Neurocognitive Testing

Neurocognitive tests are useful to assist the doctor monitoring and managing a player who suffered a concussion or head injury.
These tests are not a direct measure of concussion but help reflect the functioning of the brain.
These have been used for many years and provide a basis for comparison across similar age and sex groups.
A number of computerised tests are now available and are especially useful for baseline study has been conducted.
However a complete neuropsychological evaluation by a trained neuropsychologist may ultimately be necessary.

• Benefits
  • Gives ‘reflection’ of brain function
  • In use for many years with good normal values
  • Computerised test is easy to administer
  • Less time needed compared to pen and paper testing
• Drawbacks
  • Interpretation if no Baseline Study in an individual athlete can be difficult
  • Not as definitive as a complete Neuropsychological evaluation

Whilst there are a number of issues around neurocognitive testing, they should nonetheless be integrated evaluation and management of any patient who has sustained a head injury.

• Issues
• Standards for assessment
  • How often?
  • Testing while symptomatic?
• Baseline vs No Baseline
• Not validated below age 12
• Who will interpret?
• Cost: who will pay?