Post concussion symptom scale for more information about impact call 8776467991 or visit. If symptoms are new and present, there is no lower limit symptom score. Traumatic brain injury, or tbi, occurs when an external physical force causes damage to the brain. The purpose of this inventory is to track symptoms over time.
The rivermead post concussion symptoms questionnaire. Symptom scale8 in situations where the symptom scale is being completed after exercise, it should still be done in a resting state, at least 10 minutes post exercise. Physical activity m yes m no m not applicable thinkingcognitive activity m yes m no m not applicable overall rating. A grading scale for cerebral concussions would also facilitate medicolegal and forensic determinations for claims that involve work injuries and motor vehicle accidents. Concussion grading systems how concussions work howstuffworks. Aug 16, 2012 a revised factor structure for the postconcussion symptom scale baseline and postconcussion factors article pdf available in the american journal of sports medicine 4010. Finally, a grading scale would eliminate vague terms such as mild, moderate, and severe, which are currently in use and impossible to quantify. Measurement of symptoms following sportsrelated concussion. Concussion signs and symptoms can appear immediately or not. Management of concussion and postconcussion syndrome willer and leddy 417 that their symptoms are gone 34 days post concussion before they demonstrate physical and cognitive homeostasis. Tbi includes concussions, post concussion syndrome pcs, and chronic traumatic encephalopathy cte.
The majority of concussion symptoms will resolve within about two weeks, and with proper recovery almost all dissipate within a month. Aan maintains that someone who has had a gradeone concussion may resume physical activity after 15 minutes of exhibiting no post concussion symptoms. Sensitivity and specificity of the impact test battery for. Jun 23, 2009 selfreport post concussion symptom scales have been a key method for monitoring recovery from sportrelated concussion, to assist in medical management, and returntoplay decisionmaking. The 21 symptom checklist asks the injured athlete to rate each symptom on a sevenpoint scale, with zero. Please use the following scale to rate each symptom. Neurobehavioral symptom inventory nsi please rate the following symptoms with regard to how much they have disturbed you in the last 2 weeks. Affix patient identification label here family name. Postconcussive syndrome is roughly defined as the persistence of symptoms after a concussion. Post concussion symptom scale brain injury guidelines. Nov 18, 2014 post concussion syndrome a neuropsychiatric perspective ravi kant, m. The athl ete should fill out the form, on his or her own, every day in order to give a subjective value for each symptom and the percent of overall normal brain function. In cases where symptoms last longer than one or two months, doctors may diagnose post concussion syndrome. A rating of 0 means that you have not experienced this symptom today.
How different is the person acting compared to hisher usual self. The rivermead post concussion symptoms questionnaire after a head injury or accident some people experience symptoms which can cause worry or nuisance. The athlete should fill out the form, on his or her own, in order to give a subjective value for each symptom. A multidimensional approach to postconcussion symptoms in. Kids concussion recovery varies by symptom severity.
Postconcussion syndrome an overview sciencedirect topics. There was no significant difference in postconcussive symptom factor structures between those with and without a previous history of concussion. Apr 25, 20 the patients completed the post concussion symptom scale pcss, which uses a 06 scale to assess the severity of 22 symptoms. A revised factor structure for the postconcussion symptom scale baseline and postconcussion factors article pdf available in the american journal of.
Adapted from oregon concussion awareness and management program ocamp. Mar 14, 2018 with post concussion syndrome, symptoms such as headache, dizziness, fatigue, trouble concentrating, or mood changes can linger for weeks or months. Headaches, dizziness, fatigue, emotional instability, anxiety, sleep disturbances and an overall decreased quality of life are described as the most important complaints. After reading each symptom, please circle the number that best describes.
