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Sport Concussion Assessment Tool - 3rd Edition for children ages 5 to 12 (Child-SCAT3)
Availability
Please visit this website for more information about the instrument: ChildSCAT3
Classification
Core: Sport-Related Concussion (SRC) Acute (time of injury until 72 hours) and Sport-Related Concussion (SRC) Subacute (after 72 hours to 3 months)
 
  • Core: One of Core Symptoms Checklists should be collected: Automated Neuropsychological Assessment Metrics (ANAM), Axon Sports Computerized Cognitive Assessment Tool (CCAT), CNS Vital Signs, Child Sport Concussion Assessment Tool (Child-SCAT), Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT), Post Concussion Symptom Inventory (PCSI), Post Concussion Symptoms Scale (PCS-S), Sport Concussion Assessment Tool (SCAT-3) or (SCAT-5), Standardized Symptoms Questionnaire (RPQ), or Post Concussion Symptom Inventory (PCSI).
 
Supplemental- Highly Recommended: Sport-Related Concussion (SRC)Persistent/Chronic (3 months and greater for post concussive TBI related symptoms.
 
  • Child-SCAT Subtest Classifications:
    • Health and Behavior Inventory (HBI): Core - Acute (time of injury until 72 hours), Subacute (after 72 hours to 3 months) and Persistent/Chronic (3 months and greater post concussion)
 
Short Description of Instrument
The ChildSCAT3 is a standardized tool for evaluating injured children for concussion and can be used in children aged from 5 to 12 years. For older persons, ages 13 years and over, please use the SCAT3. The ChildSCAT3 is designed for use by medical professionals. Preseason baseline testing with the ChildSCAT3 can be helpful for interpreting post-injury test scores. The ChildSCAT3 has nine assessments including: Glasgow Coma Scale; Sideline Assessment – child Maddocks Score; Symptom Evaluation Child Report; Symptome Evaluation Parent Report; Cognitive Assessment: Standardized Assessment of Concussion – Child version (SAC-C)4; Neck Examination; Balance Examination; Coordination Examination; and SAC Delayed Recall.
 
Scoring
Glasgow coma scale (GCS): Total score = 15
 
Sideline Assessment – child-Maddocks Score: Scoring 0 to 4
 
Symptom Evaluation Child Report: 0 = never; 1 = rarely; 2 = sometimes; 3 = often; Total number of symptoms (Maximum possible 20); Symptom severity score (Maximum possible 20x3=60)
 
Symptom Evaluation Parent Report: 0 = never; 1 = rarely; 2 = sometimes; 3 = often; Total number of symptoms (Maximum possible 20); Symptom severity score (Maximum possible 20x3=60)
 
Standardized Assessment of Concussion – Child version (SAC-C)4: Orientation Score 0 to 4; Immeditate memory Score 0 to 15; Concentration, Digits backwards: Five trials; total score = __ of 5; Concentration, Days in Reverse Order (1 pt. for entire sequence correct); Total concentration score: ___of 6
 
References
Child SCAT3. Br J Sports Med. 2013;47(5):263.
 
SCAT3. Br J Sports Med. 2013;47(5):259.
 
Ayr LK, Yeates KO, Taylor HG, Browne M. Dimensions of postconcussive symptoms in children with mild traumatic brain injuries. J Int Neuropsychol Soc. 2009;15(1):19–30. Guskiewicz KM. Assessment of postural stability following sport-related concussion. Curr Sports Med Rep. 2003;2(1):24–30.
 
Maddocks DL, Dicker GD, Saling MM. The assessment of orientation following concussion in athletes. Clin J Sport Med. 1995;5(1):32–35.
 
McCrory P, Meeuwisse WH, Aubry M, Cantu B, Dvorák J, Echemendia RJ, Engebretsen L, Johnston K, Kutcher JS, Raftery M, Sills A, Benson BW, Davis GA, Ellenbogen RG, Guskiewicz K, Herring SA, Iverson GL, Jordan BD, Kissick J, McCrea M, McIntosh AS, Maddocks D, Makdissi M, Purcell L, Putukian M, Schneider K, Tator CH, Turner M. Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012. Br J Sports Med. 2013;47(5):250–258.  
 
McCrory P, Meeuwisse W, Johnston K, Dvorak J, Aubry M, Molloy M, Cantu R. Consensus Statement on Concussion in Sport: the 3rd International Conference on Concussion in Sport held in Zurich, November 2008. Br J Sports Med. 2009;43 Suppl 1:i76–90.
 
Schneiders AG, Sullivan SJ, Gray AR, Hammond-Tooke GD, McCrory PR. Normative values for three clinical measures of motor performance used in the neurological assessment of sports concussion. J Sci Med Sport. 2010;13(2):196–201.
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