Normative Reference

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Ryan N. Moran - One of the best experts on this subject based on the ideXlab platform.

  • king devick test Normative Reference values and internal consistency in youth football and soccer athletes
    Scandinavian Journal of Medicine & Science in Sports, 2018
    Co-Authors: Ryan N. Moran, Tracey Covassin
    Abstract:

    : The King-Devick (K-D) test has gained popularity as a sideline concussion assessment tool, comprising of visual tracking and saccadic eye movements. However, limited Normative data exist for youth athletes under the age of 13. The purpose of this study was to establish Normative Reference values and examine the internal consistency of the K-D test in youth athletes. The K-D test was administered to 422 youth football and soccer athletes prior to their respective season. The average K-D score was 54.29 ± 11.5 seconds. Across the two trials, 55% of participants committed at least one error. Overall, the K-D test demonstrated a high internal consistency (Cronbach α = 0.92) when administered at baseline. Inter-item correlations revealed a moderate-to-strong relationship between test cards and trials (r range = 0.71 to 0.95; P < 0.001), along with test cards and baseline K-D time (r range = 0.85 to 0.94; P < 0.001). Although the K-D test was consistent during baseline testing, the high percentage of errors at baseline makes the K-D test questionable for post-concussion comparisons.

  • King-Devick test Normative Reference values and internal consistency in youth football and soccer athletes.
    Scandinavian Journal of Medicine & Science in Sports, 2018
    Co-Authors: Ryan N. Moran, Tracey Covassin
    Abstract:

    : The King-Devick (K-D) test has gained popularity as a sideline concussion assessment tool, comprising of visual tracking and saccadic eye movements. However, limited Normative data exist for youth athletes under the age of 13. The purpose of this study was to establish Normative Reference values and examine the internal consistency of the K-D test in youth athletes. The K-D test was administered to 422 youth football and soccer athletes prior to their respective season. The average K-D score was 54.29 ± 11.5 seconds. Across the two trials, 55% of participants committed at least one error. Overall, the K-D test demonstrated a high internal consistency (Cronbach α = 0.92) when administered at baseline. Inter-item correlations revealed a moderate-to-strong relationship between test cards and trials (r range = 0.71 to 0.95; P 

  • reliability and Normative Reference values for the vestibular ocular motor screening voms tool in youth athletes
    American Journal of Sports Medicine, 2018
    Co-Authors: Ryan N. Moran, Tracey Covassin, R J Elbin, Daniel Gould, Sally Nogle
    Abstract:

    Background:The Vestibular/Ocular Motor Screening (VOMS) measure is a newly developed vestibular and ocular motor symptom provocation screening tool for sport-related concussions. Baseline data, psychometric properties, and reliability of the VOMS are needed to further understand the applications of this tool, especially in the youth population, where research is scarce.Purpose:To establish Normative data and document the internal consistency and false-positive rate of the VOMS in a sample of nonconcussed youth athletes.Study Design:Cross-sectional study; Level of evidence, 3.Methods:A total of 423 youth athletes (male = 278, female = 145) between the ages of 8 and 14 years completed baseline VOMS screening before the start of their respective sport seasons. Internal consistency was measured with Cronbach α and inter-item correlations.Results:Approximately 60% of youth athletes reported no symptom provocation on baseline VOMS assessment, with 9% to 13% scoring over the cutoff levels (score of ≥2 for any in...

  • Reliability and Normative Reference Values for the Vestibular/Ocular Motor Screening (VOMS) Tool in Youth Athletes
    American Journal of Sports Medicine, 2018
    Co-Authors: Ryan N. Moran, Tracey Covassin, R J Elbin, Daniel Gould, Sally Nogle
    Abstract:

    Background:The Vestibular/Ocular Motor Screening (VOMS) measure is a newly developed vestibular and ocular motor symptom provocation screening tool for sport-related concussions. Baseline data, psychometric properties, and reliability of the VOMS are needed to further understand the applications of this tool, especially in the youth population, where research is scarce.Purpose:To establish Normative data and document the internal consistency and false-positive rate of the VOMS in a sample of nonconcussed youth athletes.Study Design:Cross-sectional study; Level of evidence, 3.Methods:A total of 423 youth athletes (male = 278, female = 145) between the ages of 8 and 14 years completed baseline VOMS screening before the start of their respective sport seasons. Internal consistency was measured with Cronbach α and inter-item correlations.Results:Approximately 60% of youth athletes reported no symptom provocation on baseline VOMS assessment, with 9% to 13% scoring over the cutoff levels (score of ≥2 for any in...

