Valovich McLeod, Tamara C; Lam, Kenneth C; Bay, R Curtis; Sauers, Eric L; Snyder Valier, Alison R
In: Journal of Athletic Training, vol. 47, no. 5, pp. 557–566, 2012, ISBN: 1062-6050.
Abstract | Links | BibTeX | Tags: ADOLESCENCE, Adolescent Health, Athletic Injuries -- Therapy, Athletic Training, Athletic Training -- Methods, Continuing (Credit), descriptive research, DESCRIPTIVE statistics, Education, Evidence-Based, Female, Health Care Delivery -- Evaluation, human, Injury Pattern, Job Experience -- Evaluation, Male, Networking, Pilot Studies, Preventive Health Care, Professional, Professional Practice, Prospective Studies, Questionnaires, Record Review, Research-Based, Retrospective Design, Schools, Secondary, Survey Research, World Wide Web
@article{ValovichMcLeod2012b,
title = {Practice-Based Research Networks, Part II: A Descriptive Analysis of the Athletic Training Practice-Based Research Network in the Secondary School Setting},
author = {{Valovich McLeod}, Tamara C and Lam, Kenneth C and Bay, R Curtis and Sauers, Eric L and {Snyder Valier}, Alison R},
doi = {10.4085/1062-6050-47.5.05},
isbn = {1062-6050},
year = {2012},
date = {2012-01-01},
journal = {Journal of Athletic Training},
volume = {47},
number = {5},
pages = {557--566},
abstract = {Context: Analysis of health care service models requires the collection and evaluation of basic practice characterization data. Practice-based research networks (PBRNs) provide a framework for gathering data useful in characterizing clinical practice. Objective: To describe preliminary secondary school setting practice data from the Athletic Training Practice-Based Research Network (AT-PBRN). Design: Descriptive study. Setting: Secondary school athletic training facilities within the AT-PBRN. Patients or Other Participants: Clinicians (n = 22) and their patients (n = 2523) from the AT-PBRN. Main Outcome Measure(s): A Web-based survey was used to obtain data on clinical practice site and clinician characteristics. Patient and practice characteristics were obtained via deidentified electronic medical record data collected between September 1, 2009, and April 1, 2011. Descriptive data regarding the clinician and CPS practice characteristics are reported as percentages and frequencies. Descriptive analysis of patient encounters and practice characteristic data was performed, with the percentages and frequencies of the type of injuries recorded at initial evaluation, type of treatment received at initial evaluation, daily treatment, and daily sign-in procedures. Results: The AT-PBRN had secondary school sites in 7 states, and most athletic trainers at those sites (78.2%) had less than 5 years of experience. The secondary school sites within the AT-PBRN documented 2523 patients treated across 3140 encounters. Patients most frequently sought care for a current injury (61.3%), followed by preventive services (24.0%), and new injuries (14.7%). The most common diagnoses were ankle sprain/strain (17.9%), hip sprain/strain (12.5%), concussion (12.0%), and knee pain (2.5%). The most frequent procedures were athletic trainer evaluation (53.9%), hot- or cold-pack application (26.0%), strapping (10.3%), and therapeutic exercise (5.7%). The median number of treatments per injury was 3 (interquartile range = 2, 4; range = 2-19). Conclusions: These preliminary data describe services provided by clinicians within the AT-PBRN and demonstrate the usefulness of the PBRN model for obtaining such data.},
keywords = {ADOLESCENCE, Adolescent Health, Athletic Injuries -- Therapy, Athletic Training, Athletic Training -- Methods, Continuing (Credit), descriptive research, DESCRIPTIVE statistics, Education, Evidence-Based, Female, Health Care Delivery -- Evaluation, human, Injury Pattern, Job Experience -- Evaluation, Male, Networking, Pilot Studies, Preventive Health Care, Professional, Professional Practice, Prospective Studies, Questionnaires, Record Review, Research-Based, Retrospective Design, Schools, Secondary, Survey Research, World Wide Web},
pubstate = {published},
tppubtype = {article}
}
Barlow, Michael; Schlabach, Drew; Peiffer, Jeffrey; Cook, Chad
Differences in change scores and the predictive validity of three commonly used measures following concussion in the middle school and high school aged population...[corrected] [published erratum appears in INT J SPORTS PHYS THER 2011; 6(4):1p] Journal Article
In: International Journal of Sports Physical Therapy, vol. 6, no. 3, pp. 150–157, 2011, ISBN: 2159-2896.