The higher the number, the more severe the symptoms. A subset of mtbi patients suffers from acute post concussion symptoms that may manifest as somatic symptoms e. Concussion sac when administered early after a suspected concussion have moderate to high sensitivity and specificity in identifying sports concussions. Concussion grading systems are sets of criteria used in sports medicine to determine the severity, or grade, of a concussion, the mildest form of traumatic brain injury. The best predictor of a speedy recovery after a sportsrelated concussion is simply the initial symptom burden as measured by the postconcussion symptom scale pcss, a. Return to sport in adolescents with concussion 2012 amssm annual meeting, atlanta, ga concussed athletes n59, 46 m, age range 19y, mean age 15. Symptoms range from mild to severe and include, but are not limited to, memory loss, difficulty concentrating, and depression. Reliability and normative data for the post concussion scale article pdf available in applied neuropsychology 3. Pdf measurement of symptoms following sportsrelated. Concussion symptom inventory is presented and recommended as a research and clinical tool for monitoring recovery from sportrelated concussion. On the day of injury the child is to complete the child report, according to how heshe feels now.
Post concussion syndrome pcs is a controversial constellation of cognitive, emotional, and physical symptoms that some patients experience following a mild traumatic brain injury or concussion. For each item please indicate how much the symptom has bothered you over the past 2 days exertion. No part of this publication may be reproduced in whole or in part or transmitted in any form. An examination of the base rates of postconcussion symptoms.
Our investigation demonstrates a consistent symptom 3factor structure of the postconcussion symptom scale in pediatric patients with concussions. A rating of 6 means that you have experienced severe problems with this symptom today. Mild traumatic brain injuries mtbi are among the most common neurologic conditions, representing a substantial burden in adults and children. If someone has had a gradetwo concussion, the victim can return to play after being symptom free for one to two weeks and with clearance by a physician. Do symptoms worsen with thinkingcognitive activity. To date, however, item selection and scaling metrics for these. The patients completed the postconcussion symptom scale pcss, which uses a 06 scale to assess the severity of 22 symptoms. Pdf a revised factor structure for the postconcussion. Headache is the most common symptom of concussion, although a variety of clinical domains e. After reading each symptom, please circle the number that best describes the way you have been feeling today. Severity rating please use this scale to rate each symptom. Grade 2 is with any symptoms lasting more than 15 minutes. Reliability and normative data for the postconcussion scale article pdf available in applied neuropsychology 3. We would like to know if you now suffer from any of the symptoms given below.
Scale introduction the medical management of sportrelated concussion has suffered from a dearth of empirical data from prospective controlled outcome studies. Sea to sky sports physiotherapy 207979 cleveland ave, po box 1486 squamish bc, v8b 0b1 view map. This form can be used with each encounter to track the athletes progress towards the resolution of symptoms. As many of these symptoms occur normally, we would like you to compare yourself now with before the accident. The scale is used by many sports organizations to document and track concussion symptoms lovell, 1999. Post concussion syndrome is a condition that is typically associated with a head injury. The american academy of neurology scale is graded on a scale of 1 to 3, where grade 3 has any loss of consciousness. This form is used to track the athletes daily progress towards the resolution of symptoms. Earlier studies had estimated the incidence rate of about 220100,000 persons 1. Please indicate how much each symptom has bothered you over the past 2 days. A comprehensive diagnostic and therapeutic approach, primarily based on the ability to conduct a complete physical workup, is. Symptom burden best predictor of concussion recovery. Introduction more than two million closed head injuries chi occur in this country in a year.
Sum total number of symptoms present per area, and sum all four areas into total symptom score score range 022. This can be caused by a bump, blow or jolt to the head or by a hit to the body that causes the head and brain to move quickly back and forth. Management of concussion and postconcussion syndrome. Post concussion symptom inventory 775 page 1 of 1 do not wri e in this binding margin t 211 006. Headache nausea vomiting balance problems dizziness spinning or movement sensation lightheadedness fatigue trouble falling asleep sleeping more than usual sleeping less than usual drowsiness sensitivity to light sensitivity to sound.