Buffalo Concussion Treadmill Test Scoring Sheet - Repeat 2025

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The Buffalo Concussion Treadmill Test (BCTT) Instruction Manual outlines the purpose, eligibility criteria, safety considerations, equipment requirements, setup, test protocol, stopping criteria, and interpretation of results for assessing exercise tolerance in patients with concussion. The BCTT aims to identify the heart rate threshold for symptom exacerbation and establish safe exercise levels while differentiating concussion from other diagnoses. It emphasizes that the BCTT should not be used alone for diagnosis or return-to-play clearance and highlights necessary precautions and contraindications.
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Stopping Criteria The BCTT is terminated based on the following criteria: 1) Symptom exacerbation - defined as an increase of 3 or more points on the VAS scale from resting VAS score. 2) Voluntary exhaustion defined as an RPE of 17 without docHub symptom exacerbation.
The Buffalo Concussion Treadmill Test (BCTT) identifies the heart rate threshold (HRt) of exercise tolerance in concussed patients. A previous study found that an absolute HRt of 135 bpm was associated with prolonged recovery (30 days) from sport-related concussion (SRC).
A score is assigned to each response type for a combined total score of 3 to 15 (with 15 being normal). An initial score of less than 5 is associated with an 80 percent chance of a lasting vegetative state or death.
The experimenter should set treadmill at a speed of 3.2mph for patients up to 510, and 3.6mph for those 510 and above. Starting incline is 0 degrees. Speed can be adjusted depending on athletic status or overall comfort of treadmill speed patients should be moving at a brisk walking pace.
The Buffalo Concussion Treadmill Test (BCTT) is a graded exertion test that establishes the heart rate (HR) at which exercise-induced symptom exacerbation occurs after concussion. It is an effective tool for diagnosing and managing concussions, as well as making the decision for return to play.

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For example, instead of a normal heart rate range of 50-100 beats per minute, the concussion heart might have a range of 60-80 beats per minute (these numbers would be different for each individual). This implies that the signal from the brain to the heart is under tighter control during concussion.

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by MN Haider 2020 Cited by 43 This paper presents a brief, focused physical examination (PE, the Buffalo Concussion Physical Examination [BCPE]) for sport-related concussion (SRC)

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