Tracey Covassin - One of the best experts on this subject based on the ideXlab platform.

  • king devick test Normative Reference values and internal consistency in youth football and soccer athletes
    Scandinavian Journal of Medicine & Science in Sports, 2018
    Co-Authors: Ryan N. Moran, Tracey Covassin
    Abstract:

    : The King-Devick (K-D) test has gained popularity as a sideline concussion assessment tool, comprising of visual tracking and saccadic eye movements. However, limited Normative data exist for youth athletes under the age of 13. The purpose of this study was to establish Normative Reference values and examine the internal consistency of the K-D test in youth athletes. The K-D test was administered to 422 youth football and soccer athletes prior to their respective season. The average K-D score was 54.29 ± 11.5 seconds. Across the two trials, 55% of participants committed at least one error. Overall, the K-D test demonstrated a high internal consistency (Cronbach α = 0.92) when administered at baseline. Inter-item correlations revealed a moderate-to-strong relationship between test cards and trials (r range = 0.71 to 0.95; P < 0.001), along with test cards and baseline K-D time (r range = 0.85 to 0.94; P < 0.001). Although the K-D test was consistent during baseline testing, the high percentage of errors at baseline makes the K-D test questionable for post-concussion comparisons.

  • King-Devick test Normative Reference values and internal consistency in youth football and soccer athletes.
    Scandinavian Journal of Medicine & Science in Sports, 2018
    Co-Authors: Ryan N. Moran, Tracey Covassin
    Abstract:

    : The King-Devick (K-D) test has gained popularity as a sideline concussion assessment tool, comprising of visual tracking and saccadic eye movements. However, limited Normative data exist for youth athletes under the age of 13. The purpose of this study was to establish Normative Reference values and examine the internal consistency of the K-D test in youth athletes. The K-D test was administered to 422 youth football and soccer athletes prior to their respective season. The average K-D score was 54.29 ± 11.5 seconds. Across the two trials, 55% of participants committed at least one error. Overall, the K-D test demonstrated a high internal consistency (Cronbach α = 0.92) when administered at baseline. Inter-item correlations revealed a moderate-to-strong relationship between test cards and trials (r range = 0.71 to 0.95; P 

  • reliability and Normative Reference values for the vestibular ocular motor screening voms tool in youth athletes
    American Journal of Sports Medicine, 2018
    Co-Authors: Ryan N. Moran, Tracey Covassin, R J Elbin, Daniel Gould, Sally Nogle
    Abstract:

    Background:The Vestibular/Ocular Motor Screening (VOMS) measure is a newly developed vestibular and ocular motor symptom provocation screening tool for sport-related concussions. Baseline data, psychometric properties, and reliability of the VOMS are needed to further understand the applications of this tool, especially in the youth population, where research is scarce.Purpose:To establish Normative data and document the internal consistency and false-positive rate of the VOMS in a sample of nonconcussed youth athletes.Study Design:Cross-sectional study; Level of evidence, 3.Methods:A total of 423 youth athletes (male = 278, female = 145) between the ages of 8 and 14 years completed baseline VOMS screening before the start of their respective sport seasons. Internal consistency was measured with Cronbach α and inter-item correlations.Results:Approximately 60% of youth athletes reported no symptom provocation on baseline VOMS assessment, with 9% to 13% scoring over the cutoff levels (score of ≥2 for any in...

  • Reliability and Normative Reference Values for the Vestibular/Ocular Motor Screening (VOMS) Tool in Youth Athletes
    American Journal of Sports Medicine, 2018
    Co-Authors: Ryan N. Moran, Tracey Covassin, R J Elbin, Daniel Gould, Sally Nogle
    Abstract:

    Background:The Vestibular/Ocular Motor Screening (VOMS) measure is a newly developed vestibular and ocular motor symptom provocation screening tool for sport-related concussions. Baseline data, psychometric properties, and reliability of the VOMS are needed to further understand the applications of this tool, especially in the youth population, where research is scarce.Purpose:To establish Normative data and document the internal consistency and false-positive rate of the VOMS in a sample of nonconcussed youth athletes.Study Design:Cross-sectional study; Level of evidence, 3.Methods:A total of 423 youth athletes (male = 278, female = 145) between the ages of 8 and 14 years completed baseline VOMS screening before the start of their respective sport seasons. Internal consistency was measured with Cronbach α and inter-item correlations.Results:Approximately 60% of youth athletes reported no symptom provocation on baseline VOMS assessment, with 9% to 13% scoring over the cutoff levels (score of ≥2 for any in...

