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The score is presented with a listing of symptoms endorsed and a red or green light regarding the neurological screen. All cases of a concussion result in mandatory restricted duty for 24 hours followed by immediate reevaluation via the MACE.
Concussion grading systems are sets of criteria used in sports medicine to determine the severity, or grade, of a concussion, the mildest form of traumatic brain injury. At least 16 such systems exist, [ 1 ] and there is little agreement among professionals about which is the best to use. [ 2 ]
The M-ACE is scored out of 30, with a higher score indicating better cognitive function, and has two recommended cut-off scores (25 and 21). The higher cut-off score has both high specificity and sensitivity and is at least five times more likely to have come from a dementia patient than without.
In one study, higher average severity scores were associated with patients involved in litigation at the time the questionnaire was administered. [9] Studies using other neuropsychological assessments for post-concussion syndrome or general cognitive performance have also shown poor test-taker effort to affect the reported severity of symptoms ...
The two ratings are multiplied (how often × how bad) to create a single score for each item. These product-based scores are then converted to item scores that reflect both the frequency and intensity of symptom endorsement (range = 0–4). Item product scores convert to item total scores: 0–1 = 0, 2–3 = 1, 4–6 = 2, 8–12 = 3, and 15+ = 4.
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ANAM has a long and continuous history of research in the Department of Defense, including sports concussion studies at West Point and Traumatic Brain Injury (TBI) studies during Ft. Bragg Paratrooper training. Through these and other programs, nearly two million ANAM test sessions have been collected.
The Acute Concussion Evaluate (ACE) tool and the SCAT5 can be utilized to screen the cognitive status of the individual. [1] These assessment tools can evaluate cognition, such as memory. Nonetheless, it lacks in its ability to judge attention, a factor that may be affected due to concussion.