Return to Sport
Conditions
Brief summary
The Clinical Assessment for Sports Exertion (CASE) addresses the physical performance of athletes by quantifying physiological and symptomatic responses to dynamic exertion. The CASE is highly sport-specific as it tests multiple body positions that mimic requirements typical of individual and contact sports activities including soccer, gymnastics, cheerleading, swimming, and basketball. It was developed by clinicians at the Baylor Scott and White Sports Concussion Program in an effort to identify specific system impairments in athletes who were unable to successfully demonstrate readiness for return to play protocols. Like the other published forms of concussion exertion testing described above, the CASE is a provocative exercise test that may also prove to be useful in making informed return-to-play decisions based upon the athlete's symptomatology.
Interventions
OTHERCASE
The Clinical Assessment for Sports Exertion (CASE) addresses the physical performance of athletes by quantifying physiological and symptomatic responses to dynamic exertion. It was developed by clinicians at the Baylor Scott and White Sports Concussion Program in an effort to identify specific system impairments in athletes who were unable to successfully demonstrate readiness for return to play protocols.
Sponsors
Baylor Research Institute
Sports Academy
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
10 Years to 22 Years
Healthy volunteers
Yes
Inclusion criteria
* 10-22 years of age who have participated in organized sport activities within the past 12 months * Diagnosed with a concussion according to international concussion in sport group criteria * Asymptomatic at rest and must be cleared from return-to-play by a qualified healthcare professional no later than 30 days following clearance
Exclusion criteria
* Orthopedic or neurologic, or other limitations * History of seizures * Previous or current diagnoses for cardiopulmonary conditions * Medical diagnosis of diabetes and/or currently on medications for diabetes (e.g., insulin) * Uncontrolled asthma * Pregnancy * Currently experiencing symptoms of COVID-19 or \< 7 days since last symptoms * History of moderate or severe traumatic brain injury defined as a brain injury with an associated Glasgow Coma Scale score of 12 or less * Symptom score \>1 point on initial PCSS intake * A current diagnosis of and treatment with medication for attention-deficit/hyperactivity disorder, learning disorder, depression, anxiety, or a history of more than 3 prior concussions * Limited English proficiency * Currently taking prescription medication for concussion related impairments * Anticoagulant or antiplatelet use * History of a medical condition that mimics the signs and symptoms of prolonged concussion symptoms (eg, history of chronic headaches, active migraines, cardiovascular conditions)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Heart rate (bpm) | through study completion, an average of 1.5 hours | Using pulse oximeter placed on index finger heart rate will be recorded. |
| Blood pressure (mmHg) | through study completion, an average of 1.5 hours | Using a manual cuff and auscultation method diastolic and systolic scores will be recorded. |
| Oxygen Saturation (%) | through study completion, an average of 1.5 hours | Using pulse oximeter placed on index finger oxygen saturation will be recorded. |
| Rate of Perceived Exertion (Borg 6-20) | through study completion, an average of 1.5 hours | Using Borg Scale, self report measure of exertion will be recorded. A higher number indicates higher exertion. |
| Self-rated lightheadedness (0-6) | through study completion, an average of 1.5 hours | On a scale of 0-6, a self report measure of lightheadedness will be recorded. A higher number indicates worse lightheadedness. |
| Self-rated dyspnea (Modified Borg 0-10) | through study completion, an average of 1.5 hours | Using Borg scale, self report measure of dyspnea will be recorded. A higher number indicates worse dyspnea. |
| Heart rate reserve (peak-rest), beats/min-1 | through study completion, an average of 1.5 hours | Using metabolic cart, heart rate reserve will be recorded via Garmin heart rate strap. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Modified Post-Concussion Symptom Scale (PCSS) (0-6) | through study completion, an average of 1.5 hours | Using modified PCSS, self report measure of symptoms will be recorded. A high number indicates worse symptoms. |
Countries
United States
Outcome results
None listed