King-Devick Test reference values and associations with balance measures in high school American football players

Scand J Med Sci Sports. 2016 Feb;26(2):235-9. doi: 10.1111/sms.12628. Epub 2015 Dec 9.

Abstract

The King-Devick test appears to be a promising tool in screening for concussions. However, limited evidence exists on the baseline associations between the K-D test and age and baseline screening tools used after concussion. Additionally, there are no published reference values for the K-D test in high school football players. The K-D test, the Balance Error Scoring System, and the Limits of Stability (LOS) test were administered to 157 high school football players. Additionally, a subsample of 62 participants completed the test twice to examine the reliability of K-D test. There was no relationship between the K-D test and the BESS, or the reaction time and directional control of LOS test. Students aged between 16 and 18 years demonstrated faster K-D test performance compared to students between 13 and 15 years of age. However, there was no association between K-D test and history of concussion. The reliability of the K-D test was (ICC2,1 = 0.89), and the minimal detectable change was 6.10 s. Normative reference values for high school football players are presented in this study.

Keywords: Concussion; adolescents; head injury; minimum detectable change; normative values; reliability; screening; validity; visual.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Age Factors
  • Attention*
  • Brain Concussion / diagnosis*
  • Diagnostic Tests, Routine / standards*
  • Football / injuries*
  • Humans
  • Male
  • Postural Balance
  • Reference Values
  • Reproducibility of Results
  • Saccades*
  • Speech*
  • United States