TABLE 3

Postconcussion Symptom Scale (no Symptoms, 0; Moderate, 3; Severe, 6)

Headache0123456
Nausea0123456
Vomiting0123456
Balance problems0123456
Dizziness0123456
Fatigue0123456
Trouble falling to sleep0123456
Excessive sleep0123456
Loss of sleep0123456
Drowsiness0123456
Light sensitivity0123456
Noise sensitivity0123456
Irritability0123456
Sadness0123456
Nervousness0123456
More emotional0123456
Numbness0123456
Feeling “slow”0123456
Feeling “foggy”0123456
Difficulty concentrating0123456
Difficulty remembering0123456
Visual problems0123456
  • Use of the postconcussion symptom scale: The athlete should complete the form, on his or her own, by circling a subjective value for each symptom. This form can be used with each encounter to track progress toward symptom resolution. Many athletes may have some of these reported symptoms at a baseline, such as concentration difficulties in the patient with attention-deficit disorder or sadness in an athlete with underlying depression. This must be taken into consideration when interpreting the score. Athletes do not need a total score of 0 to return to play if they had symptoms before their concussion. This scale has not been validated to determine concussion severity.