To date, however, item selection and scaling metrics for these instruments have been based solely upon. Zero 0 means you have never experienced the symptom, 1 means you experienced. Postconcussion syndrome is a description given to a cluster of physical and cognitive symptoms that sometimes occurs after minor head injury or concussion. After reading each symptom, please enter the number that best describes the way you have been feeling today. Scale introduction the medical management of sportrelated concussion has suffered from a dearth of empirical data from prospective controlled outcome studies. Jan 2014 fac tsheet postconcussion syndrome is a description given to a cluster of physical and cognitive symptoms that sometimes occurs after minor head injury or concussion. Concussion management guidelines rev 201507 page 7 of 34 appendix b post concussion symptom scale pcss address each symptom based on how you have felt on an average 24 hour period during the last 7 days. The athlete should be given the symptom form and asked to read this instruction paragraph out loud then complete the symptom scale.
For total number of symptoms, maximum possible is 22. Concussion symptom scales and sideline assessment tools. Jan 2014 fac tsheet post concussion syndrome is a description given to a cluster of physical and cognitive symptoms that sometimes occurs after minor head injury or concussion. This is a retrospective study of concussion patient data conducted to analyze the prevalence of somatization in patients presenting with post concussion symptoms. Severity rating please use this scale to rate each symptom. Postconcussion syndrome symptoms and causes mayo clinic. Vanderbilt athletic training concussion management guidelines. Progression is time and criterionbased, dependent on soft tissue healing, patient demographics and clinician. Establish baseline score prior to the start of the after a concussive injury, reassess the athlete for each symptom. Post concussion syndrome information leaflet taken from.
Graded symptom scale checklist modified from various published symptom checklists27 30 evaluate all signs and symptoms, ranking each on a scale of 06. Postconcussion syndrome diagnosis and treatment mayo clinic. Symptom scale you should score yourself on the following symptoms, based on how you feel now. Postconcussion symptom inventory stanford medicine. You can fill this out at the beginning of the season as a baseline after a good nights sleep. Clinical evaluation tools sportsrelated concussions in. How different is the person acting compared to hisher usual self. Post concussion symptom scale brain injury guidelines. Headache is the most common symptom of concussion, although a variety of clinical domains e. Symptom check list since the injury, has the person experienced any of. Three of the scales concussion symptom inventory csi, immediate postconcussion assessment and cognitive testing post concussion symptom scale impactpcss, and cogstatesport symptom checklist strictly are computerbased, but the remainder readily can be used in the sideline environment.
The rivermead postconcussion symptom questionnaire rpq is a selfreport scale to measure the severity of postconcussive symptoms following a tbi. The athlete should be given the symptom form and asked to read this instruction. Postconcussion symptom scale impact vision therapy. Education about the disorder can ease a persons fears and help provide peace of mind. A rating of 6 means that you have experienced severe problems with this symptom today.
Save the full standards as a pdf for downloading or printing. If you suffer a suspected concussion, use this checklist to record your symptoms daily. Post concussion symptom scale the post concussion symptom scale pcss is a selfreport symptom checklist on which participants rate 22 items using a sevenpoint likert scale. Healthcare providers may use validated, ageappropriate computerized cognitive. She has had a variety of symptoms over the course of the 11 weeks and some seem to be improving. Postconcussion syndrome sometimes after even a minor head injury, people notice persisting symptoms of a concussion some examples are listed below. For the baseline assessment, the athlete should rate hisher symptoms based on how heshe typically feels and for the post injury assessment the athlete should rate their symptoms at this point in time. Post concussion syndrome sometimes after even a minor head injury, people notice persisting symptoms of a concussion some examples are listed below. Pdf measurement of symptoms following sportsrelated. The severity of pcs of each participant was assessed using a 21 item checklist adapted from the post concussive symptom scale revised. Selfreport postconcussion symptom scales have been used for many years as a key method of monitoring recovery from sportrelated concussion, to assist in medical management and returntoplay decisionmaking. High score on the postconcussion symptom scale pcss 404,25, or on the. Thus, if the athlete complains of worsening headache during exertional testing or return to play, postconcussion headache should be suspected and conservative management is indicated.
The postconcussion pathway presented is a general overview to show how patients can navigate through appropriate postconcussion care, integrating both the public and private healthcare systems. The athlete should score themselves on the following symptoms, based on how they feel at the time. This form is used to track the athletes daily progress towards the resolution of symptoms. The athletes were instructed to identify and rate only those symptoms they experienced at the. Symptoms such as headache, or signs such as loss of consciousness, or memory problems any athlete with a suspecte d concussion shoul be monitored for deterioration i. Selfreport postconcussion symptom scales have been a key method for monitoring recovery from sportrelated concussion, to assist in medical management, and returntoplay decisionmaking. A rating of 6 means you have experienced severe problems with this symptom today. Appropriate if symptom reduction is not evident in 35 days, or sooner if symptom proile is concerning in typeseverity. The rivermead postconcussion symptoms questionnaire after a head injury or accident some people experience symptoms which can cause worry or nuisance. Postconcussion symptom inventory please answer each questions based on how you feel right now name. The rivermead post concussion symptoms questionnaire journal of neurology, october 112. The rivermead post concussion symptoms questionnaire. After reading each symptom, please circle the number that best describes the way you have been feeling today please answer sleep rated questions for last night.
