Evaluation and Utility of the King-Devick With Integrated Eye Tracking as a Diagnostic Tool for Sport-Related Concussion.

Background: Eye-tracking technology for detecting eye movements has been gaining increasing attention as a possible assessment and monitoring tool for sport-related concussion (SRC). Purpose: To determine the diagnostic accuracy of a rapid number-naming task with eye tracking, the King-Devick Eye Tr...

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Publicado en:Orthopaedic Journal of Sports Medicine Vol. 10; no. 12; pp. 1 - 9
Autores principales: Hecimovich, Mark, Murphy, Myles, Chivers, Paola, Stock, Payton
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Orthopaedic Journal of Sports Medicine
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      dt: Dec2022
      vid: 10
      iid: 12
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Evaluation and Utility of the King-Devick With Integrated Eye Tracking as a Diagnostic Tool for Sport-Related Concussion.
      aug:
        au:
          Hecimovich, Mark
          Murphy, Myles
          Chivers, Paola
          Stock, Payton
        affil: Department of Athletic Training, 003C Human Performance Center, University of Northern Iowa, Cedar Falls, Iowa, USA.
      sug:
        subj:
          Brain Concussion Diagnosis
          Athletic Injuries Diagnosis
          Clinical Assessment Tools Evaluation
          Eye Movement Measurements
          Task Performance and Analysis
          Instrument Validation
          Human
          Descriptive Statistics
          Data Analysis Software
          Confidence Intervals
          Chi Square Test
          Prospective Studies
          Male
          Female
          T-Tests
          Young Adult
          Validation Studies
          Male
          Female
      ab: Background: Eye-tracking technology for detecting eye movements has been gaining increasing attention as a possible assessment and monitoring tool for sport-related concussion (SRC). Purpose: To determine the diagnostic accuracy of a rapid number-naming task with eye tracking, the King-Devick Eye Tracking (K-D ET) assessment, in identifying SRC. Study Design: Cohort study. Methods: One female and 1 male team of United States collegiate rugby-15 players competing during the 2018 season were recruited. Variables assessed were total saccades, saccade velocity, total fixations, fixation duration, fixation polyarea, and test duration. A generalized estimating equation was used to examine group (concussion vs nonconcussion), time (baseline vs postinjury/postseason), and sex-based differences for each outcome measure. In addition, the different components of diagnostic accuracy of the K-D ET were calculated. Results: Baseline K-D ET assessment for 49 participants (25 male, 24 female) were assessed at the beginning of the season, with 28 participants who did not sustain a head injury during the season completing the postseason assessments and 6 participants completing a postinjury (suspected concussion) assessment. Significant differences were observed between concussed and nonconcussed groups for total saccades (P =.024), fixation duration (P =.007), and fixation polyarea (P =.030), with differences from baseline to follow-up observed for saccade velocity (P =.018) in both groups. Sex-based differences were noted for total fixations (P =.041), fixation polyarea (P =.036), and completion time (P =.035). No significant Group × Time interactions were noted. The K-D ET test duration indicated high specificity (0.86) but not high sensitivity (0.40). No other variables reported high sensitivity or specificity. Conclusion: Other than completion time of the K-D ET test, no K-D ET oculomotor parameter was highly sensitive or specific in the diagnosis of concussion in this study.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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