ImPACT Pediatric Data Clinical Report Final · • Report will provide raw scores for each test and standard (T) scores with a mean of 50 and a standard deviation of 10 T=3 0 T=4

ImPACT Pediatric Data and Clinical ReportPresenter: Jon Almquist, ATC, ITAT

Concussion SpecialistFairfax Family Practice Comprehensive Concussion Clinic

ConcussionManagement.com Copyright 2018. ImPACT Applications, Inc. All rights reserved.

• The statements and opinions contained in this program are solely those of the presenter.

• Treatment options and tools presented are some of many that are available.

• All individuals in control of content disclosed no relevant financial relationships.

• Other CE disclosures can be found in your course information document.

Disclosure Statements


This course describes the raw data on the ImPACT Pediatric Clinical report. Attendees will learn how each factor score is calculated and will see an overview of test performance by age. Case studies that illustrate specific aspects of test performance will also be discussed.

Course Objectives: At the end of the course, attendees will be able to:• Restate how to utilize ImPACT Pediatric in a clinical setting for patients

aged 5-11• Identify how to use the ImPACT Pediatric factor scores and raw data to

inform clinical decision making regarding concussed pediatric patients

Course Description


Speaker Biography

• Was employed for over 30 years in the Fairfax County Public School System as an athletic trainer, teacher, and administrator

• Currently employed by Fairfax Family Practice Comprehensive Concussion Clinic as a Concussion Specialist

• Co-owner of JLA Consulting, LLC

• Co-developer of a software program designed to organize and track concussion education and baseline testing for youth athletic associations

• Inducted into the NATA Hall of Fame, class of 2014

Jon Almquist, ATC, VATLConcussion SpecialistFairfax Family Practice Comprehensive Concussion Clinic


What is ImPACT Pediatric?

• Computerized cognitive test for ages 5-11

• iPad

• Clinical report


ImPACT Pediatric is Not

• A stand-alone assessment

• Effective if the clinician is untrained

• A substitute for thorough medical evaluation


Why ImPACT Pediatric?

• ImPACT: designed for ages 12-59

• Younger children: limited attention spans, require engaging tool

• Younger children: comfortable with touch screen, not with mouse


ImPACT Pediatric

ImPACT Pediatric was created as a platform to evaluate children between the ages of 5 and 11• 3:50• 3:53 - Principles for development• Must be brief• Must use tablet (iPad) as platform• Must measure aspects of speed and memory• Must be engaging and face valid• Must be reliable across different administrations• Must be “adjustable” (flexible) for different groups

• Intellectual disabilities and other groups


Key Assumptions

• Test instructions are read to child by examiner

• Test should not be administered in group setting

• Test administrators must be trained

• It is preferable to have parent or other responsible adult in room to provide knowledge of injury


ImPACT Pediatric

• Designed for sports but has multiple other potential uses (ADD, Epilepsy, Cancer)• Data gathered through multiple centers

Completed Research• Do we see expected performance for age in non-injured children? (developmental

trends)• Is the test reliable across more than one testing?• Does the test measure meaningful cognitive abilities?• Does the test correlate with Paper and Pencil testing?


Levels of Interpretation

• Symptoms reported by child

• Symptoms reported by adult (parent, coach, etc.)

• Raw scores of each test module



Factor scores • Created by comparing each individual to the mean (average) for his/her age group

and creating Standard (T scores).

• These are then averaged to produce the Factor Scores• T scores constructed: 50 is average and each ten point change = a Standard

Deviation.



Factor Scores Report• Sequential Memory• Word Memory• Visual Memory• Rapid Processing


Factor Score Components

Sequential Memory• Memory Touch, Number Correct• Memory Touch Highest Sequence• Memory Touch Sequences Correct

Word Memory• Shopping List Number Correct• Shopping List Number Correct, Delayed

Free Recall• Shopping List Number Correct

Recognition

Visual Memory• Picture Match Average Taps• Picture Match Average Time

Rapid Processing (Reaction Time)• Traffic Light Average Time• Design Rotation Number Correct


Developmental Data

• Neurological development is rapid in 5-11 age group

• Important to show expected changes in cognition• Cognitive speed improves with age• Memory processes improve with age

• Need “norms” for specific age groups

ConcussionManagement.com

ImPACT Pediatric Test Module Overview


Test Modules:

