Psychometric Properties of Computerized Cognitive Tools and Standard Neuropsychological Tests Used to Assess Sport Concussion: A Systematic Review
Neuropsychology Review
Wilmoth, K., Brett, B. L., et al. (2022).
Neuropsychology Review, 33(4), 675-692.
<div>This systematic review compares the psychometric properties of computerized cognitive tools to standard neuropsychological tests for assessing cognitive functioning in postconcussive athletes.</div>
No funding received
From database inception to August 2021
<div>English-language studies investigating psychometric properties of cognitive assessments. Excludes conference abstracts, commentaries, letters, and editorials.</div>
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<div>When comparing computerized cognitive tools to standard neuropsychological tests, the authors found comparable performance for both modalities for evaluating cognitive function in postconcussive athletes. Speeded tasks showed stronger test-retest reliability with variability over time. Tools demonstrating acceptable (greater than 80%) or marginal (60% to 79%) sensitivity for accurately detecting acute concussion at 72 hours post-injury include:</div>
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<ul>
<li>Immediate Post-Concussion Assessment and Cognitive Test (ImPACT) = 47% to 93%;</li>
<li>CogState = 45% to 93%;</li>
<li>Wechsler Intelligence Scales (WAIS) - Whole test battery = 18% to 80%; and</li>
<li>WAIS - Processing speed index = 66%.</li>
</ul>
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<div>Limitations of this review include a lack of consideration for sociocultural and ethno-racial differences in the available literature and a lack of accounting for the impact of cognitive development in adolescent and young adult athletes. Additional research is needed to incorporate advanced psychometric and analytic approaches to tool validation.</div>
