Cobbs, L; Hasanaj, L; Amorapanth, P; Rizzo, J R; Nolan, R; Serrano, L; Raynowska, J; Rucker, J C; Jordan, B D; Galetta, S L; Balcer, L J
Mobile Universal Lexicon Evaluation System (MULES) test: A new measure of rapid picture naming for concussion Journal Article
In: Journal of the Neurological Sciences, vol. 372, pp. 393–398, 2017.
Abstract | Links | BibTeX | Tags: Concussion, King-Devick test, Mobile Universal Lexicon Evaluation System, saccades, Sports, Vision
@article{Cobbs2017,
title = {Mobile Universal Lexicon Evaluation System (MULES) test: A new measure of rapid picture naming for concussion},
author = {Cobbs, L and Hasanaj, L and Amorapanth, P and Rizzo, J R and Nolan, R and Serrano, L and Raynowska, J and Rucker, J C and Jordan, B D and Galetta, S L and Balcer, L J},
doi = {10.1016/j.jns.2016.10.044},
year = {2017},
date = {2017-01-01},
journal = {Journal of the Neurological Sciences},
volume = {372},
pages = {393--398},
abstract = {Objective This study introduces a rapid picture naming test, the Mobile Universal Lexicon Evaluation System (MULES), as a novel, vision-based performance measure for concussion screening. The MULES is a visual-verbal task that includes 54 original photographs of fruits, objects and animals. We piloted MULES in a cohort of volunteers to determine feasibility, ranges of picture naming responses, and the relation of MULES time scores to those of King-Devick (K-D), a rapid number naming test. Methods A convenience sample (n = 20, age 34 ± 10) underwent MULES and K-D (spiral bound, iPad versions). Administration order was randomized; MULES tests were audio-recorded to provide objective data on temporal variability and ranges of picture naming responses. Results Scores for the best of two trials for all tests were 40\textendash50 s; average times required to name each MULES picture (0.72 ± 0.14 s) was greater than those needed for each K-D number ((spiral: 0.33 ± 0.05 s, iPad: 0.36 ± 0.06 s, 120 numbers), p \< 0.0001, paired t-test). MULES scores showed the greatest degree of improvement between trials (9.4 ± 4.8 s, p \< 0.0001 for trials 1 vs. 2), compared to K-D (spiral 1.5 ± 3.3 s, iPad 1.8 ± 3.4 s). Shorter MULES times demonstrated moderate and significant correlations with shorter iPad but not spiral K-D times (r = 0.49, p = 0.03). Conclusion The MULES test is a rapid picture naming task that may engage more extensive neural systems than more commonly used rapid number naming tasks. Rapid picture naming may require additional processing devoted to color perception, object identification, and categorization. Both tests rely on initiation and sequencing of saccadic eye movements. © 2016 Elsevier B.V.},
keywords = {Concussion, King-Devick test, Mobile Universal Lexicon Evaluation System, saccades, Sports, Vision},
pubstate = {published},
tppubtype = {article}
}
Howitt, Scott; Brommer, Robert; Fowler, Justin; Gerwing, Logan; Payne, Julian; DeGraauw, Christopher
The utility of the King-Devick test as a sideline assessment tool for sport-related concussions: a narrative review Journal Article
In: Journal of the Canadian Chiropractic Association, vol. 60, no. 4, pp. 322–329, 2016, ISBN: 00083194.