Word List Design Rotation Stop & Go Memory Touch Picture Match


Test Modules:



Word List - Immediate


Clinical Report pg.3

Word ListSkipped this module No No

Immediate Recall Num. Correct 5 1

Immediate Recall Num. Incorrect 0 2

Immediate Recall Percent Correct 100 20

Delayed Recall Number Correct 5 0

Delayed Recall Number Incorrect 0 2

Delayed Recall Percent Correct 100 0

Del. Recognition Number Correct 7 3Del. Recognition Percent Correct 70 30

Time Between Tests (in seconds) 294.33 342.36

Word Memory

Word Memory

Word Memory

Best 5/5

Best 5/5

Best 10/10Time between end of Immediate Recall to start of Delayed Free

Recall


Test Performance by Age

Perfect score= 5 (higher score represents better performance)

2.41.95

2.83

3.43.6 3.6

4

1.8

2.3

2.8

3.3

3.8

4.3

4.8

5 6 7 8 9 10 11

Word Memory Immediate Free Recall

WordMemoryImmediate




1.271.23

2.142.53

2.772.76

3.76

1

1.5

2

2.5

3

3.5

4

5 6 7 8 9 10 11

Word Memory Delay

WordMemoryDelay




7.958.15

8.57

8.88 8.96

9.1 9.35

7

7.5

8

8.5

9

9.5

5 6 7 8 9 10 11

Word Memory Recognition

WordMemoryRecognition


Test Modules:



Design Rotation



Design RotationSkipped this module No No

Number Correct 10 10Percent Correct 100 100

Average Time (in seconds) 1.47 1.86

Rapid Processing



A lower score represents better (faster) performance.

3.7

3.142.96

2.822.59

2.49

2.122

2.5

3

3.5

4

5 6 7 8 9 10 11

Design Rotation Average Time

DesignRotationAverageTime



Test Modules:


Stop and Go (The Traffic Light Test)



Stop & GoSkipped this module No No

Number Correct 10 10

Average Correct Answer Time 0.62 1.05

Number Incorrect Red Lights 0 0

Number Incorrect Green Lights 0 0

Number Incorrect Yellow Lights 0 2

Number of Omissions 0 0

Rapid Processing

Best of 10/10



A lower score represents better performance.

10.991

0.99

0.96

0.93

0.95

0.97

0.88

0.9

0.92

0.94

0.96

0.98

1

1.02

5 6 7 8 9 10 11

Stop and Go Average Time

Stop andGoAverageTime



Test Modules:


Memory Touch



Memory TouchSkipped this module No No

Number of Sequences Correct 6 3

Number of Stages Correct 3 1

Highest Sequence Reached 5 4

Sequential Memory

Sequential Memory

Sequential Memory

14 Possible

7 Possible

7 Possible



A higher score represents better performance.

4.37

5.375.82

6.83

7.427.8

44.5

55.5

66.5

77.5

8

5 6 7 8 9 10 11

Memory Touch Total Correct

MemoryTouch TotalCorrect


Test Modules:



Picture Match


Picture Match



Picture MatchSkipped this module No No

Immediate Memory Averag. Time 30.15 47.7

Immediate Memory Averag. Taps 37 49

Del. Recognition Number Correct 16 11

Del. Recognition Percent Correct 100 69%

Time Between Tests (in seconds) 36.04 32.65

Visual Memory

Visual Memory

Time between end of Picture test to start of Delayed Recognition (Del. Word

Free & Recognition in between)




36.87

37.93

36.35

36.7

36.0

35.6

35.96

3434.535

35.536

36.537

37.538

38.5

5 6 7 8 9 10 11

Picture Match Average Taps

PictureMatchAverageTaps




39.5

41.1

36.8 36.1

33.832.0

29.1

25

30

35

40

45

5 6 7 8 9 10 11

Picture Match Time

PictureMatchTime


Factor (Composite) Scores

• Based on factor analysis• Report will provide raw scores for each test and standard (T) scores with a mean of 50

and a standard deviation of 10

T=30

T=40

T=50

T=60

T=70

Average25th-75th

Very Superior/Superior9

2th-99th

High Average76th-91st

Borderline Impaired 2nd – 8th

Low Average9th-24th

Impaired < 2nd


Reliable Change Index Scores (RCI)

• Statistically calculated and based on standard error of measurement

• Allow for “wiggle room” within normal range of scores

• In the non-concussed population, these levels of change would not be exceeded 90% of the time

• Each composite score that is a clinical scale has a unique, corresponding reliable change index score


How Factor Scores are CalculatedCalculation of T and Factor ScoresTo allow comparison of the subscale module scores to each other on a common metric, these scores were converted to T (transformed) scores.