Martin Raftery - One of the best experts on this subject based on the ideXlab platform.

  • sport concussion assessment tool fifth edition Normative Reference values for professional rugby union players
    Clinical Journal of Sport Medicine, 2018
    Co-Authors: Gordon Fuller, Martin Raftery
    Abstract:

    Objectives: To establish Normative Reference data for the SCAT3 in professional Rugby Union players. Design: A cross sectional study in professional Rugby Union players competing in national and international professional competitions between 2015 and 2016. Methods: The SCAT3 was administered pre-season or prior to tournaments. Data was collected electronically using a custom tablet application. SCAT3 subcomponents distributions were described and Normative ranges determined using percentile cut-offs for average, unusually low/high, and extremely low/high scores. The association between player characteristics and performance in SCAT3 subcomponents was also investigated in exploratory analyses. Results: A total of 3611 professional Rugby Union players were included. The most common baseline symptom was fatigue (14%). The symptom score median (md) was 0 (interquartile range (IQR) = 0-1). Symptom severity md was 0 (IQR = 0-1). The md of the SAC score was 28 (IQR = 26-29). The md of the MBESS was 2 (IQR = 0-4). The Tandem gait md was 11.1. s (IQR = 10.0-12.7. s). Upper limb coordination was normal in 98.4%. Younger age and lower educational level were associated with worse performance on delayed recall and reverse month sub-components of the SCAT3 (p. < . 0.0001). No statistically significant differences in SCAT3 subcomponents were evident across gender. Conclusions: Representative Normative Reference values for the SCAT3 among professional Rugby Union players are provided. Baseline performance on concentration and delayed recall tests may be lower in younger athletes or in those with lower educational level.

  • Sport concussion assessment tool—Third edition Normative Reference values for professional Rugby Union players
    Journal of Science and Medicine in Sport, 2018
    Co-Authors: G. W. Fuller, O. Govind, R Tucker, Martin Raftery
    Abstract:

    Objectives: To establish Normative Reference data for the SCAT3 in professional Rugby Union players. Design: A cross sectional study in professional Rugby Union players competing in national and international professional competitions between 2015 and 2016. Methods: The SCAT3 was administered pre-season or prior to tournaments. Data was collected electronically using a custom tablet application. SCAT3 subcomponents distributions were described and Normative ranges determined using percentile cut-offs for average, unusually low/high, and extremely low/high scores. The association between player characteristics and performance in SCAT3 subcomponents was also investigated in exploratory analyses. Results: A total of 3611 professional Rugby Union players were included. The most common baseline symptom was fatigue (14%). The symptom score median (md) was 0 (interquartile range (IQR) = 0–1). Symptom severity md was 0 (IQR = 0–1). The md of the SAC score was 28 (IQR = 26–29). The md of the MBESS was 2 (IQR = 0–4). The Tandem gait md was 11.1 s (IQR = 10.0–12.7 s). Upper limb coordination was normal in 98.4%. Younger age and lower educational level were associated with worse performance on delayed recall and reverse month sub-components of the SCAT3 (p < 0.0001). No statistically significant differences in SCAT3 subcomponents were evident across gender. Conclusions: Representative Normative Reference values for the SCAT3 among professional Rugby Union players are provided. Baseline performance on concentration and delayed recall tests may be lower in younger athletes or in those with lower educational level.

