Use of a rapid visual screening tool for the assessment of concussion in amateur rugby league: A pilot study

Aim: This study undertook to use the K-D sideline test with the SCAT2 to see if concussions could be identified in amateur rugby league players over a representative competition period. Method: A prospective cohort study was conducted on two teams participating in an amateur rugby league. All players were tested for signs of concussion utilising the K-D test and players with longer times than their baseline scores undertook a further concussion assessment with the SCAT2. Results: Five athletes with suspected concussion were evaluated by K-D testing. Three concussions were associated with witnessed events during the matches and two athletes were identified by the team medic as having longer K-D time scores incidentally post-match compared to baseline. Post-match K-D scores for all concussed athletes were worse than baseline for those with reported or witnessed concussion events (7 s; 5.0-7.1; p = 0.025) and for those identified incidentally (>5 s; 8.9-9.1 s). Both groups also reported more symptoms on the PCSS (a part of the SCAT2) post-match. Discussion: In this rugby cohort, the K-D test was not only useful in identifying changes in players with witnessed head trauma, but in identifying changes in players with an un-witnessed suspected concussion. (c) 2012 Elsevier B.V. All rights reserved.