T ScoresThe raw scores for each ImPACT Pediatric test modules were transformed into non-normalized linear T scores (i.e., M = 50, SD = 10) using the formula described below. This was completed by creating standardized (z) scores for each module and for every age group (5 to 11 years). Z scores have a mean of 0 and a standard deviation of 1 and were calculated by subtracting the individual test score from the group mean and dividing by the standard deviation of the group. The scores for each factor were combined to yield average scores and these were converted to T scores with a mean of 50 and a standard deviation of 10 utilizing the following formula:

T Score Formula: T = (z *10) + 50

Where z represents the standard score, 10, the standard deviation and 50 representing a constant.The advantage of this type of transformation is that it does not alter the shape of the distribution. Any skew that is evident in the raw score distribution is preserved in the T score distribution (Crocker & Algina, 1986). Additionally, the transformation into T scores helps clinical interpretation of data and facilitates explanation by the healthcare professional to parents, coaches and other laypersons.

VariableLeptokurtic / Positively

SkewedSkewness Kurtosis Kolmogorov-

SmirnovPicture Match Time 0.69 0.20 <.001

Picture Match Taps 0.69 0.32 <.001

Design Rotation Average Time 0.82 1.09 <.001

Leptokurtic / NegativelySkewed

Stop And Go Average Time 0.53 -0.07 <.001

Platykurtic / Positively Skewed

Memory Touch Total Correct -0.24 0.13 <.001

Memory Touch HighestSequence

-0.48 0.25 <.001

Word Memory Recognition -1.21 0.81 <.001

Platykurtic / Negatively Skewed

Memory Touch SequencesCorrect

-0.11 -0.33 <.001

Word Memory Delayed -0.18 -0.88 <.001

Word Memory Immediate -0.65 -0.46 <.001


Potential Errors for Each Factor Score- Contributions to this Error

Examiner Error- Failed to present stimuli correctly (e.g. misreading instructions to child)- Doesn’t follow directions in giving test

Subject Error- Child doesn’t understand direction (make sure child can do samples before progressing)- Child is tired or uncooperative- Attempts to fake the test (sandbagging is rare in young children but can happen)

Test Error- iPad not functioning properly - App won’t load correctly


Test Invalidity

• Child Did Not Understand Directions- Solution: Make sure child can complete before progressing

• Improper Administration- Solution: Make sure that you understand administration

Test may be invalid if any of the following scores:• Word Memory recognition < 5• Design Rotation average time > 5 seconds or number correct< 5• Memory touch sequences correct < 2 • Picture Match average taps > 50 or completion time > 60• Stop and Go average time > 5 seconds or number correct <5


ImPACT Pediatric Clinical Report


Factor ScoresSequential Memory 44 31 Score is > 2 SDs below Average

Word Memory 50 20 Score is 3 > SDs below Average

Visual Memory 50 26 Score is 2.5 > SDs below Average

Rapid Processing 66 47 Score is almost 2 SDs below Baseline

Pediatric Clinical Report pg.1

GeneralTest Type Baseline Post-Injury

Test Battery Pediatric PediatricAge When Tested 10 10

Test Date and Time 03/07/2015 11:18 AM 03/07/2015 11:34 AMInjury Date and Time 03/07/2015 11:34 AM

Parent/Guardian Present True TrueTest Language English English

Test Administrator Demo4 Demo4Test Version 1.0.0 1.0.0


Pediatric Clinical Report pg.1Demographics

Diagnosed Concussions 0 1

Unconscious After Head Injury No No

Repeated a Grade in School No No

Skipped a Grade in School No No

In Kindergarten No No

Diagnosed with Seizures No No

Diagnosed with ADD or ADHD No No

Diagnosed with Dyslexia No No

Other Learning Disability No No

Diagnosed with Autism Disorder No No

Diagnosed with Speech Problems No No

Diagnosed with Vision Problems No No

Diagnosed with Hearing Problems No No

Diagnosed with Depression No No

Diagnosed with Anxiety No No

Other Diagnoses

Medications

ConcussionManagement.com Copyright 2018. ImPACT Applications, Inc. All rights reserved.Symptom reporting by Adult is often different than child