Abstract | BibTeX | Tags: ADOLESCENCE, adult, Brain Concussion -- Diagnosis, Child, Data Analysis Software, Disability Evaluation, Female, human, Instrument Validation, Male, Middle, Ohio, Postconcussion Syndrome -- Risk Factors, Predictive Value of Tests, Record Review, Recovery, Retrospective Design, ROC Curve, Scales, Schools, Secondary, validity
@article{Barlow2011,
title = {Differences in change scores and the predictive validity of three commonly used measures following concussion in the middle school and high school aged population...[corrected] [published erratum appears in INT J SPORTS PHYS THER 2011; 6(4):1p]},
author = {Barlow, Michael and Schlabach, Drew and Peiffer, Jeffrey and Cook, Chad},
isbn = {2159-2896},
year = {2011},
date = {2011-01-01},
journal = {International Journal of Sports Physical Therapy},
volume = {6},
number = {3},
pages = {150--157},
publisher = {North American Journal of Sports Physical Therapy},
address = {Indianapolis, Indiana},
abstract = {Background: A battery of tests is commonly used to measure disability with and recovery from concussion. A number of different concussion-oriented assessment tests exist and each is considered useful. To the authors' knowledge, no study has compared the scores of these tests during recovery in the middle school and high school aged population to see how each change over time. Purpose: The purposes of this study were to analyze clinical data of concussed middle school and high school aged athletes to determine the concurrent and predictive validity for post-concussion syndrome (PCS) of the Post-Concussion Symptom Scale (PCSS), Balance Error Scoring System (BESS), and the five subscales of the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT). Methods: The study was a retrospective chart review performed on middle school and high school aged individuals with a diagnosis of concussion from the years 2008-2010 within the Akron Children's Hospital Sports Medicine system. To be eligible for inclusion in the dataset, each subject required a baseline measurement for each of the three tests (and all five subscales of the ImPACT) and a post-test measure. The mean age of the population was 15.38 years (SD=1.7) and ranged from 11 to 19 years. Pearson product correlation tests (correlation matrix) were used to analyze the concurrent validity of the test items during recovery following a concussion. Receiver operating characteristics (ROC) curves were used to determine the predictive validity of initial scores for developing PCS. Results: The correlation matrix captured five statistically significant findings; however, these suggested only weak to mild correlations. Five test items yielded an area under the curve (AUC) greater than 0.50 but only one was statistically significant. After qualitative evaluation, only one of the three tests (including the five subscales of the ImPACT) was useful in predicting post-concussion syndrome. Conclusion: This study suggests that there is poor concurrent validity among three commonly used concussion tests and there is no baseline score that predicts whether post-concussion syndrome will occur.},
keywords = {ADOLESCENCE, adult, Brain Concussion -- Diagnosis, Child, Data Analysis Software, Disability Evaluation, Female, human, Instrument Validation, Male, Middle, Ohio, Postconcussion Syndrome -- Risk Factors, Predictive Value of Tests, Record Review, Recovery, Retrospective Design, ROC Curve, Scales, Schools, Secondary, validity},
pubstate = {published},
tppubtype = {article}
}
Valovich McLeod, Tamara C; Lam, Kenneth C; Bay, R Curtis; Sauers, Eric L; Snyder Valier, Alison R
In: Journal of Athletic Training, vol. 47, no. 5, pp. 557–566, 2012, ISBN: 1062-6050.
