ArticleJournal of the International Neuropsychological Society : JINS2016
Prospective, Head-to-Head Study of Three Computerized Neurocognitive Assessment Tools (CNTs): Reliability and Validity for the Assessment of Sport-Related Concussion.
Article in Journal of the International Neuropsychological Society : JINS, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 8 of them syntheses that pooled it.
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Who cites it
47 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Psychometric Properties of Computerized Cognitive Tools and Standard Neuropsychological Tests Used to Assess Sport Concussion: A Systematic Review.Neuropsychology review · 2023Pooled it
- Examination of Reaction Time Deficits Following Concussion: A Systematic Review and Meta-analysis.Sports medicine (Auckland, N.Z.) · 2020Pooled it
- Considerations for Athletic Trainers: A Review of Guidance on Mild Traumatic Brain Injury Among Children From the Centers for Disease Control and Prevention and the National Athletic Trainers' Association.Journal of athletic training · 2019Pooled it
- Centers for Disease Control and Prevention Guideline on the Diagnosis and Management of Mild Traumatic Brain Injury Among Children.JAMA pediatrics · 2018Guideline
- Reliability of Computerized Neurocognitive Tests for Concussion Assessment: A Meta-Analysis.Journal of athletic training · 2017Pooled it
- A Comparative Meta-Analysis of the Effects of Concussion on a Computerized Neurocognitive Test and Self-Reported Symptoms.Journal of athletic training · 2017Pooled it
- Validity of the Immediate Post Concussion Assessment and Cognitive Testing (ImPACT).Sports medicine (Auckland, N.Z.) · 2016Pooled it
- Pooled it
- Distinct symptom recoveries based upon highest level of care in patients with sport-related concussion or traumatic brain injury and Glasgow Coma Scale 13-15.Clinical neurology and neurosurgery · 2025Article
- Factors associated with concussion during combatives activities in a military training environment.Journal of sport and health science · 2025Article
- Computerized Evaluation of Attention, Learning-Memory, and Executive Function in People with Disability Caused by Injury: A Pilot Study.Journal of clinical medicine · 2025Article
- Does new research address persistent questions since the publication of the CDC's 2018 pediatric mTBI guideline.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Review
- Clinical Utility of Ocular Assessments in Sport-Related Concussion: A Scoping Review.Journal of functional morphology and kinesiology · 2024Article
- Utility of Acute and Subacute Blood Biomarkers to Assist Diagnosis in CT-Negative Isolated Mild Traumatic Brain Injury.Neurology · 2023Article
- Investigating the diagnostic accuracy of a paper-and-pencil and a computerized cognitive test battery for pediatric mild traumatic brain injury.Neuropsychology · 2022Article
- Relationship Between Cognitive Performance and Lower Extremity Biomechanics: Implications for Sports-Related Concussion.Orthopaedic journal of sports medicine · 2021Article
- Psycho-affective health, cognition, and neurophysiological functioning following sports-related concussion in symptomatic and asymptomatic athletes, and control athletes.Scientific reports · 2021Article
- Sensitivity and Specificity of Computer-Based Neurocognitive Tests in Sport-Related Concussion: Findings from the NCAA-DoD CARE Consortium.Sports medicine (Auckland, N.Z.) · 2021Article
- Validation of a Machine Learning Brain Electrical Activity-Based Index to Aid in Diagnosing Concussion Among Athletes.JAMA network open · 2021Article
- Research Evaluating Sports ConcUssion Events-Rapid Assessment of Concussion and Evidence for Return (RESCUE-RACER): a two-year longitudinal observational study of concussion in motorsport.BMJ open sport & exercise medicine · 2021Article
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Authors and funding
9 authors.
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Abstract
Limited data exist comparing the performance of computerized neurocognitive tests (CNTs) for assessing sport-related concussion. We evaluated the reliability and validity of three CNTs-ANAM, Axon Sports/Cogstate Sport, and ImPACT-in a common sample. High school and collegiate athletes completed two CNTs each at baseline. Concussed (n=165) and matched non-injured control (n=166) subjects repeated testing within 24 hr and at 8, 15, and 45 days post-injury. Roughly a quarter of each CNT's indices had stability coefficients (M=198 day interval) over .70. Group differences in performance were mostly moderate to large at 24 hr and small by day 8. The sensitivity of reliable change indices (RCIs) was best at 24 hr (67.8%, 60.3%, and 47.6% with one or more significant RCIs for ImPACT, Axon, and ANAM, respectively) but diminished to near the false positive rates thereafter. Across time, the CNTs' sensitivities were highest in those athletes who became asymptomatic within 1 day before neurocognitive testing but was similar to the tests' false positive rates when including athletes who became asymptomatic several days earlier. Test-retest reliability was similar among these three CNTs and below optimal standards for clinical use on many subtests. Analyses of group effect sizes, discrimination, and sensitivity and specificity suggested that the CNTs may add incrementally (beyond symptom scores) to the identification of clinical impairment within 24 hr of injury or within a short time period after symptom resolution but do not add significant value over symptom assessment later. The rapid clinical recovery course from concussion and modest stability probably jointly contribute to limited signal detection capabilities of neurocognitive tests outside a brief post-injury window. (JINS, 2016, 22, 24-37).
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