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Post-Concussion Symptom Inventory for Children (PCSI-C) Version 8 to 12
Please visit these websites for more information about the instrument:
Core: Sport-Related Concussion (SRC)
  • 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
Short Description of Instrument
The Post Concussion Symptom Inventory (PCSI) is a standardized questionnaire that consists of 26 symptoms and provides an overall rating of symptoms based on parent report. The scale covers 6 domains: affective, amnesia, cognitive, fatigue, physical, and sleep.
Sport-Related Concussion-specific: Similar to the Rivermead Post-Concussion Symptoms Questionnaire only for pediatric filled by parents.
Advantages: The PCSI has 4 forms, 3 developmentally validated child forms (5–7, 8–12, 13–18) and a companion parent form. Sady et al. (2014) provides the psychometric analyses with multiple lines of evidence for reliability and validity. Factor analysis indicates a 4 factor structure: physical, cognitive, emotional, and sleep-related.  It has been used in a large Canadian pediatric study (5P) and demonstrated validity in predicting persistent PCS. PCSI has also been found to predict high versus low perceived school problems. A retrospective pre-injury form is available to adjust for pre-injury symptoms.
Limitations: Study samples have been mixture of injury mechanisms including sport concussion but other injury types as well.
Age Range: 5–18
Each item is scaled from 0-4 with a total symptom score ranging from 0-104.
Sady MD, Vaughan CG, Gioia GA. Psychometric characteristics of the postconcussion symptom inventory in children and adolescents. Arch Clin Neuropsychol. 2014;29(4):348–363.
Barlow KM, Crawford S, Stevenson A, Sandhu SS, Belanger F, Dewey D. Epidemiology of postconcussion syndrome in pediatric mild traumatic brain injury. Pediatrics. 2010;126(2):e374–e381.
Gioia G. A., Schneider J. C., Vaughan C. G., Isquith P. K. Which symptom assessments and approaches are uniquely appropriate for paediatric concussion. Br J Sports Med. 2009a;43(Suppl. 1):i13–i22.
Kontos AP, McAllister-Deitrick J, Sufrinko AM. Predicting Post-Concussion Symptom Risk in the ED. Pediatr Neurol Briefs. 2016;30(3):19.
Lovell MR, Collins MW. Neuropsychological assessment of the college football player. J Head Trauma Rehabil. 1998;13(2):9–26.
Ransom DM, Vaughan CG, Pratson L, Sady MD, McGill CA, Gioia GA. Academic Effects of Concussion in Children and Adolescents. Pediatrics.2015;135(6):1043–1050.
Terwilliger VK, Pratson L, Vaughan CG, Gioia GA. Additional Post-Concussion Impact Exposure May Affect Recovery in Adolescent Athletes. J Neurotrauma. 2016;33(8):761–765.
Zemek R, Barrowman N, Freedman SB, Gravel J, Gagnon I, McGahern C, Aglipay M, Sangha G, Boutis K, Beer D, Craig W, Burns E, Farion KJ, Mikrogianakis A, Barlow K, Dubrovsky AS, Meeuwisse W, Gioia G, Meehan WP 3rd, Beauchamp MH, Kamil Y, Grool AM, Hoshizaki B, Anderson P, Brooks BL, Yeates KO, Vassilyadi M, Klassen T, Keightley M, Richer L, DeMatteo C, Osmond MH; Pediatric Emergency Research Canada (PERC) Concussion Team. Clinical Risk Score for Persistent Postconcussion Symptoms Among Children With Acute Concussion in the ED. JAMA. 2016;315(10):1014–1025.
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