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Sports chiropractic management of concussions using the Sport Concussion
Assessment Tool 2 symptom scoring, serial examinations, and graded return to play
protocol: a retrospective case series
#MMPMID24396327
Shane ER
; Pierce KM
; Gonzalez JK
; Campbell NJ
J Chiropr Med
2013[Dec]; 12
(4
): 252-9
PMID24396327
show ga
OBJECTIVE: The purpose of this case series is to report how the symptom section
of the Sport Concussion Assessment Tool 2 (SCAT2) was used to manage athletes
with concussions in a high school training room setting and to address the need
for SCAT2 baseline measurements. CLINICAL FEATURES: During a 4-month period, 3
doctors of chiropractic with certification from the American Chiropractic Board
of Sports Physicians managed 15 high school athletes with concussions in a
multidisciplinary setting. Fourteen athletes were male American football players,
and one was a female volleyball player. INTERVENTION AND OUTCOME: Of the 15
athletes, 3 athletes had baseline SCAT2 documentation. Athletes were evaluated
and returned to play with a graded return to play protocol using the SCAT2
symptoms and serial physical examinations. Once participants were asymptomatic,
they began a graded return to play process. A total of 47 SCAT2 tests were
performed on the 15 athletes, averaging 3.13 SCAT2 evaluations per patient. Of
the 15 athletes evaluated, 6 were managed and cleared for return to play; 2 of
the athletes sustained concussions in the last week of the season, thus ending
their season; and 3 athletes were cleared by medical doctors. None of the
athletes under care reported an adverse event. CONCLUSION: The utilization of the
SCAT2 with serial physical examinations provided objective measures for athlete's
injuries, allowing the practitioners to evaluate concussions. More efforts are
needed to collect baseline SCAT2 to compare these scores with subsequent SCAT2
scores following athletic injuries.
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