Abstract | BibTeX | Tags: assessment, auxiliaire, BRAIN -- Concussion -- Diagnosis, chiropractic, chiropratique, CINAHL (Information retrieval system), COLLEGE athletes, commotion cérébrale, Concussion, CONFIDENCE intervals, DATA analysis -- Software, dépistage, DESCRIPTIVE statistics, EQUIPMENT & supplies, EVALUATION, INFORMATION storage & retrieval systems, Information storage & retrieval systems -- Medical, King-Devick test, MANN Whitney U Test, Medical screening, Medline, neurologic examination, ODDS ratio, PRE-tests & post-tests, PROBABILITY theory, screening, Sideline, Sports, SPORTS injuries, SYSTEMATIC reviews (Medical research), test King-Devick
@article{Howitt2016,
title = {The utility of the King-Devick test as a sideline assessment tool for sport-related concussions: a narrative review},
author = {Howitt, Scott and Brommer, Robert and Fowler, Justin and Gerwing, Logan and Payne, Julian and DeGraauw, Christopher},
isbn = {00083194},
year = {2016},
date = {2016-01-01},
journal = {Journal of the Canadian Chiropractic Association},
volume = {60},
number = {4},
pages = {322--329},
publisher = {Canadian Chiropractic Association},
abstract = {Objective: The objective of this paper is to review existing literature surrounding the utility of the King-Devick test which is a commonly used sideline assessment tool for sport-related concussions. Methods: A review of the literature was performed using MEDLINE, CINHAL, and SportDiscus databases. The search was performed from the beginning of the record through November 16th, 2015. Results: This search strategy yielded 27 articles from aforementioned databases. Further searching in The Cochrane Library with King-Devick AND Concuss* search terms yielded one additional article, summing a total of 28 articles. After removal of duplicates and implementation of the inclusion/exclusion criteria, 8 articles for extensively reviewed. Conclusion: This narrative review suggests that the King-Devick test is an efficient sideline assessment tool for sport-related concussions. However, we recommend that the King-Devick should be used as a sideline screening tool, not a concussion diagnosis tool at this time. A proper baseline time including multiple tests may be recommended to negate the learning affect and to have a reliable baseline in which to measure from for future reference. A three second difference appears appropriate to identify the possibility of concussion and to remove an athlete from play. At this time, the athlete should be monitored and further evaluated as symptoms are sometimes delayed. We suggest that further research may be useful to better determine the efficacy of the K-D test in detecting concussions across a broader range of athletes and sports. We also suggest further research may investigate the K-D test a potential return-to-play tool for clinicians and medical personnel.},
keywords = {assessment, auxiliaire, BRAIN -- Concussion -- Diagnosis, chiropractic, chiropratique, CINAHL (Information retrieval system), COLLEGE athletes, commotion c\'{e}r\'{e}brale, Concussion, CONFIDENCE intervals, DATA analysis -- Software, d\'{e}pistage, DESCRIPTIVE statistics, EQUIPMENT \& supplies, EVALUATION, INFORMATION storage \& retrieval systems, Information storage \& retrieval systems -- Medical, King-Devick test, MANN Whitney U Test, Medical screening, Medline, neurologic examination, ODDS ratio, PRE-tests \& post-tests, PROBABILITY theory, screening, Sideline, Sports, SPORTS injuries, SYSTEMATIC reviews (Medical research), test King-Devick},
pubstate = {published},
tppubtype = {article}
}
Cobbs, L; Hasanaj, L; Amorapanth, P; Rizzo, J R; Nolan, R; Serrano, L; Raynowska, J; Rucker, J C; Jordan, B D; Galetta, S L; Balcer, L J
Mobile Universal Lexicon Evaluation System (MULES) test: A new measure of rapid picture naming for concussion Journal Article
In: Journal of the Neurological Sciences, vol. 372, pp. 393–398, 2017.
@article{Cobbs2017,
title = {Mobile Universal Lexicon Evaluation System (MULES) test: A new measure of rapid picture naming for concussion},
author = {Cobbs, L and Hasanaj, L and Amorapanth, P and Rizzo, J R and Nolan, R and Serrano, L and Raynowska, J and Rucker, J C and Jordan, B D and Galetta, S L and Balcer, L J},
doi = {10.1016/j.jns.2016.10.044},
year = {2017},
date = {2017-01-01},
journal = {Journal of the Neurological Sciences},
volume = {372},
pages = {393--398},
abstract = {Objective This study introduces a rapid picture naming test, the Mobile Universal Lexicon Evaluation System (MULES), as a novel, vision-based performance measure for concussion screening. The MULES is a visual-verbal task that includes 54 original photographs of fruits, objects and animals. We piloted MULES in a cohort of volunteers to determine feasibility, ranges of picture naming responses, and the relation of MULES time scores to those of King-Devick (K-D), a rapid number naming test. Methods A convenience sample (n = 20, age 34 ± 10) underwent MULES and K-D (spiral bound, iPad versions). Administration order was randomized; MULES tests were audio-recorded to provide objective data on temporal variability and ranges of picture naming responses. Results Scores for the best of two trials for all tests were 40\textendash50 s; average times required to name each MULES picture (0.72 ± 0.14 s) was greater than those needed for each K-D number ((spiral: 0.33 ± 0.05 s, iPad: 0.36 ± 0.06 s, 120 numbers), p \< 0.0001, paired t-test). MULES scores showed the greatest degree of improvement between trials (9.4 ± 4.8 s, p \< 0.0001 for trials 1 vs. 2), compared to K-D (spiral 1.5 ± 3.3 s, iPad 1.8 ± 3.4 s). Shorter MULES times demonstrated moderate and significant correlations with shorter iPad but not spiral K-D times (r = 0.49, p = 0.03). Conclusion The MULES test is a rapid picture naming task that may engage more extensive neural systems than more commonly used rapid number naming tasks. Rapid picture naming may require additional processing devoted to color perception, object identification, and categorization. Both tests rely on initiation and sequencing of saccadic eye movements. © 2016 Elsevier B.V.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Howitt, Scott; Brommer, Robert; Fowler, Justin; Gerwing, Logan; Payne, Julian; DeGraauw, Christopher
The utility of the King-Devick test as a sideline assessment tool for sport-related concussions: a narrative review Journal Article
In: Journal of the Canadian Chiropractic Association, vol. 60, no. 4, pp. 322–329, 2016, ISBN: 00083194.
