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Br J Sports Med: first published as 10.1136/bjsports-2023-107036 on 14 June 2023. Downloaded from http://bjsm.bmj.com/ on June 15, 2023 at Univ Of West Ontario GSTR101749364
Sport Concussion Assessment Tool™ –
6 (SCAT6)
Ruben J Echemendia ‍ ‍,1,2 Benjamin L Brett ‍ ‍,3 Steven Broglio ‍ ‍,4
Gavin A Davis ‍ ‍,5,6 Christopher C Giza,7,8 Kevin M Guskiewicz,9
Kimberly G Harmon ‍ ‍,10 Stanley Herring,11 David R Howell,12
Christina Master,13 Michael McCrea ‍ ‍,14 Dhiren Naidu,15
Jon S Patricios ‍ ‍,16 Margot Putukian ‍ ‍,17,18 Samuel R Walton,19
Kathryn J Schneider ‍ ‍,20 Joel S Burma ‍ ‍,21 Jared M Bruce ‍ ‍22

Serials Acquisitions Unit. Protected by copyright.

‍‍Correspondence to Dr Ruben J Echemendia,

Psychology, University of Missouri Kansas City, Kansas
City, Missouri, USA; r​ echemendia@​comcast.​net

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1
Psychology, University of Missouri Kansas City, Kansas on the and is/was on the editorial boards (all unpaid) for meeting and other professional conferences, grant funds
City, Missouri, USA Journal of Athletic Training (2015 to present), Concussion from NCAA-­CARE 2.0, royalties from Netters’ Sports
2
Psychological and Neurobehavioral Associates, Inc, (2014 to present), Athletic Training & Sports Health Care Medicine, consulting fees from Major League Soccer as
State College, Pennsylvania, USA (2008 to present), British Journal of Sports Medicine CMO, and occasional expert testimony/serves. She is a
3
Neurosurgery/ Neurology, Medical College of (2008 to 2019) JMB reports being a part-­time employee member of several professional boards advisory panels.
Wisconsin, Milwaukee, Wisconsin, USA of the NHL. JMB’s institution has received funding from KJS reported receiving an educational grant for assisting
4
Michigan Concussion Center, University of Michigan, Genzyme, and EyeGuide supporting his work, and he has with the administrative and operational costs associated
Ann Arbor, Michigan, USA served as a paid consultant to Med-­IQ and Sporting KC. with the writing of the reviews and a travel grant from
5
Murdoch Children’s Research Institute, Parkville, JSB reports receiving methods author funding for this Publi Creations, grant funding from Canadian Institutes
Victoria, Australia review and Alexander Graham Bell Canada Graduate of Health Research, Public Health Agency of Canada
6
Cabrini Health, Malvern, Victoria, Australia Scholarships-­Doctoral Program. GAD reports grant from (through Parachute Canada), National Football League
7
Neurosurgery, UCLA Steve Tisch BrainSPORT Program, Murdoch Children’s Research Institute and travel support Scientific Advisory Board, International Olympic Committee
Los Angeles, California, USA for professional conferences. He is a member of the Medical and Scientific Research Fund, World Rugby, Mitacs
8
Pediatrics/Pediatric Neurology, Mattel Children’s Scientific Committee of the 6th International Consensus Accelerate, University of Calgary; leadership roles in AFL,
Hospital UCLA, Los Angeles, California, USA Conference on Concussion in Sport; an honorary member Federal Provincial Territorial Work Group on Concussion,
9
Matthew Gfeller Center, University of North Carolina at of the AFL Concussion Scientific Committee, and a board Canada. JVL reports CIHR Postdoctoral Fellowship Award,
Chapel Hill, Chapel Hill, North Carolina, USA member of CISG. RJE is a paid consultant for the National UOMBRI Grant, travel stipend from CTRC and Founder
10
Family Medicine, University of Washington, Seattle, Hockey League and co-­chair of the National Hockey of R2P™ Concussion Management. TCVM is a paid
Washington, USA League /National Hockey League Players Association member of the NFL Head, Neck, and Spine Committee
11
Rehabilitation Medicine, University of Washington, Concussion Subcommittee, Major League Soccer’s and an unpaid member of the USA Swimming Concussion
Seattle, Washington, USA Concussion Committee and the US Soccer Federation, Task Force. SRW reports honoraria and travel support for
12
Orthopedics, Sports Medicine Center, Children’s provides testimony in matters related to mTBI and reports professional meetings and leadership positions in World
Hospital Colorado, University of Colorado, Aurora, a grant from Boston Children’s Hospital (sub-­award from Federation of Athletic Training and Therapy and Outcomes,
Colorado, USA the National Football League) and travel support for International Traumatic Brain Injury Research Initiative.
13
Departments of Pediatrics and Surgery, Children’s the CIS conference and other professional conferences,
Hospital of Philadelphia, Philadelphia, Pennsylvania, USA an unpaid board member of CISG and leadership roles Patient consent for publication Not applicable.
14
Neurosurgery, Medical College of Wisconsin, (unpaid) in professional organizations. GG Reports grant Ethics approval Not applicable.
Milwaukee, Wisconsin, USA funding from CDC TEAM and OnTRACK grants, NIMH
15
Medicine, University of Alberta, Edmonton, Alberta, APNA grant, royalties from PAR, consulting fees from Provenance and peer review Not commissioned;