Symptom Reporting by Child and Adult

Sympt. Reported by Test Taker

Headache No YesStomach Ache No Yes

Dizziness No YesFeeling Tired No Yes

Reading Problems No YesTV/Computer Problems No No

Light Sensitivity No NoNoise Sensitivity No No

Fuzzy Vision No NoCar Sickness No No

Memory Problems No NoOther Symptoms Reported

Sympt. Reported by Parent

Headache No YesNausea No Yes

Vomiting No NoDizziness No Yes

Balance Problems No YesIrritability No Yes

Fatigue No YesSleeping More No YesSleeping Less No No

Morning/Afternoon Difference

No Yes

Anxiety No NoOther Symptoms Reported




Immediate Recall Num. Correct 5 1Immediate Recall Num. Incorrect 0 2Immediate Recall Percent Correct 100 20

Delayed Recall Number Correct 4 0Delayed Recall Number Incorrect 0 2

Delayed Recall Percent Correct 100 20Del. Recognition Number Correct 7 3Del. Recognition Percent Correct 70 30Time Between Tests (in seconds) 294.33 342.36


Number Correct 10 10Percent Correct 100 100

Average Time (in seconds) 1.47 1.86Stop & Go

Skipped this module No NoNumber Correct 10 10

Average Correct Answer Time 0.62 1.05Number Incorrect Red Lights 0 0

Number Incorrect Green Lights 0 0Number Incorrect Yellow Lights 0 2





Number of Sequences Correct 6 3Number of Stages Correct 3 1Highest Sequence Reached 5 4


Immediate Memory Averag. Time 30.15 47.7Immediate Memory Averag. Taps 37 49Del. Recognition Number Correct 16 11Del. Recognition Percent Correct 100% 69%Time Between Tests (in seconds) 36.04 32.65



ImPACT Pediatric Case Studies


CASE STUDY #1

9 Year Old Female Ice Hockey Player• Fell to ice, struck side of head on ice• Sideline test administered• Immediate removal from ice

• Headache minor lasting few hours• Seen in clinic next day• No symptom increase at school

Clinic Evaluation• VOMS – unremarkable

• Slight dizziness with VOR


Factor ScoresSequential Memory 64 55

Word Memory 57 50Visual Memory 57 49

Rapid Processing 62 60

CASE STUDY #1

Pediatric Clinical Report pg.1 (9yo w/baseline)

GeneralTest Type Baseline Post-Injury


Test Date and Time 08/26/2017 11:18 AM 10/02/2017 11:34 AMInjury Date and Time 10/01/2017 11:34 AM


Test Administrator ET ETTest Version 1.1.0 1.1.0


DemographicsDiagnosed Concussions 0 0

Unconscious After Head Injury No NoRepeated a Grade in School No NoSkipped a Grade in School No No

In Kindergarten No NoDiagnosed with Seizures No No

Diagnosed with ADD or ADHD No NoDiagnosed with Dyslexia No NoOther Learning Disability No No

Diagnosed with Autism Disorder No NoDiagnosed with Speech Problems No NoDiagnosed with Vision Problems No No

Diagnosed with Hearing Problems No NoDiagnosed with Depression No No

Diagnosed with Anxiety No NoOther Diagnoses

Medications

CASE STUDY #1Pediatric Clinical Report pg.1 (9yo w/baseline)


Symptom reporting by Adult is often different than child

Symptom Reporting by Child and AdultSymptoms Reported by Test Taker

BL PI 1

Headache No YesStomach Ache No Yes

Dizziness No YesFeeling Tired No Yes

Reading Problems No YesTV/Computer Problems No No

Light Sensitivity No NoNoise Sensitivity No No

Fuzzy Vision No NoCar Sickness No No

Memory Problems No NoOther Symptoms Reported

Symptoms Reported by Parent

BL PI 1

Headache No YesNausea No Yes

Vomiting No NoDizziness No Yes

Balance Problems No YesIrritability No Yes

Fatigue No YesSleeping More No YesSleeping Less No No

Morning/Afternoon Difference No YesAnxiety No No

Other Symptoms Reported

CASE STUDY #1 Pediatric Clinical Report pg.2 (9yo w/baseline)



