Faculty Collaboration Database

Relationship Between the King-Devick Test and Commonly Used Concussion Tests at Baseline. J Athl Train 2019 Dec;54(12):1247-1253

Date

10/05/2019

Pubmed ID

31584854

Pubmed Central ID

PMC6922559

DOI

10.4085/1062-6050-455-18

Scopus ID

2-s2.0-85076876397 (requires institutional sign-in at Scopus site)   17 Citations

Abstract

CONTEXT: Comprehensive assessments are recommended to evaluate sport-related concussion (SRC). The degree to which the King-Devick (KD) test adds novel information to an SRC evaluation is unknown.

OBJECTIVE: To describe relationships at baseline among the KD and other SRC assessments and explore whether the KD provides unique information to a multimodal baseline concussion assessment.

DESIGN: Cross-sectional study.

SETTING: Five National Collegiate Athletic Association institutions participating in the Concussion Assessment, Research and Education (CARE) Consortium.

PATIENTS OR OTHER PARTICIPANTS: National Collegiate Athletic Association student-athletes (N = 2258, age = 20 ± 1.5 years, 53.0% male, 68.9% white) in 11 men's and 13 women's sports.

MAIN OUTCOME MEASURE(S): Participants completed baseline assessments on the KD and (1) the Symptom Inventory of the Sport Concussion Assessment Tool-3rd edition, (2) the Brief Symptom Inventory-18, (3) the Balance Error Scoring System, (4) the Standardized Assessment of Concussion (SAC), (5) the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) test battery, and (6) the Vestibular/Ocular Motor Screening tool during their first year in CARE. Correlation coefficients between the KD and the 6 other concussion assessments in isolation were determined. Assessments with ρ magnitude >0.1 were included in a multivariate linear regression analysis to evaluate their relative association with the KD.

RESULTS: Scores for SAC concentration, ImPACT visual motor speed, and ImPACT reaction time were correlated with the KD (ρ = -0.216, -0.276, and 0.164, respectively) and were thus included in the regression model, which explained 16.8% of the variance in baseline KD time (P < .001, Cohen f² = 0.20). Better SAC concentration score (β = -.174, P < .001), ImPACT visual motor speed (β = -.205, P < .001), and ImPACT reaction time (β = .056, P = .020) were associated with faster baseline KD performance, but the effect sizes were small.

CONCLUSIONS: Better performance on cognitive measures involving concentration, visual motor speed, and reaction time was weakly associated with better baseline KD performance. Symptoms, psychological distress, balance, and vestibular-oculomotor provocation were unrelated to KD performance at baseline. The findings indicate limited overlap at baseline among the CARE SRC assessments and the KD.

Author List

Clugston JR, Houck ZM, Asken BM, Boone JK, Kontos AP, Buckley TA, Schmidt JD, Chrisman SPD, Hoffman NL, Harmon KG, Kaminski TW, Collins MW, McAllister TW, McCrea MA, Broglio SP, Ortega JD

Author

Michael McCrea PhD Professor in the Neurosurgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Athletic Injuries
Brain Concussion
Cognition
Cross-Sectional Studies
Female
Humans
Male
Neuropsychological Tests
Reaction Time
Sports Medicine
Students
Universities
Young Adult