@article{Howitt2016,
title = {The utility of the King-Devick test as a sideline assessment tool for sport-related concussions: a narrative review},
author = {Howitt, Scott and Brommer, Robert and Fowler, Justin and Gerwing, Logan and Payne, Julian and DeGraauw, Christopher},
isbn = {00083194},
year = {2016},
date = {2016-01-01},
journal = {Journal of the Canadian Chiropractic Association},
volume = {60},
number = {4},
pages = {322--329},
publisher = {Canadian Chiropractic Association},
abstract = {Objective: The objective of this paper is to review existing literature surrounding the utility of the King-Devick test which is a commonly used sideline assessment tool for sport-related concussions. Methods: A review of the literature was performed using MEDLINE, CINHAL, and SportDiscus databases. The search was performed from the beginning of the record through November 16th, 2015. Results: This search strategy yielded 27 articles from aforementioned databases. Further searching in The Cochrane Library with King-Devick AND Concuss* search terms yielded one additional article, summing a total of 28 articles. After removal of duplicates and implementation of the inclusion/exclusion criteria, 8 articles for extensively reviewed. Conclusion: This narrative review suggests that the King-Devick test is an efficient sideline assessment tool for sport-related concussions. However, we recommend that the King-Devick should be used as a sideline screening tool, not a concussion diagnosis tool at this time. A proper baseline time including multiple tests may be recommended to negate the learning affect and to have a reliable baseline in which to measure from for future reference. A three second difference appears appropriate to identify the possibility of concussion and to remove an athlete from play. At this time, the athlete should be monitored and further evaluated as symptoms are sometimes delayed. We suggest that further research may be useful to better determine the efficacy of the K-D test in detecting concussions across a broader range of athletes and sports. We also suggest further research may investigate the K-D test a potential return-to-play tool for clinicians and medical personnel.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
Cobbs, L; Hasanaj, L; Amorapanth, P; Rizzo, J R; Nolan, R; Serrano, L; Raynowska, J; Rucker, J C; Jordan, B D; Galetta, S L; Balcer, L J
Mobile Universal Lexicon Evaluation System (MULES) test: A new measure of rapid picture naming for concussion Journal Article
In: Journal of the Neurological Sciences, vol. 372, pp. 393–398, 2017.
Abstract | Links | BibTeX | Tags: Concussion, King-Devick test, Mobile Universal Lexicon Evaluation System, saccades, Sports, Vision
@article{Cobbs2017,
title = {Mobile Universal Lexicon Evaluation System (MULES) test: A new measure of rapid picture naming for concussion},
author = {Cobbs, L and Hasanaj, L and Amorapanth, P and Rizzo, J R and Nolan, R and Serrano, L and Raynowska, J and Rucker, J C and Jordan, B D and Galetta, S L and Balcer, L J},
doi = {10.1016/j.jns.2016.10.044},
year = {2017},
date = {2017-01-01},
journal = {Journal of the Neurological Sciences},
volume = {372},
pages = {393--398},
abstract = {Objective This study introduces a rapid picture naming test, the Mobile Universal Lexicon Evaluation System (MULES), as a novel, vision-based performance measure for concussion screening. The MULES is a visual-verbal task that includes 54 original photographs of fruits, objects and animals. We piloted MULES in a cohort of volunteers to determine feasibility, ranges of picture naming responses, and the relation of MULES time scores to those of King-Devick (K-D), a rapid number naming test. Methods A convenience sample (n = 20, age 34 ± 10) underwent MULES and K-D (spiral bound, iPad versions). Administration order was randomized; MULES tests were audio-recorded to provide objective data on temporal variability and ranges of picture naming responses. Results Scores for the best of two trials for all tests were 40\textendash50 s; average times required to name each MULES picture (0.72 ± 0.14 s) was greater than those needed for each K-D number ((spiral: 0.33 ± 0.05 s, iPad: 0.36 ± 0.06 s, 120 numbers), p \< 0.0001, paired t-test). MULES scores showed the greatest degree of improvement between trials (9.4 ± 4.8 s, p \< 0.0001 for trials 1 vs. 2), compared to K-D (spiral 1.5 ± 3.3 s, iPad 1.8 ± 3.4 s). Shorter MULES times demonstrated moderate and significant correlations with shorter iPad but not spiral K-D times (r = 0.49, p = 0.03). Conclusion The MULES test is a rapid picture naming task that may engage more extensive neural systems than more commonly used rapid number naming tasks. Rapid picture naming may require additional processing devoted to color perception, object identification, and categorization. Both tests rely on initiation and sequencing of saccadic eye movements. © 2016 Elsevier B.V.},
keywords = {Concussion, King-Devick test, Mobile Universal Lexicon Evaluation System, saccades, Sports, Vision},
pubstate = {published},
tppubtype = {article}
}
Howitt, Scott; Brommer, Robert; Fowler, Justin; Gerwing, Logan; Payne, Julian; DeGraauw, Christopher
The utility of the King-Devick test as a sideline assessment tool for sport-related concussions: a narrative review Journal Article
In: Journal of the Canadian Chiropractic Association, vol. 60, no. 4, pp. 322–329, 2016, ISBN: 00083194.
