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      Sport Concussion Assessment Tool-5th Edition (SCAT5): Normative Reference Values for the National Rugby League Women's Premiership

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          Abstract

          Objective: To establish normative reference values for the Sport Concussion Assessment Tool-5th Edition (SCAT5) for the new National Rugby League Women's Premiership.

          Methods: Preseason SCAT5 baseline testing was administered individually to all National Rugby League Women's Premiership players ( N = 117). Testing was completed by the medical staff. Normative reference values were calculated for the components of the SCAT5, including the Standardized Assessment of Concussion, modified Balance Error Scoring System, and the Symptom Scale. A small case series of players who sustained concussions were included to illustrate the use of the new normative data.

          Results: The median Standardized Assessment of Concussion total score was 27.0 (M = 26.9, SD = 2.1). The median modified Balance Error Scoring System score was 2.0 (M = 2.4, SD = 2.2). The median number of symptoms score was 1.0 (M = 3.2, SD = 4.7) and the median symptom severity score was 2.0 (M = 5.4, SD = 8.2). The most common baseline symptom was fatigue or low energy (33%), followed by trouble sleeping (24%), headache (23%), neck pain (22%), and difficulty remembering (21%). In the total sample, 41% reported no symptoms. The clinical interpretation of these new normative data to a case series of women with concussions is provided.

          Conclusions: Normative reference values are provided for the SCAT5 for women who are professional rugby league players. Using these normative data will improve clinical interpretation of SCAT5 scores following a concussion.

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          Most cited references32

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          Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012.

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            Wechsler Adult Intelligence Scale--Fourth Edition

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              The Sport Concussion Assessment Tool 5th Edition (SCAT5)

              This paper presents the Sport Concussion Assessment Tool 5th Edition (SCAT5), which is the most recent revision of a sport concussion evaluation tool for use by healthcare professionals in the acute evaluation of suspected concussion. The revision of the SCAT3 (first published in 2013) culminated in the SCAT5. The revision was based on a systematic review and synthesis of current research, public input and expert panel review as part of the 5th International Consensus Conference on Concussion in Sport held in Berlin in 2016. The SCAT5 is intended for use in those who are 13 years of age or older. The Child SCAT5 is a tool for those aged 5-12 years, which is discussed elsewhere.
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                Author and article information

                Contributors
                Journal
                Front Sports Act Living
                Front Sports Act Living
                Front. Sports Act. Living
                Frontiers in Sports and Active Living
                Frontiers Media S.A.
                2624-9367
                26 May 2021
                2021
                : 3
                : 653743
                Affiliations
                [1] 1Department of Physical Medicine and Rehabilitation, Harvard Medical School , Boston, MA, United States
                [2] 2Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital , Charlestown, MA, United States
                [3] 3Spaulding Research Institute , Charlestown, MA, United States
                [4] 4Sports Concussion Program, MassGeneral Hospital for Children , Boston, MA, United States
                [5] 5Home Base, A Red Sox Foundation and Massachusetts General Hospital Program , Charlestown, MA, United States
                [6] 6Sports Medicine Center, Children's Hospital Colorado , Aurora, CO, United States
                [7] 7Department of Orthopedics, University of Colorado School of Medicine , Aurora, CO, United States
                [8] 8National Rugby League , Moore Park, NSW, Australia
                [9] 9Hunter New England Local Health District Sports Concussion Program , Newcastle, NSW, Australia
                [10] 10Centre for Stroke and Brain Injury, Calvary Mater Hospital, School of Medicine and Public Health, University of Newcastle , Waratah, NSW, Australia
                Author notes

                Edited by: Paul Comper, University of Toronto, Canada

                Reviewed by: Abbey Thomas, University of North Carolina at Charlotte, United States; Antonio Klasan, Kepler University Hospital GmbH, Austria

                *Correspondence: Andrew J. Gardner andrew.gardner@ 123456newcastle.edu.au

                This article was submitted to Injury Prevention and Rehabilitation, a section of the journal Frontiers in Sports and Active Living

                Article
                10.3389/fspor.2021.653743
                8189316
                d0634c9d-2f54-48ef-b00a-c8a22d29c58e
                Copyright © 2021 Iverson, Howell, Van Patten, Bloomfield and Gardner.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 15 January 2021
                : 21 April 2021
                Page count
                Figures: 0, Tables: 7, Equations: 0, References: 32, Pages: 9, Words: 7180
                Categories
                Sports and Active Living
                Original Research

                rugby league,brain concussion,head injuries,baseline survey,clinical assessment,women athletes

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