Serials Acquisitions Unit. Protected by copyright.

Canada NFL Baltimore Ravens, Zogenix International, and Global internally peer reviewed.
16
Wits Sport and Health (WiSH), School of Clinical Pharma Consultancy, and travel support for professional Supplemental material This content has been supplied
Medicine, Faculty of Health Sciences, University of the meetings. He is a member of USA Football Medical by the author(s). It has not been vetted by BMJ Publishing
Witwatersrand, Johannesburg, South Africa Advisory Panel. KMG reports compensation from National Group Limited (BMJ) and may not have been peer-­
17
Chief Medical Officer, Major League Soccer, New York, Collegiate Athletic Association for other services and grants reviewed. Any opinions or recommendations discussed are
New York, USA from Boston Children’s Hospital (sub-­award from the solely those of the author(s) and are not endorsed by BMJ.
18
Princeton, New Jersey, USA National Football League). KH reports research grants from BMJ disclaims all liability and responsibility arising from
19
Department of Physical Medicine and Rehabilitation, AMSSM and Football Research, Inc. She is the Research any reliance placed on the content. Where the content
Virginia Commonwealth University School of Medicine, Development Director of the PAC-­12 and a member of includes any translated material, BMJ does not warrant
Richmond, Virginia, USA the NFL Head, Neck, And Spine committee and PAC-­112 the accuracy and reliability of the translations (including
20
Sport Injury Prevention Research Centre, Faculty of Brain Trauma Task Force. SH reports he is Co-­founder but not limited to local regulations, clinical guidelines,
Kinesiology, University of Calgary, Calgary, Alberta, Canada and senior advisor, The Sports Institute at UW Medicine terminology, drug names and drug dosages), and is not
21
Faculty of Kinesiology, University of Calgary, Calgary, (unpaid), Centers for Disease Control and Prevention and responsible for any error and/or omissions arising from
Alberta, Canada National Center for Injury Prevention and Control Board translation and adaptation or otherwise.
22
Biomedical and Health Informatics, University of Pediatric Mild Traumatic Brain Injury Guideline Workgroup
Missouri - Kansas City, Kansas City, Missouri, USA (unpaid), NCAA Concussion Safety Advisory Group © Author(s) (or their employer(s)) 2023. No
(unpaid), Concussion in Sport Group (travel support), Team commercial re-­use. See rights and permissions.
Twitter Benjamin L Brett @BenjaminBrett1, Physician, Seattle Mariners, Former Team Physician, Seattle Published by BMJ.
Christopher C Giza @griz1, Kimberly G Harmon Seahawks, Occasional payment for expert testimony, ►► Additional supplemental material is published
@DrKimHarmon, David R Howell @HowellDR, Jon S Travel support for professional meetings. DH reports online only. To view, please visit the journal online
Patricios @jonpatricios, Margot Putukian @Mputukian, research support from the Eunice Kennedy Shriver National (http://​dx.​doi.​org/​10.​1136/​bjsports-​2023-​107036).
Samuel R Walton @SammoWalton and Kathryn J Institute of Child Health & Human Development, the
Schneider @Kat_Schneider7 National Institute of Neurological Disorders And Stroke,
the National Institute of Arthritis and Musculoskeletal
Contributors RJE served as the primary author and
and Skin Diseases, 59th Medical Wing Department of the