Immediate Recall Num. Correct 4 4Immediate Recall Num. Incorrect 0 2Immediate Recall Percent Correct 80% 80%


Delayed Recall Percent Correct 100 20Del. Recognition Number Correct 10 8Del. Recognition Percent Correct 100% 80%Time Between Tests (in seconds) 599.85 427.68


Number Correct 10 10Percent Correct 100% 100%

Average Time (in seconds) 1.68 1.64Stop & Go

Skipped this module No NoNumber Correct 10 10

Average Correct Answer Time 0.66 0.70Number Incorrect Red Lights 0 0








Immediate Memory Averag. Time 29.59 28.06Immediate Memory Averag. Taps 33 34Del. Recognition Number Correct 15 15Del. Recognition Percent Correct 93.75% 93.75%Time Between Tests (in seconds) 116.43 86.64



Factor ScoresSequential Memory 64 55 69

Word Memory 57 50 55Visual Memory 57 49 57

Rapid Processing 62 60 63


General

Test Type Baseline Post-Injury 1 Post-Injury 2Test Battery Pediatric Pediatric Pediatric

Age When Tested 9 9 9Test Date and Time 08/26/2017 11:18 AM 10/02/2017 11:34 AM 10/5/2017 5:10 PM

Injury Date and Time 10/01/2017 11:34 AM 10/01/2017 11:34 AMParent/Guardian Present True True True

Test Language English English EnglishTest Administrator ET ET ET

Test Version 1.1.0 1.1.0 1.1.0


Demographics Baseline Post-1 Post-2

Diagnosed Concussions 0 0 0

Unconscious After Head Injury No No No

Repeated a Grade in School No No No

Skipped a Grade in School No No No

In Kindergarten No No No

Diagnosed with Seizures No No No

Diagnosed with ADD or ADHD No No No

Diagnosed with Dyslexia No No No

Other Learning Disability No No No

Diagnosed with Autism Disorder No No No

Diagnosed with Speech Problems No No No

Diagnosed with Vision Problems No No No

Diagnosed with Hearing Problems No No No

Diagnosed with Depression No No No

Diagnosed with Anxiety No No No

Other Diagnoses

Medications



Symptom reporting by Adult is often different than child


Symptoms Reported by Test Taker

BL PI 1 PI 2

Headache No Yes NoStomach Ache No Yes No

Dizziness No Yes NoFeeling Tired No Yes No

Reading Problems No Yes NoTV/Computer Problems No No No

Light Sensitivity No No NoNoise Sensitivity No No No

Fuzzy Vision No No NoCar Sickness No No No

Memory Problems No No NoOther Symptoms Reported

Symptoms Reported by Parent

BL PI 1 PI 2

Headache No Yes NoNausea No Yes No

Vomiting No No NoDizziness No Yes No

Balance Problems No Yes NoIrritability No Yes No

Fatigue No Yes NoSleeping More No Yes NoSleeping Less No No No

Morning/Afternoon Difference No Yes NoAnxiety No No No

Other Symptoms Reported



Word ListSkipped this module No No No

Immediate Recall Num. Correct 4 4 5Immediate Recall Num. Incorrect 0 2 0Immediate Recall Percent Correct 80% 80% 100%

Delayed Recall Number Correct 4 3 3Delayed Recall Number Incorrect 0 0 0

Delayed Recall Percent Correct 100 20 60%Del. Recognition Number Correct 10 8 9Del. Recognition Percent Correct 100% 80% 90%Time Between Tests (in seconds) 599.85 427.68 435.40