@article{ValovichMcLeod2012b,
title = {Practice-Based Research Networks, Part II: A Descriptive Analysis of the Athletic Training Practice-Based Research Network in the Secondary School Setting},
author = {{Valovich McLeod}, Tamara C and Lam, Kenneth C and Bay, R Curtis and Sauers, Eric L and {Snyder Valier}, Alison R},
doi = {10.4085/1062-6050-47.5.05},
isbn = {1062-6050},
year = {2012},
date = {2012-01-01},
journal = {Journal of Athletic Training},
volume = {47},
number = {5},
pages = {557--566},
abstract = {Context: Analysis of health care service models requires the collection and evaluation of basic practice characterization data. Practice-based research networks (PBRNs) provide a framework for gathering data useful in characterizing clinical practice. Objective: To describe preliminary secondary school setting practice data from the Athletic Training Practice-Based Research Network (AT-PBRN). Design: Descriptive study. Setting: Secondary school athletic training facilities within the AT-PBRN. Patients or Other Participants: Clinicians (n = 22) and their patients (n = 2523) from the AT-PBRN. Main Outcome Measure(s): A Web-based survey was used to obtain data on clinical practice site and clinician characteristics. Patient and practice characteristics were obtained via deidentified electronic medical record data collected between September 1, 2009, and April 1, 2011. Descriptive data regarding the clinician and CPS practice characteristics are reported as percentages and frequencies. Descriptive analysis of patient encounters and practice characteristic data was performed, with the percentages and frequencies of the type of injuries recorded at initial evaluation, type of treatment received at initial evaluation, daily treatment, and daily sign-in procedures. Results: The AT-PBRN had secondary school sites in 7 states, and most athletic trainers at those sites (78.2%) had less than 5 years of experience. The secondary school sites within the AT-PBRN documented 2523 patients treated across 3140 encounters. Patients most frequently sought care for a current injury (61.3%), followed by preventive services (24.0%), and new injuries (14.7%). The most common diagnoses were ankle sprain/strain (17.9%), hip sprain/strain (12.5%), concussion (12.0%), and knee pain (2.5%). The most frequent procedures were athletic trainer evaluation (53.9%), hot- or cold-pack application (26.0%), strapping (10.3%), and therapeutic exercise (5.7%). The median number of treatments per injury was 3 (interquartile range = 2, 4; range = 2-19). Conclusions: These preliminary data describe services provided by clinicians within the AT-PBRN and demonstrate the usefulness of the PBRN model for obtaining such data.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Barlow, Michael; Schlabach, Drew; Peiffer, Jeffrey; Cook, Chad
Differences in change scores and the predictive validity of three commonly used measures following concussion in the middle school and high school aged population...[corrected] [published erratum appears in INT J SPORTS PHYS THER 2011; 6(4):1p] Journal Article
In: International Journal of Sports Physical Therapy, vol. 6, no. 3, pp. 150–157, 2011, ISBN: 2159-2896.
@article{Barlow2011,
title = {Differences in change scores and the predictive validity of three commonly used measures following concussion in the middle school and high school aged population...[corrected] [published erratum appears in INT J SPORTS PHYS THER 2011; 6(4):1p]},
author = {Barlow, Michael and Schlabach, Drew and Peiffer, Jeffrey and Cook, Chad},
isbn = {2159-2896},
year = {2011},
date = {2011-01-01},
journal = {International Journal of Sports Physical Therapy},
volume = {6},
number = {3},
pages = {150--157},
publisher = {North American Journal of Sports Physical Therapy},
address = {Indianapolis, Indiana},
abstract = {Background: A battery of tests is commonly used to measure disability with and recovery from concussion. A number of different concussion-oriented assessment tests exist and each is considered useful. To the authors' knowledge, no study has compared the scores of these tests during recovery in the middle school and high school aged population to see how each change over time. Purpose: The purposes of this study were to analyze clinical data of concussed middle school and high school aged athletes to determine the concurrent and predictive validity for post-concussion syndrome (PCS) of the Post-Concussion Symptom Scale (PCSS), Balance Error Scoring System (BESS), and the five subscales of the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT). Methods: The study was a retrospective chart review performed on middle school and high school aged individuals with a diagnosis of concussion from the years 2008-2010 within the Akron Children's Hospital Sports Medicine system. To be eligible for inclusion in the dataset, each subject required a baseline measurement for each of the three tests (and all five subscales of the ImPACT) and a post-test measure. The mean age of the population was 15.38 years (SD=1.7) and ranged from 11 to 19 years. Pearson product correlation tests (correlation matrix) were used to analyze the concurrent validity of the test items during recovery following a concussion. Receiver operating characteristics (ROC) curves were used to determine the predictive validity of initial scores for developing PCS. Results: The correlation matrix captured five statistically significant findings; however, these suggested only weak to mild correlations. Five test items yielded an area under the curve (AUC) greater than 0.50 but only one was statistically significant. After qualitative evaluation, only one of the three tests (including the five subscales of the ImPACT) was useful in predicting post-concussion syndrome. Conclusion: This study suggests that there is poor concurrent validity among three commonly used concussion tests and there is no baseline score that predicts whether post-concussion syndrome will occur.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Valovich McLeod, Tamara C; Lam, Kenneth C; Bay, R Curtis; Sauers, Eric L; Snyder Valier, Alison R
In: Journal of Athletic Training, vol. 47, no. 5, pp. 557–566, 2012, ISBN: 1062-6050.