responsible for all aspects of the project, including
Air Force, MINDSOURCE Brain Injury Network, the Tai
initial preparation, coordination, review, editing and To cite Echemendia RJ, Brett BL, Broglio S, et al.
Foundation, and the Colorado Clinical and Translational
final preparation of the manuscript and SCAT6 tool. All Br J Sports Med 2023;57:622–631.
Sciences Institute (UL1 TR002535‐05) and he serves
co-­authors contributed to the development and critical
on the Scientific/Medical Advisory Board of Synaptek, Accepted 5 June 2023
review of the manuscript and SCAT6 tool, and approved
LLC. CM reports no financial COI. She holds leadership
the final version of the manuscript and tool. Br J Sports Med 2023;57:622–631.
positions with several organizations American College
Competing interests BLB reports grants from the of Sports Medicine, American Medical Society for Sports doi:10.1136/bjsports-2023-107036
National Institute on Aging and National Institute of Medicine, Pediatric Research in Sports Medicine, Council
Neurological Disorders and Stroke and travel support on Sports Medicine and Fitness, American Academy ORCID iDs
for professional conferences. SB reports current or past of Pediatrics, Untold Foundation, Pink Concussions, Ruben J Echemendia http://orcid.org/0000-0001-6116-​
research funding from the National Institutes of Health; Headway Foundation, and the editorial boards of Journal 8462
Centers for Disease Control and Prevention; Department of Adolescent Health, Frontiers in Neuroergonomics, Benjamin L Brett http://orcid.org/0000-0003-2849-​4658
of Defense - USA Medical Research Acquisition Activity, Exercise, Sport, and Movement. MM reports grants from Steven Broglio http://orcid.org/0000-0002-2282-9325
National Collegiate Athletic Association; National Athletic NIH, Veterans Affairs, Centers for Disease Control and Gavin A Davis http://orcid.org/0000-0001-8293-4496
Trainers’ Association Foundation; National Football League/ Prevention (CDC), Abbott Laboratories, Department of
Kimberly G Harmon http://orcid.org/0000-0002-3670-​
Under Armour/GE; Simbex; and ElmindA. He has consulted Defense (DoD), and NCAA outside the submitted work. DN
6609
for US Soccer (paid), US Cycling (unpaid), University of receives consulting fees from the CFL and travel support
Calgary SHRed Concussions external advisory board for professional conferences. He is a team physician for Michael McCrea http://orcid.org/0000-0001-9791-​9475
(unpaid), medico-­legal litigation, and received speaker the NHL and CFL. He is CMO for the CFL and a member Jon S Patricios http://orcid.org/0000-0002-6829-4098
honorarium and travel reimbursements for talks given. of NHL and CFL committees. JP reports travel support Margot Putukian http://orcid.org/0000-0002-1478-​8068
He is co-­author of “Biomechanics of Injury (3rd edition)” for the CIS conference and other professional meetings, Kathryn J Schneider http://orcid.org/0000-0002-5951-​
and has a patent on “Brain Metabolism Monitoring consulting fees and grant funding from World Rugby, 5899
Through CCO Measurements Using All-­Fiber-­Integrated and an unpaid board member of CISG and EyeGuide. Joel S Burma http://orcid.org/0000-0001-9756-5793
Super-­Continuum Source” (U.S. 11,529,091 B2). He is MP reports receiving a travel stipend for attending CIS Jared M Bruce http://orcid.org/0000-0001-9115-5048

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