Design RotationSkipped this module No No No

Number Correct 10 10 10Percent Correct 100% 100% 100%

Average Time (in seconds) 1.68 1.64 1.19Stop & Go

Skipped this module No No NoNumber Correct 10 10 10

Average Correct Answer Time 0.66 .70 0.69Number Incorrect Red Lights 0 0 0

Number Incorrect Green Lights 0 0 0Number Incorrect Yellow Lights 0 0 0

Number of Omissions 0 0 0



Memory TouchSkipped this module No No No

Number of Sequences Correct 10 8 11

Number of Stages Correct 5 3 5

Highest Sequence Reached 7 7 8

Picture MatchSkipped this module No No No

Immediate Memory Averag. Time 29.59 28.06 28.65

Immediate Memory Averag. Taps 33 34 41

Del. Recognition Number Correct 15 15 16

Del. Recognition Percent Correct 93.75% 93.75% 100%

Time Between Tests (in seconds) 116.43 86.64 67.45



CASE STUDY #2

7 Year Old Male (non-athlete)• Playing with brother, hit in head • No loss of consciousness• Remained playing

• Complained of HA later• Teacher noticed changes, slowed,

less active• Decreased attention span• Worse at end of day

• Clinic Evaluation• VOMS = Increased headache and

dizziness with pursuits and VOR• NPC = WNL• VMS = dizziness• No diagnosis of ADHD• Presented with minimal parental

disciplinary intervention


Factor ScoresSequential Memory 32

Word Memory 56Visual Memory 52

Rapid Processing 78

CASE STUDY #2 Pediatric Clinical Report pg.1 (7 yo NO BASELINE)

GeneralTest Type Post-Injury

Test Battery PediatricAge When Tested 7

Test Date and Time 03/23/2017 11:18 AMInjury Date and Time 03/21/2017 11:34 AM

Parent/Guardian Present TrueTest Language English

Test Administrator JATest Version 1.1.0


DemographicsDiagnosed Concussions 0

Unconscious After Head Injury NoRepeated a Grade in School NoSkipped a Grade in School No

In Kindergarten NoDiagnosed with Seizures No

Diagnosed with ADD or ADHD NoDiagnosed with Dyslexia NoOther Learning Disability No

Diagnosed with Autism Disorder NoDiagnosed with Speech Problems NoDiagnosed with Vision Problems No

Diagnosed with Hearing Problems NoDiagnosed with Depression No

Diagnosed with Anxiety NoOther Diagnoses

Medications



Symptom reporting by Adult may be different than child


Sympt. Reported by Test Taker

Headache YesStomach Ache No

Dizziness NoFeeling Tired Yes

Reading Problems NoTV/Computer Problems No

Light Sensitivity YesNoise Sensitivity Yes

Fuzzy Vision NoCar Sickness No

Memory Problems YesOther Symptoms

Reported

Sympt. Reported by Parent

Headache YesNausea No

Vomiting NoDizziness Yes

Balance Problems YesIrritability No

Fatigue YesSleeping More YesSleeping Less No

Morning/Afternoon Difference

No

Anxiety NoOther Symptoms Reported

CASE STUDY #2Pediatric Clinical Report pg.2 (7 yo NO BASELINE)


Word ListSkipped this module No

Immediate Recall Num. Correct 3Immediate Recall Num. Incorrect 0Immediate Recall Percent Correct 60%

Delayed Recall Number Correct 3Delayed Recall Number Incorrect 0

Delayed Recall Percent Correct 60%Del. Recognition Number Correct 10Del. Recognition Percent Correct 100%Time Between Tests (in seconds) 360.87

Design RotationSkipped this module No

Number Correct 8Percent Correct 80%

Average Time (in seconds) 1.65Stop & GoSkipped this module No

Number Correct 10Average Correct Answer Time 0.66Number Incorrect Red Lights 0

Number Incorrect Green Lights 0Number Incorrect Yellow Lights 0

Number of Omissions 0



Memory TouchSkipped this module No

Number of Sequences Correct 1Number of Stages Correct 0Highest Sequence Reached 3

Picture MatchSkipped this module No

Immediate Memory Averag. Time 29.06Immediate Memory Averag. Taps 41Del. Recognition Number Correct 16Del. Recognition Percent Correct 93.75%Time Between Tests (in seconds) 61.42



CASE STUDY #2 PLAN

Return to Learn• Partial school day with modifications• Avoid Physical Education and other “Specials”• Allow rest on desk as needed• Modify activity during recess