Abstract | Links | BibTeX | Tags: ADOLESCENCE, Adolescent Health, Athletic Injuries -- Therapy, Athletic Training, Athletic Training -- Methods, Continuing (Credit), descriptive research, DESCRIPTIVE statistics, Education, Evidence-Based, Female, Health Care Delivery -- Evaluation, human, Injury Pattern, Job Experience -- Evaluation, Male, Networking, Pilot Studies, Preventive Health Care, Professional, Professional Practice, Prospective Studies, Questionnaires, Record Review, Research-Based, Retrospective Design, Schools, Secondary, Survey Research, World Wide Web
@article{ValovichMcLeod2012b,
title = {Practice-Based Research Networks, Part II: A Descriptive Analysis of the Athletic Training Practice-Based Research Network in the Secondary School Setting},
author = {{Valovich McLeod}, Tamara C and Lam, Kenneth C and Bay, R Curtis and Sauers, Eric L and {Snyder Valier}, Alison R},
doi = {10.4085/1062-6050-47.5.05},
isbn = {1062-6050},
year = {2012},
date = {2012-01-01},
journal = {Journal of Athletic Training},
volume = {47},
number = {5},
pages = {557--566},
abstract = {Context: Analysis of health care service models requires the collection and evaluation of basic practice characterization data. Practice-based research networks (PBRNs) provide a framework for gathering data useful in characterizing clinical practice. Objective: To describe preliminary secondary school setting practice data from the Athletic Training Practice-Based Research Network (AT-PBRN). Design: Descriptive study. Setting: Secondary school athletic training facilities within the AT-PBRN. Patients or Other Participants: Clinicians (n = 22) and their patients (n = 2523) from the AT-PBRN. Main Outcome Measure(s): A Web-based survey was used to obtain data on clinical practice site and clinician characteristics. Patient and practice characteristics were obtained via deidentified electronic medical record data collected between September 1, 2009, and April 1, 2011. Descriptive data regarding the clinician and CPS practice characteristics are reported as percentages and frequencies. Descriptive analysis of patient encounters and practice characteristic data was performed, with the percentages and frequencies of the type of injuries recorded at initial evaluation, type of treatment received at initial evaluation, daily treatment, and daily sign-in procedures. Results: The AT-PBRN had secondary school sites in 7 states, and most athletic trainers at those sites (78.2%) had less than 5 years of experience. The secondary school sites within the AT-PBRN documented 2523 patients treated across 3140 encounters. Patients most frequently sought care for a current injury (61.3%), followed by preventive services (24.0%), and new injuries (14.7%). The most common diagnoses were ankle sprain/strain (17.9%), hip sprain/strain (12.5%), concussion (12.0%), and knee pain (2.5%). The most frequent procedures were athletic trainer evaluation (53.9%), hot- or cold-pack application (26.0%), strapping (10.3%), and therapeutic exercise (5.7%). The median number of treatments per injury was 3 (interquartile range = 2, 4; range = 2-19). Conclusions: These preliminary data describe services provided by clinicians within the AT-PBRN and demonstrate the usefulness of the PBRN model for obtaining such data.},
keywords = {ADOLESCENCE, Adolescent Health, Athletic Injuries -- Therapy, Athletic Training, Athletic Training -- Methods, Continuing (Credit), descriptive research, DESCRIPTIVE statistics, Education, Evidence-Based, Female, Health Care Delivery -- Evaluation, human, Injury Pattern, Job Experience -- Evaluation, Male, Networking, Pilot Studies, Preventive Health Care, Professional, Professional Practice, Prospective Studies, Questionnaires, Record Review, Research-Based, Retrospective Design, Schools, Secondary, Survey Research, World Wide Web},
pubstate = {published},
tppubtype = {article}
}
Barlow, Michael; Schlabach, Drew; Peiffer, Jeffrey; Cook, Chad
Differences in change scores and the predictive validity of three commonly used measures following concussion in the middle school and high school aged population...[corrected] [published erratum appears in INT J SPORTS PHYS THER 2011; 6(4):1p] Journal Article
In: International Journal of Sports Physical Therapy, vol. 6, no. 3, pp. 150–157, 2011, ISBN: 2159-2896.
