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Interest of an Attentional Evaluation by a Computerized Battery in the Management of Concussion in Young Rugby Players

Not Applicable
Recruiting
Conditions
Concussion, Brain
Interventions
Diagnostic Test: Neuropsychological tests
Registration Number
NCT05719844
Lead Sponsor
University Hospital, Clermont-Ferrand
Brief Summary

The goal of this study is to test the ability of a computerized neuropsychological battery to identify attentional disorders resulting from a concussion occurring during the practice of rugby. Thirty young people with a concussion (11-25 years old) will take several neuropsychological tests. Researchers will compare their results with those of young athletes without concussion to see the effect of concussion.

Detailed Description

The objective is to carry out a complete neuropsychological assessment, detailing the attentional and executive aspects using the TAP computerized battery. In addition, various paper-and-pencil tests, standardized in French, more commonly used in the context of neuropsychological data related to concussions in athletes, will also be administered. These assess processing speed, short-term memory and auditory-verbal working memory capacity, episodic memory and selective attention. This preliminary study would make it possible to shed light on the links that may exist between performance in the various tests proposed and the characteristics inherent in the symptomatology of concussion. Furthermore, it seems relevant to compare the results of computerized tests with other paper-and-pencil tests but also with the performance of individuals who have no history of concussion with the practice of a non-contact sport.

The results of this study would make it possible in practice to have a neuropsychological assessment more specific to cerebral concussion, with a potentially reduced consultation time due to the use of more sensitive tools, and therefore, an earlier rehabilitative intervention.

Recruitment & Eligibility

Status
RECRUITING
Sex
Male
Target Recruitment
90
Inclusion Criteria
  • Patients :
  • concussion in the context of the practice of rugby
  • French or reading French without help
  • Controls :
  • no concussion
  • practicing a non-contact sport (athletics, rowing, badminton, capoeira, circus, running, crossfit, cycling, dancing, climbing, fencing, fitness, golf, gymnastics, bodybuilding, swimming, skating, Qi Gong, Taï chi, tennis, table tennis, shooting, trail running, volleyball, water polo) within a sports association
  • age matched to patient (+/- 1 year)
  • study level matched to patient (+/- 1 year)
  • French or reading French without help
Exclusion Criteria
  • Patients :
  • Legal protection measure
  • Other neurological or psychiatric pathologies prior to concussion episodes
  • Diagnosis of a neurodevelopmental disorder in childhood
  • Score less than or equal to 5/19 on the "Matrix" subtest (intellectual retardation)
  • Addictive behaviors
  • Current major depressive disorder or treated with antidepressants or benzodiazepines for less than 3 months
  • Severe visual or motor problems that may interfere with the performance of the tests
  • Controls :
  • Legal protection measure
  • History of proven concussion
  • Other neurological or psychiatric pathologies
  • Diagnosis of a neurodevelopmental disorder in childhood
  • Score less than or equal to 5/19 on the "Matrix" subtest (intellectual retardation)
  • Addictive behaviors
  • Current major depressive episode or treated with antidepressants or benzodiazepines for less than 3 months
  • Severe visual or motor problems that may interfere with the performance of the tests

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Neuropsychological testsNeuropsychological testsThe neuropsychological tests are computerized (TAP battery) or paper-and-pencil tests. They assess processing speed, short-term memory and auditory-verbal working memory capacity, episodic memory and selective attention.
Primary Outcome Measures
NameTimeMethod
Alertness timeAt inclusion

Reaction time (ms) in the Alertness TAP test

Divided Attention errorAt inclusion

Number of errors in the Divided Attention TAP test

Go/No-go timeAt inclusion

Reaction time (ms) in the Go/No-go TAP test

Alertness errorAt inclusion

Number of errors in the Alertness TAP test

Divided Attention timeAt inclusion

Reaction time (ms) in the Divided Attention TAP test

Incompatibility timeAt inclusion

Reaction time (ms) in the Incompatibility TAP test

Incompatibility errorAt inclusion

Number of errors in the Incompatibility TAP test

Working Memory errorAt inclusion

Number of errors in the Working Memory TAP test

Go/No-go errorAt inclusion

Number of errors in the Go/No-go TAP test

Working Memory timeAt inclusion

Reaction time (ms) in the Working Memory TAP test

Secondary Outcome Measures
NameTimeMethod
HeadachesAt inclusion

Presence or absence of headaches

ConsciousnessAt inclusion

Loss of initial consciousness or not

Complex figureAt inclusion

Score in the complex figure of the memory efficient battery 144. Score is determined by the number of elements of the figure recalled.

StoriesAt inclusion

Number of errors in stories subtests of the Child Memory Scale (CMS)

CodingAt inclusion

Number of errors in coding test

Digit spanAt inclusion

Number of errors in digit span test

16-item free and cued recallAt inclusion

Number of recall words in 16-item free and cued recall test

SymbolAt inclusion

Number of errors symbol search test

D2-R errorAt inclusion

Number of errors in D2-R tests

Sociodemographic dataAt inclusion

age and level of study of participants

AmnesiaAt inclusion

Presence of anterograde or retrograde amnesia

SCATAt inclusion

Symptom severity score on the Sport Concussion Assessment Tool (SCAT), range 0-132 (minimum-maximum), a higher score representing a more severe concussion

PositionAt inclusion

Player position in the rugby team

Matrix reasoningAt inclusion

Number of errors in Matrix reasoning test

SleepAt inclusion

Change in sleep (presence of hyper or insomnia)

Word pairsAt inclusion

Number of errors in word pairs subtests of the Child Memory Scale (CMS)

D2-R timeAt inclusion

Time (in seconds) to complete the D2-R test

Trial Locations

Locations (1)

CHU de Clermont-Ferrand

🇫🇷

Clermont-Ferrand, France

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