Debating the utility of computerised neurocognitive testing in the sports concussion arena

The purpose of this article was to contribute to an argument regarding the utility of computerised baseline and follow-up neurocognitive testing within the sports concussion arena. Heated debate around this issue via a number of contributions has appeared recently in the journal Current Sports Medicine Reports, with its use being roundly condemned by one party as ‘scientifically unfounded’ and therefore ‘financially irresponsible’. It is proposed that this vehemently negative viewpoint is located in a ‘smoke and mirrors’ portrayal of the validity of such neurocognitive screening, being substantiated on questionable extrapolations from laboratory-type group research to the clinical situation. The stance runs counter to the tenets of modern clinical neuropsychology, and is incompatible with more rigorous scientific pointers from current research. Abreast of the latest concussion in sport consensus recommendations, it is concluded that there is compelling support for the burgeoning use of computerised neurocognitive evaluation in the sports concussion arena as the optimal and most responsible healthcare currently available in this arena. SAJSM, vol 23 No. 4 2011