Factor Structure of ImPACT® in Adolescent Student Athletes

Arch Clin Neuropsychol. 2017 Feb;32(1):117-122. doi: 10.1093/arclin/acw097. Epub 2016 Nov 22.

Abstract

Objective: ImPACT® (Immediate Post-Concussion Assessment and Cognitive Testing) is a computerized neuropsychological screening battery, which is widely used to measure the acute effects of sport-related concussion and to monitor recovery from injury. This study examined the factor structure of ImPACT® in several samples of high school student athletes. We hypothesized that a 2-factor structure would be present in all samples.

Method: A sample of 4,809 adolescent student athletes was included, and subgroups with a history of treatment for headaches or a self-reported history of learning problems or attention-deficit hyperactivity disorder were analyzed separately. Exploratory principal axis factor analyses with Promax rotations were used.

Results: As hypothesized, both the combination of Verbal Memory and Visual Memory Composite scores loaded on one (Memory) factor, while Visual Motor Speed and Reaction Time loaded on a different (Speed) factor, in the total sample and in all subgroups.

Conclusion: These results provide reasonably compelling evidence, across multiple samples, which ImPACT® measures 2 distinct factors: memory and speed.

Keywords: Cognitive; Concussion; Factor analysis; Memory; Sports.

MeSH terms

  • Adolescent
  • Athletes / psychology*
  • Athletic Injuries / diagnosis*
  • Brain Concussion / diagnosis*
  • Factor Analysis, Statistical
  • Female
  • Humans
  • Male
  • Memory
  • Neuropsychological Tests* / standards
  • Psychometrics
  • Reaction Time
  • Young Adult