Physical Activity• Walk, light play, stay in control of symptoms

Home• Minimize screen use, rest as needed

Vestibular-Ocular Reconditioning• Smooth Pursuits• Gaze Stability


Factor ScoresSequential Memory 32 36

Word Memory 56 65Visual Memory 52 35

Rapid Processing 78 75


GeneralTest Type Post-Injury 1 Post-Injury 2


Test Date and Time 03/23/2017 11:18 AM 04/5/2017 2:34 PMInjury Date and Time 03/21/2017 11:34 AM 03/21/2017 11:34 AM


Test Administrator JA JATest Version 1.1.0 1.1.0



Immediate Recall Num. Correct 3 5Immediate Recall Num. Incorrect 0 0Immediate Recall Percent Correct 60% 100%


Delayed Recall Percent Correct 60% 100%Del. Recognition Number Correct 10 10Del. Recognition Percent Correct 100% 100%Time Between Tests (in seconds) 360.87313.20


Number Correct 8 10Percent Correct 80% 100%

Average Time (in seconds) 1.65 1.54Stop & GoSkipped this module No No

Number Correct 10 10Average Correct Answer Time 0.66 0.75Number Incorrect Red Lights 0 0








Immediate Memory Averag. Time 29.06 37.80Immediate Memory Averag. Taps 41 51Del. Recognition Number Correct 16 12Del. Recognition Percent Correct 93.75% 75%Time Between Tests (in seconds) 61.42 54.76



Factor ScoresSequential Memory 32 36 44 52

Word Memory 56 65 49 60Visual Memory 52 35 44 50

Rapid Processing 78 75 59 75


GeneralTest Type Post-Injury 1 Post-Injury 2 Post-Injury 3 Post-Injury 4

Test Battery Pediatric Pediatric Pediatric PediatricAge When Tested 7 7 7 7

Test Date and Time 03/23/2017 11:18 AM 04/5/2017 2:34 PM 04/20/2017 11:27 AM 05/10/2017 9:44 AMInjury Date and Time 03/21/2017 11:34 AM 03/21/2017 11:34 AM 03/21/2017 11:34 AM03/21/2017 11:34 AM

Parent/Guardian Present True True True TrueTest Language English English English English

Test Administrator JA JA JA JATest Version 1.1.0 1.1.0 1.1.0 1.1.0


Word ListSkipped this module No No No No

Immediate Recall Num. Correct 3 5 3 5Immediate Recall Num. Incorrect 0 0 1 0Immediate Recall Percent Correct 60% 100% 60% 100%

Delayed Recall Number Correct 3 5 3 3Delayed Recall Number Incorrect 0 0 0 0

Delayed Recall Percent Correct 60% 100% 70% 100%Del. Recognition Number Correct 10 10 7 10Del. Recognition Percent Correct 100% 100% 70% 100%Time Between Tests (in seconds) 360.87313.20 336.50 367.76

Design RotationSkipped this module No No No No

Number Correct 8 10 10 8Percent Correct 80% 100% 100% 80%

Average Time (in seconds) 1.65 1.54 1.43 1.27Stop & GoSkipped this module No No No No

Number Correct 10 10 9 10Average Correct Answer Time 0.66 0.75 0.92 0.70Number Incorrect Red Lights 0 0 0 0

Number Incorrect Green Lights 0 0 1 0Number Incorrect Yellow Lights 0 2 0 0

Number of Omissions 0 0 0 0



Memory TouchSkipped this module No No No No

Number of Sequences Correct 1 2 4 6Number of Stages Correct 0 1 2 2Highest Sequence Reached 3 3 4 6

Picture MatchSkipped this module No No No No

Immediate Memory Averag. Time 29.06 37.80 32.12 28.89Immediate Memory Averag. Taps 41 51 46 42Del. Recognition Number Correct 16 12 15 16Del. Recognition Percent Correct 93.75% 75% 93.75% 100%Time Between Tests (in seconds) 61.42 54.76 65.67 60.36



In Summary:

• Testing Children is Individual – requires specific knowledge of children and how they react to situations

• When administered appropriately - it is a reliable and valid indicator

• Is a tool and should be use as part of the full evaluation


Thank You!

• For more info, visit our website ImPACTPediatric.com

• Follow Us on Social Media

• Email questions to [email protected]


Documents

ImPACT Pediatric Data Clinical Report Final · • Report will provide raw scores for each test and standard (T) scores with a mean of 50 and a standard deviation of 10 T=3 0 T=4