The rivermead post concussion symptom questionnaire rpq is a selfreport scale to measure the severity of post concussive symptoms following a traumatic brain injury tbi. Show your baseline if available and daily checklists to your physician. The measure has not been studied in youth under the age of 11. Concussion symptom scale pcss address each symptom based on how you have felt on an average 24 hour period during the last 7 days. Symptom evaluation the athlete should be given the symptom form and asked to read this instruction paragraph out loud then complete the symptom scale. The post concussion symptom scale report your current experience of symptoms. She has since been diagnosed with post concussion syndrome. After reading each symptom, please circle the number that best describes the way you have been feeling today. To date, however, item selection and scaling metrics for these. Sport concussion assessment tool 2 symptom evaluation what is the scat2. Concussion is a mild traumatic brain injury that usually happens after a blow to the head. Most frequently, a post concussion headache is described as a sensation of pressure in the skull that may be localized to one region of the head or.
A concussion or mild traumatic brain injury mtbi is a complex pathophysiologic process affecting the brain, induced by traumatic biomechanical forces secondary to direct or indirect forces to the head. Followup required, further assessment may be required if symptoms are not. We would like to know if you now suffer from any of the symptoms given below. Clinical evaluation tools sportsrelated concussions in youth. The rivermead post concussion symptoms questionnaire with modified scoring rpq3 and rpq is a selfreport scale to measure the severity of postconcussive symptoms following a traumatic brain injury tbi. Page 1 prepared by dr jon stone, consultant neurologist, university of edinburgh, uk. Concussion management guidelines rev 201507 page 7 of 34 appendix b postconcussion symptom scale pcss address each symptom based on how you have felt on an average 24 hour period during the last 7 days. It supersedes the original scat published in 20052. The postconcussion symptom inventory pcsi has selfreport forms for youth.
Concussion recovery pattern and pathway concussions ontario. High score on the postconcussion symptom scale pcss 40 4, 25, or on the rivermead postconcussion questionnaire 15. The severity of pcs of each participant was assessed using a 21 item checklist adapted from the post concussive symptom scalerevised. Post concussion symptoms ask the athlete to score themselves based on how they feel now. The athletes were instructed to identify and rate only those symptoms they experienced at the time. For each item please indicate how much the symptom has bothered you over the past 2 days exertion. It should be noted that there may be referrals to other healthcare practitioners to rule out concurrent diagnoses i. Talk to your doctor if these symptoms are worsening, or if they persist more than 710 days. A validation of the post concussion symptom scale in the.
Please indicate how much each symptom has bothered you over the past 2 days. Patients completed the postconcussion symptom scale pcss, which contains 22 different symptoms that they ranked from 06 0 not experiencing a given symptom. Also, anytime there is mention of a particular table, figure, appendix, or section, you can simply click on it e. Mar 19, 2007 the severity of pcs of each participant was assessed using a 21 item checklist adapted from the post concussive symptom scale. After reading each symptom, please circle the number that best describes. Measurement of symptoms following sportsrelated concussion. Post concussion symptom inventory please answer each questions based on how you feel right now name. A rating of 6 means you have experienced severe problems with this symptom.
The rivermead post concussion symptoms questionnaire after a head injury or accident some people experience symptoms which can cause worry or nuisance. A validation of the post concussion symptom scale in the assessment of complex concussion using cognitive testing and functional mri. Please use the following scale to rate each symptom. No part of this publication may be reproduced in whole or in part or transmitted in any form. As many of these symptoms occur normally, we would like you to compare yourself now with before the accident. Originally developed by teasdale and jennett 1974, the glasgow coma scale gcs see table c1 is a scoring scale for eye opening, motor, and verbal responses that can be administered to athletes on the field to objectively measure their level of consciousness. Physical activity m yes m no m not applicable thinkingcognitive activity m yes m no m not applicable overall rating. Cdc pediatric tbi guidelinem diagnostic recommendations. Symptom scales computerized cognitive testing standardized assessment of concussion sac healthcare providers should use an ageappropriate, validated symptom rating scale as a component of the diagnostic evaluation in children presenting with acute mtbi. A revised factor structure for the postconcussion symptom. Pdf a validation of the post concussion symptom scale in.
The athlete should fill out the form, on his or her own, in order to give a subjective value for each symptom. Reliability and normative data for the postconcussion scale article pdf available in applied neuropsychology 3. Jul 28, 2017 postconcussion syndrome is a complex disorder in which various symptoms such as headaches and dizziness last for weeks and sometimes months after the injury that caused the concussion. Typically, postconcussion headache is worsened with physical exertion. Aug 28, 2019 post concussion syndrome pcs, or post concussive syndrome, refers to the lingering symptoms following a concussion or a mild traumatic brain injury tbi this condition is typically diagnosed. Neuropsychological testing can provide valuable information to help assess a patients brain function and impairment and assist with treatment planning, such as return to play decisions.
Previous research examining the factor structure of the 22item postconcussion symptom scale pcss has been limited to small samples and has not adequately evaluated factor loadings at both baseline and postconcussion for male and. A rating of 0 means that you have not experienced this symptom today. For the baseline assessment, the athlete should rate hisher symptoms based on how heshe typically feels and for. Post concussion symptom scale for more information about impact call 8776467991 or visit. Postconcussion symptom scale acupuncture neurology. A rating of 0 means you have not experienced this symptom today. This form can be used with each encounter to track the athletes progress towards the resolution of symptoms.