Date of Award


Degree Type

Creative Project

Degree Name

Master of Science (MS)



Committee Chair(s)

Eadric Bressel


Eadric Bressel


Christopher Dakin


The Immediate Post-Concussion Assessment and Cognitive Test (ImPACT) battery is a widely used tool for the diagnosis and treatment of concussions. The purpose of this review was to evaluate studies that account for patient language and language of test administration when conducting ImPACT. A total of 36 articles were reviewed. The 36 articles reviewed accounted for English speaking populations and five of the articles accounted for populations representing different languages. Five of the studies were test-retest reliability studies. The results indicated that ImPACT has acceptable test-retest reliability when used in English to monolingual English-speaking participants. However, the results demonstrated ImPACT should only be implemented in populations that are not native English speakers under two circumstances: if participants complete a baseline and a post-injury test in the same language or if normative data is available for their native language. With data that includes language stratification limited primarily to the last ten years, this review also calls for more research to be done to determine how to best implement ImPACT in clinical settings.

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