  • sport concussion assessment tool third edition Normative Reference values for professional rugby union players
    Journal of Science and Medicine in Sport, 2017
    Co-Authors: Gordon Fuller, O. Govind, R Tucker, Martin Raftery
    Abstract:

    Abstract Objectives To establish Normative Reference data for the SCAT3 in professional Rugby Union players. Design A cross sectional study in professional Rugby Union players competing in national and international professional competitions between 2015 and 2016. Methods The SCAT3 was administered pre-season or prior to tournaments. Data was collected electronically using a custom tablet application. SCAT3 subcomponents distributions were described and Normative ranges determined using percentile cut-offs for average, unusually low/high, and extremely low/high scores. The association between player characteristics and performance in SCAT3 subcomponents was also investigated in exploratory analyses. Results A total of 3611 professional Rugby Union players were included. The most common baseline symptom was fatigue (14%). The symptom score median (md) was 0 (interquartile range (IQR) = 0–1). Symptom severity md was 0 (IQR = 0–1). The md of the SAC score was 28 (IQR = 26–29). The md of the MBESS was 2 (IQR = 0–4). The Tandem gait md was 11.1 s (IQR = 10.0–12.7 s). Upper limb coordination was normal in 98.4%. Younger age and lower educational level were associated with worse performance on delayed recall and reverse month sub-components of the SCAT3 (p  Conclusions Representative Normative Reference values for the SCAT3 among professional Rugby Union players are provided. Baseline performance on concentration and delayed recall tests may be lower in younger athletes or in those with lower educational level.

Sally Nogle - One of the best experts on this subject based on the ideXlab platform.

  • reliability and Normative Reference values for the vestibular ocular motor screening voms tool in youth athletes
    American Journal of Sports Medicine, 2018
    Co-Authors: Ryan N. Moran, Tracey Covassin, R J Elbin, Daniel Gould, Sally Nogle
    Abstract:

    Background:The Vestibular/Ocular Motor Screening (VOMS) measure is a newly developed vestibular and ocular motor symptom provocation screening tool for sport-related concussions. Baseline data, psychometric properties, and reliability of the VOMS are needed to further understand the applications of this tool, especially in the youth population, where research is scarce.Purpose:To establish Normative data and document the internal consistency and false-positive rate of the VOMS in a sample of nonconcussed youth athletes.Study Design:Cross-sectional study; Level of evidence, 3.Methods:A total of 423 youth athletes (male = 278, female = 145) between the ages of 8 and 14 years completed baseline VOMS screening before the start of their respective sport seasons. Internal consistency was measured with Cronbach α and inter-item correlations.Results:Approximately 60% of youth athletes reported no symptom provocation on baseline VOMS assessment, with 9% to 13% scoring over the cutoff levels (score of ≥2 for any in...

  • Reliability and Normative Reference Values for the Vestibular/Ocular Motor Screening (VOMS) Tool in Youth Athletes
    American Journal of Sports Medicine, 2018
    Co-Authors: Ryan N. Moran, Tracey Covassin, R J Elbin, Daniel Gould, Sally Nogle
    Abstract:

    Background:The Vestibular/Ocular Motor Screening (VOMS) measure is a newly developed vestibular and ocular motor symptom provocation screening tool for sport-related concussions. Baseline data, psychometric properties, and reliability of the VOMS are needed to further understand the applications of this tool, especially in the youth population, where research is scarce.Purpose:To establish Normative data and document the internal consistency and false-positive rate of the VOMS in a sample of nonconcussed youth athletes.Study Design:Cross-sectional study; Level of evidence, 3.Methods:A total of 423 youth athletes (male = 278, female = 145) between the ages of 8 and 14 years completed baseline VOMS screening before the start of their respective sport seasons. Internal consistency was measured with Cronbach α and inter-item correlations.Results:Approximately 60% of youth athletes reported no symptom provocation on baseline VOMS assessment, with 9% to 13% scoring over the cutoff levels (score of ≥2 for any in...

James R Clugston - One of the best experts on this subject based on the ideXlab platform.

  • Correction To: A Normative Reference vs. Baseline Testing Compromise for ImPACT: The CARE Consortium Multiple Variable Prediction (CARE-MVP) Norms
    Sports Medicine, 2020
    Co-Authors: Breton M Asken, Zachary M Houck, Julianne D Schmidt, Russell M Bauer, Steven P Broglio, Michael A Mccrea, Thomas W Mcallister, James R Clugston
    Abstract:

