1002. Athlete Care and Clinical Medicine - athlete trauma evaluation and care Scientific Abstract

2833 - A New Objective Visual Test For Concussion

Session Type
Free Communication/Poster
Session Name
E-38 - Concussion II
Session Category Text
Athlete Care and Clinical Medicine
Primary Author
Disclosures
  A.J. Cohen: Ownership Interest (stocks, stock options, or other ownership interest excluding diversified mutal funds). Please specify in the field specific ownership interests, (i.e. own the company, own stocks, future stock options); Founder, CEO and shareholder.

Abstract

PURPOSE: A wide variety of assessment tools are currently available to help clinicians assess Sports Related Concussion (SRC). Currently, the most widely available tools are neither objective nor portable and are therefore not ideal for assessment at the site and time of a suspected injury. METHODS: A portable system was developed to deliver a measurement of the steady-state visual-evoked potential (SSVEP). This system involved a smartphone housed in a Google Cardboard frame, which delivered a 15Hz flicker visual stimulus while an electroencephalography (EEG) headset recorded EEG signals. 65 rugby union players were tested during their regular season and were stratified into healthy, concussed and recovered groups based on clinical examination. Their SSVEP response was quantified into a signal-to-noise ratio (SNR). The SNRs of players in each study group were summarized. Additionally, the SNRs of individual players who had baseline, post-injury and post- recovery readings were analyzed. RESULTS: 65 participants completed a baseline evaluation to measure their SSVEP. Twelve of these participants sustained a medically diagnosed concussion and completed SSVEP re-testing within 72 hours. Eight concussed players received follow-up SSVEP testing after recovery. Concussed participants had a lower SNR (2.20 [2.04-2.38]) when compared to their baseline (4.54 [3.79-5.10]). When clinically recovered, participant SNR was not significantly different to their baseline (4.82 [4.13-5.18]). The baseline SNRs of the players who experienced a concussion during the season were not different to those of players who did not experience a concussion (4.80 [4.07-5.68]). CONCLUSIONS: This is the first study to identify differences in SSVEP responses in male amateur rugby union players with and without concussion. It is also the first SSVEP demonstration for concussion evaluation at point-of-care. SSVEPs are significantly attenuated in the presence of concussion in these male athletes. Individuals returned to their baseline SSVEP following clinical recovery from the concussive injury. The use of SSVEPs has the potential to be a supplemental aid for the assessment and management of concussion.
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