The Sideline Assessment of Concussion (SAC), graded symptom checklist, and Balance Error Scoring System (BESS) or modified-BESS (m-BESS) were most useful immediately after a suspected SRC in differentiating a concussed from nonconcussed athlete; diagnostic utility decreases significantly after 3–5 days postinjury (Echemendia et al., 2017b). Preseason baseline testing with the SCAT2 can be helpful for interpreting post-injury test scores. A comprehensive neurological examination is impractical during a sideline concussion assessment, but many concussion assessment tools do include key components of the neurological exam, such as the assessment of postural stability. Numerous symptom scales and sideline assessment tools are available for team physicians and athletic trainers to objectively assess this difficult injury. Maddocks questions5 for sideline concussion assessment. Words in Italics throughout the SCAT2 are the instructions given to the athlete by the tester. The purpose of this article is to update the reader on literature published within the past year relevant to concussion symptom scales and sideline assessment tools. Instructions for using the SCAT2 The SCAT2 is designed for the use of medical and health professionals. The Sport Concussion Assessment Tool 5 is a standardized sideline concussion screening tool for use by medical professionals. Concussion: Sideline Assessment Damion A. Martins, MD Director, Orthopedics & Sports Medicine Program Director, Sports Medicine Fellowship - Atlantic Health System Director of Internal Medicine - New York Jets Administrative Medical Director- Major League Soccer Assistant Clinical Professor of Medicine & Orthopedics - Icahn School of Medicine at Mt Sinai The SCAT-5 can be used to assess athletes ages 13 and older for a variety of mental and physical changes following a head injury. Athletes ages 12 and younger should be assessed using the Child SCAT-5.

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