    Sports medicine clinicians routinely use computerized neurocognitive testing in sport-related concussion management programs. Debates continue regarding the appropriateness of Normative Reference comparisons versus obtaining individual baseline assessments, particularly for populations with greater likelihood of having below- or above-average cognitive abilities. Improving Normative Reference methods could offer alternatives to perceived logistical and financial burdens imposed by universal baseline testing. To develop and validate the Concussion Assessment, Research, and Education (CARE) Consortium Multiple Variable Prediction (MVP) norms for the Immediate Postconcussion Assessment and Cognitive Testing (ImPACT). We developed the CARE-MVP norms for ImPACT composite scores using regression-based equations. Predictor variables included sex, race (white/Caucasian, black/African American, Asian, or Multiple Races), medical history [attention-deficit/hyperactivity disorder (ADHD), learning disorder (LD), prior concussion(s), prior psychiatric diagnosis], and an estimate of premorbid intellect (Wechsler Test of Adult Reading). CARE-MVP norms were first validated in an independent sample of healthy collegiate athletes by comparing predicted and actual baseline test scores using independent-samples t-tests and Cohen’s d effect sizes. We then evaluated base rates of low scores in athletes self-reporting ADHD/LD (vs. non-ADHD/LD) and black/African American race (vs. white/Caucasian) across multiple Normative Reference methods (Chi square, Cramer’s V effect size). Lastly, we validated the CARE-MVP norms in a concussed sample (dependent samples t test, Cohen’s d effect size). A total of 5233 collegiate athletes (18.8 ± 1.2 years, 70.5% white/Caucasian, 39.1% female) contributed to the CARE-MVP norms (development N = 2616; internal validation N = 2617). Race and WTAR score were the strongest and most consistent ImPACT score predictors. There were negligible mean differences between observed and predicted (CARE-MVP) baseline scores (Cohen’s d 

  • A Normative Reference vs. Baseline Testing Compromise for ImPACT: The CARE Consortium Multiple Variable Prediction (CARE-MVP) Norms.
    Sports medicine (Auckland N.Z.), 2020
    Co-Authors: Breton M Asken, Zachary M Houck, Julianne D Schmidt, Russell M Bauer, Steven P Broglio, Michael A Mccrea, Thomas W Mcallister, James R Clugston
    Abstract:

    Sports medicine clinicians routinely use computerized neurocognitive testing in sport-related concussion management programs. Debates continue regarding the appropriateness of Normative Reference comparisons versus obtaining individual baseline assessments, particularly for populations with greater likelihood of having below- or above-average cognitive abilities. Improving Normative Reference methods could offer alternatives to perceived logistical and financial burdens imposed by universal baseline testing. To develop and validate the Concussion Assessment, Research, and Education (CARE) Consortium Multiple Variable Prediction (MVP) norms for the Immediate Postconcussion Assessment and Cognitive Testing (ImPACT). We developed the CARE-MVP norms for ImPACT composite scores using regression-based equations. Predictor variables included sex, race (white/Caucasian, black/African American, Asian, or Multiple Races), medical history [attention-deficit/hyperactivity disorder (ADHD), learning disorder (LD), prior concussion(s), prior psychiatric diagnosis], and an estimate of premorbid intellect (Wechsler Test of Adult Reading). CARE-MVP norms were first validated in an independent sample of healthy collegiate athletes by comparing predicted and actual baseline test scores using independent-samples t-tests and Cohen's d effect sizes. We then evaluated base rates of low scores in athletes self-reporting ADHD/LD (vs. non-ADHD/LD) and black/African American race (vs. white/Caucasian) across multiple Normative Reference methods (Chi square, Cramer's V effect size). Lastly, we validated the CARE-MVP norms in a concussed sample (dependent samples t test, Cohen's d effect size). A total of 5233 collegiate athletes (18.8 ± 1.2 years, 70.5% white/Caucasian, 39.1% female) contributed to the CARE-MVP norms (development N = 2616; internal validation N = 2617). Race and WTAR score were the strongest and most consistent ImPACT score predictors. There were negligible mean differences between observed and predicted (CARE-MVP) baseline scores (Cohen's d < 0.1) for all ImPACT composite scores except Reaction Time (predicted ~ 20 ms faster than observed, d = - 0.28). Low score base rates were similar for athletes across subpopulations when using CARE-MVP norms (ADHD/LD, V = 0.017-0.028; black/African American, V = 0.043-0.053); while, other Normative Reference methods resulted in disproportionately higher rates of low scores (ADHD/LD, V = 0.062-0.101; black/African American race, V = 0.163-0.221). Acute (24-48 h) postconcussion ImPACT scores were significantly worse than CARE-MVP norms but notably varied as a function of concussion symptom severity. Results support CARE-MVP norm use in populations typically underrepresented or not adjusted for in traditional Normative Reference samples, such as those self-reporting ADHD/LD or black/African American race. CARE-MVP norms improve upon prior Normative methods and may offer a practical, simple alternative for collegiate institutions concerned about logistical and financial burden associated with baseline testing. An automated scoring program is provided.

