number of errors. High levels of test-retest reliability were observed (intraclass correlation coefficient 0.90 [95% CI 0.84-0.97]). Additionally, 6 boxers who participated in multiple bouts showed no worsening of their K-D times further supporting that scores are not affected by the fatigue associated with sparring.
Conclusion: The K-D test is a rapid sideline screening tool for concussion that can be effectively administered by non-medically trained laypersons.

inizio pagina

Publication History

Per citare questo articolo

Corresponding author e-mail

dleong@kingdevicktest.com