The Ability of Baseline and Normative Neurocognitive Testing to Identify Cognitive Impairments Following Concussion: A Critically Appraised Topic
International Journal of Athletic Therapy & Training
Hattrup, N. M., Gardiner, R. L., et al. (2020).
International Journal of Athletic Therapy & Training, 25(6), 281-286.
<div>This systematic review explores the diagnostic accuracy of using baseline testing compared to normative data when identifying concussion-related cognitive impairment in high school, college, and professional athletes.</div>
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2010 to 2019
<div>Published, full-text studies excluding systematic reviews, case control studies, case series, historically controlled studies, and editorials</div>
5
<div>There was insufficient evidence to clearly demonstrate the diagnostic benefit of using individualized baseline data versus normative data for identifying post-concussive cognitive impairment in high school, collegiate, or professional athletes. However, 3 out of 5 studies reported reduced sensitivity (range = 2%-30% lower) with the use of normative data. The remaining two studies demonstrated that both methods were sufficiently accurate.</div>
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<div>Additional, high-quality research is indicated due to an overall lack of available studies and reduced representation of pediatric populations.</div>
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