@article {Chermanne000384, author = {Jean-Fran{\c c}ois Chermann and Thomas Romeas and Flore Marty and Jocelyn Faubert}, title = {Perceptual-cognitive three-dimensional multiple-object tracking task can help the monitoring of sport-related concussion}, volume = {4}, number = {1}, elocation-id = {e000384}, year = {2018}, doi = {10.1136/bmjsem-2018-000384}, publisher = {BMJ Specialist Journals}, abstract = {Objectives While the rate of sport-related concussion is increasing, more effective tools are needed to help monitor the diagnosis and return to play of athletes. The three-dimensional multiple-object tracking (3D-MOT) exercise is a perceptual-cognitive task that has shown predictive power towards the dynamic requirements of real-world activities such as sport. This study introduced the use of the 3D-MOT task, along with the Standardized Assessment of Concussion (SAC) and Modified Balance Error Scoring System (M-BESS) tests, for diagnosis and return to play in professional sports.Methods Fifty-nine professional athletes were tested with the 3D-MOT, SAC and M-BESS tests at 48 hours following the injury. The same measures were employed to evaluate the return to play following the standard concussion management protocol. The SAC and M-BESS tests were also performed in pre-season (baseline) in 32 out of the 59 athletes.Results The injured athletes exhibited poor performance on 3D-MOT at 48 hours post injury compared with return to play (p\<0.001) as well as compared with healthy professionals{\textquoteright} performance scores (p\<0.001). Importantly, learning rate, which participants are thought to have an expert advantage on this perceptual-cognitive task, was totally disrupted at 48 hours post injury compared with healthy professionals (p\<0.001). The 3D-MOT performance was also correlated to the total number of symptoms (p=0.020), SAC (p=0.031) and M-BESS (p=0.004) scores at 48 hours. Not surprisingly, SAC and M-BESS tests{\textquoteright} usefulness for monitoring concussion was found to be weak, particularly when test performance following the injury was compared to baseline (p=0.056 and 0.349 for SAC and M-BESS, respectively).Conclusion 3D-MOT could help monitor sport-related concussion in professional athletes. The discussion also covers the critical importance of perceptual-cognitive assessment following concussion in the athletic population.}, URL = {https://bmjopensem.bmj.com/content/4/1/e000384}, eprint = {https://bmjopensem.bmj.com/content/4/1/e000384.full.pdf}, journal = {BMJ Open Sport \& Exercise Medicine} }