Objective: Baseline testing is a frequently utilized in the assessment and management of sport-related concussions and can help to operationalize “fully recovered” for individual athletes. The utility of baseline data may be contingent on the setting in which baseline data is collected. Previous studies have shown that the cognitive tasks on ImPACT (Immediate Post-concussion Assessment and Cognitive Testing) of attention, concentration, and reaction time are potentially sensitive to administration setting. The aim for this study was to demonstrate that standardization of the environment and administration protocol can improve the reliability of athletes’ baseline test scores on ImPACT. Method: Participants were 589 undergraduate varsity athletes from a state university in the Midwest. Participants completed baseline testing as a part of the university athletics concussion management program. Between January 2013 and July 2014, baseline testing was conducted by the university athletic department (Group 1). Athletes were provided basic instructions and tested in...

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