Scoring: 1 Point for Each of the Following Errors

Scoring: 1 Point for Each of the Following Errors

Opening eyes
Taking hands off hips
Taking a step or falling
Flexing or abducting the hip > 30°
Lifting foot or heel off the floor
Staying out of the test position for more than 5 sec
If unable to maintain any of the test position for 5 sec, a score of 10 is scored

Results: A score >25% higher than the baseline test is abnormal; this test may be influenced by a practice effect with repeated administration

Source: Starkey C & Ryan J (2003); Oliaro S, Anderson S & Hooker D (2001); Valovich TC, Perrin DH & Gansneder BM (2003).

Rivermead Post Concussion Symptoms Questionnaire (RPQ)

Scale: 0 = not experiencing at all 1 = no more of a problem than usual 2 = a mild problem 3 = a moderate problem 4 = a severe problem
Compared with before the injury, do you now or in the past 24 hours suffer from:
Headaches	0	1	2	3	4
Feeling of dizziness	0	1	2	3	4
Noise sensitivity	0	1	2	3	4
Sleep disturbances	0	1	2	3	4
Fatigue, tiring more easily	0	1	2	3	4
Being irritable, easily angered	0	1	2	3	4
Feeling depressed or tearful	0	1	2	3	4
Feeling frustrated or impatient	0	1	2	3	4
Forgetfulness, poor memory	0	1	2	3	4
Poor concentration	0	1	2	3	4
Taking longer to think	0	1	2	3	4
Blurred vision	0	1	2	3	4
Light sensitivity	0	1	2	3	4
Double vision	0	1	2	3	4
Restlessness	0	1	2	3	4
Total score: _________________________________________________

Source: King NS, Crawford S, Wenden FJ, Moss NEG & Wade DT (1995); Heck J & Rosa R (2001).