Clinical utility of ImPACT assessment for postconcussion return-to-play counseling: psychometric issues

J Clin Exp Neuropsychol. 2012;34(3):235-42. doi: 10.1080/13803395.2011.630655. Epub 2011 Dec 13.

Abstract

Computerized neuropsychological testing is commonly utilized in the management of sport-related concussion. In particular, the Immediate Postconcussion Assessment and Cognitive Testing 2.0 program (ImPACT) is widely used to assess the cognitive functioning of athletes before and after a concussion. We review the evidence for the clinical utility of this program in terms of validity, reliability, and use in return-to-play decisions. We conclude that the empirical evidence does not support the use of ImPACT testing for determining the time of postconcussion return to play.

MeSH terms

  • Athletic Injuries / complications
  • Athletic Injuries / psychology*
  • Brain Concussion / etiology
  • Brain Concussion / psychology*
  • Humans
  • Male
  • Neuropsychological Tests
  • Psychometrics
  • Recovery of Function / physiology*
  • Reproducibility of Results