Abstract | BibTeX | Tags: ADOLESCENCE, adult, Brain Concussion -- Diagnosis, Child, Data Analysis Software, Disability Evaluation, Female, human, Instrument Validation, Male, Middle, Ohio, Postconcussion Syndrome -- Risk Factors, Predictive Value of Tests, Record Review, Recovery, Retrospective Design, ROC Curve, Scales, Schools, Secondary, validity
@article{Barlow2011,
title = {Differences in change scores and the predictive validity of three commonly used measures following concussion in the middle school and high school aged population...[corrected] [published erratum appears in INT J SPORTS PHYS THER 2011; 6(4):1p]},
author = {Barlow, Michael and Schlabach, Drew and Peiffer, Jeffrey and Cook, Chad},
isbn = {2159-2896},
year = {2011},
date = {2011-01-01},
journal = {International Journal of Sports Physical Therapy},
volume = {6},
number = {3},
pages = {150--157},
publisher = {North American Journal of Sports Physical Therapy},
address = {Indianapolis, Indiana},
abstract = {Background: A battery of tests is commonly used to measure disability with and recovery from concussion. A number of different concussion-oriented assessment tests exist and each is considered useful. To the authors' knowledge, no study has compared the scores of these tests during recovery in the middle school and high school aged population to see how each change over time. Purpose: The purposes of this study were to analyze clinical data of concussed middle school and high school aged athletes to determine the concurrent and predictive validity for post-concussion syndrome (PCS) of the Post-Concussion Symptom Scale (PCSS), Balance Error Scoring System (BESS), and the five subscales of the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT). Methods: The study was a retrospective chart review performed on middle school and high school aged individuals with a diagnosis of concussion from the years 2008-2010 within the Akron Children's Hospital Sports Medicine system. To be eligible for inclusion in the dataset, each subject required a baseline measurement for each of the three tests (and all five subscales of the ImPACT) and a post-test measure. The mean age of the population was 15.38 years (SD=1.7) and ranged from 11 to 19 years. Pearson product correlation tests (correlation matrix) were used to analyze the concurrent validity of the test items during recovery following a concussion. Receiver operating characteristics (ROC) curves were used to determine the predictive validity of initial scores for developing PCS. Results: The correlation matrix captured five statistically significant findings; however, these suggested only weak to mild correlations. Five test items yielded an area under the curve (AUC) greater than 0.50 but only one was statistically significant. After qualitative evaluation, only one of the three tests (including the five subscales of the ImPACT) was useful in predicting post-concussion syndrome. Conclusion: This study suggests that there is poor concurrent validity among three commonly used concussion tests and there is no baseline score that predicts whether post-concussion syndrome will occur.},
keywords = {ADOLESCENCE, adult, Brain Concussion -- Diagnosis, Child, Data Analysis Software, Disability Evaluation, Female, human, Instrument Validation, Male, Middle, Ohio, Postconcussion Syndrome -- Risk Factors, Predictive Value of Tests, Record Review, Recovery, Retrospective Design, ROC Curve, Scales, Schools, Secondary, validity},
pubstate = {published},
tppubtype = {article}
}