Abstract | BibTeX | Tags: assessment, auxiliaire, BRAIN -- Concussion -- Diagnosis, chiropractic, chiropratique, CINAHL (Information retrieval system), COLLEGE athletes, commotion cérébrale, Concussion, CONFIDENCE intervals, DATA analysis -- Software, dépistage, DESCRIPTIVE statistics, EQUIPMENT & supplies, EVALUATION, INFORMATION storage & retrieval systems, Information storage & retrieval systems -- Medical, King-Devick test, MANN Whitney U Test, Medical screening, Medline, neurologic examination, ODDS ratio, PRE-tests & post-tests, PROBABILITY theory, screening, Sideline, Sports, SPORTS injuries, SYSTEMATIC reviews (Medical research), test King-Devick
@article{Howitt2016,
title = {The utility of the King-Devick test as a sideline assessment tool for sport-related concussions: a narrative review},
author = {Howitt, Scott and Brommer, Robert and Fowler, Justin and Gerwing, Logan and Payne, Julian and DeGraauw, Christopher},
isbn = {00083194},
year = {2016},
date = {2016-01-01},
journal = {Journal of the Canadian Chiropractic Association},
volume = {60},
number = {4},
pages = {322--329},
publisher = {Canadian Chiropractic Association},
abstract = {Objective: The objective of this paper is to review existing literature surrounding the utility of the King-Devick test which is a commonly used sideline assessment tool for sport-related concussions. Methods: A review of the literature was performed using MEDLINE, CINHAL, and SportDiscus databases. The search was performed from the beginning of the record through November 16th, 2015. Results: This search strategy yielded 27 articles from aforementioned databases. Further searching in The Cochrane Library with King-Devick AND Concuss* search terms yielded one additional article, summing a total of 28 articles. After removal of duplicates and implementation of the inclusion/exclusion criteria, 8 articles for extensively reviewed. Conclusion: This narrative review suggests that the King-Devick test is an efficient sideline assessment tool for sport-related concussions. However, we recommend that the King-Devick should be used as a sideline screening tool, not a concussion diagnosis tool at this time. A proper baseline time including multiple tests may be recommended to negate the learning affect and to have a reliable baseline in which to measure from for future reference. A three second difference appears appropriate to identify the possibility of concussion and to remove an athlete from play. At this time, the athlete should be monitored and further evaluated as symptoms are sometimes delayed. We suggest that further research may be useful to better determine the efficacy of the K-D test in detecting concussions across a broader range of athletes and sports. We also suggest further research may investigate the K-D test a potential return-to-play tool for clinicians and medical personnel.},
keywords = {assessment, auxiliaire, BRAIN -- Concussion -- Diagnosis, chiropractic, chiropratique, CINAHL (Information retrieval system), COLLEGE athletes, commotion c\'{e}r\'{e}brale, Concussion, CONFIDENCE intervals, DATA analysis -- Software, d\'{e}pistage, DESCRIPTIVE statistics, EQUIPMENT \& supplies, EVALUATION, INFORMATION storage \& retrieval systems, Information storage \& retrieval systems -- Medical, King-Devick test, MANN Whitney U Test, Medical screening, Medline, neurologic examination, ODDS ratio, PRE-tests \& post-tests, PROBABILITY theory, screening, Sideline, Sports, SPORTS injuries, SYSTEMATIC reviews (Medical research), test King-Devick},
pubstate = {published},
tppubtype = {article}
}