  • A Normative Reference vs. Baseline Testing Compromise for ImPACT: The CARE Consortium Multiple Variable Prediction (CARE-MVP) Norms
    Sports Medicine, 2020
    Co-Authors: Breton M Asken, Zachary M Houck, Julianne D Schmidt, Russell M Bauer, Steven P Broglio, Michael A Mccrea, Thomas W Mcallister, James R Clugston
    Abstract:

    Background Sports medicine clinicians routinely use computerized neurocognitive testing in sport-related concussion management programs. Debates continue regarding the appropriateness of Normative Reference comparisons versus obtaining individual baseline assessments, particularly for populations with greater likelihood of having below- or above-average cognitive abilities. Improving Normative Reference methods could offer alternatives to perceived logistical and financial burdens imposed by universal baseline testing. Objectives To develop and validate the Concussion Assessment, Research, and Education (CARE) Consortium Multiple Variable Prediction (MVP) norms for the Immediate Postconcussion Assessment and Cognitive Testing (ImPACT). Methods We developed the CARE-MVP norms for ImPACT composite scores using regression-based equations. Predictor variables included sex, race (white/Caucasian, black/African American, Asian, or Multiple Races), medical history [attention-deficit/hyperactivity disorder (ADHD), learning disorder (LD), prior concussion(s), prior psychiatric diagnosis], and an estimate of premorbid intellect (Wechsler Test of Adult Reading). CARE-MVP norms were first validated in an independent sample of healthy collegiate athletes by comparing predicted and actual baseline test scores using independent-samples t -tests and Cohen’s d effect sizes. We then evaluated base rates of low scores in athletes self-reporting ADHD/LD (vs. non-ADHD/LD) and black/African American race (vs. white/Caucasian) across multiple Normative Reference methods (Chi square, Cramer’s V effect size). Lastly, we validated the CARE-MVP norms in a concussed sample (dependent samples t test, Cohen’s d effect size). Results A total of 5233 collegiate athletes (18.8 ± 1.2 years, 70.5% white/Caucasian, 39.1% female) contributed to the CARE-MVP norms (development N  = 2616; internal validation N  = 2617). Race and WTAR score were the strongest and most consistent ImPACT score predictors. There were negligible mean differences between observed and predicted (CARE-MVP) baseline scores (Cohen’s d  

  • correction to a Normative Reference vs baseline testing compromise for impact the care consortium multiple variable prediction care mvp norms
    Sports Medicine, 2020
    Co-Authors: Breton M Asken, Zachary M Houck, Julianne D Schmidt, Russell M Bauer, Steven P Broglio, Michael A Mccrea, Thomas W Mcallister, James R Clugston
    Abstract:

    Sports medicine clinicians routinely use computerized neurocognitive testing in sport-related concussion management programs. Debates continue regarding the appropriateness of Normative Reference comparisons versus obtaining individual baseline assessments, particularly for populations with greater likelihood of having below- or above-average cognitive abilities. Improving Normative Reference methods could offer alternatives to perceived logistical and financial burdens imposed by universal baseline testing. To develop and validate the Concussion Assessment, Research, and Education (CARE) Consortium Multiple Variable Prediction (MVP) norms for the Immediate Postconcussion Assessment and Cognitive Testing (ImPACT). We developed the CARE-MVP norms for ImPACT composite scores using regression-based equations. Predictor variables included sex, race (white/Caucasian, black/African American, Asian, or Multiple Races), medical history [attention-deficit/hyperactivity disorder (ADHD), learning disorder (LD), prior concussion(s), prior psychiatric diagnosis], and an estimate of premorbid intellect (Wechsler Test of Adult Reading). CARE-MVP norms were first validated in an independent sample of healthy collegiate athletes by comparing predicted and actual baseline test scores using independent-samples t-tests and Cohen’s d effect sizes. We then evaluated base rates of low scores in athletes self-reporting ADHD/LD (vs. non-ADHD/LD) and black/African American race (vs. white/Caucasian) across multiple Normative Reference methods (Chi square, Cramer’s V effect size). Lastly, we validated the CARE-MVP norms in a concussed sample (dependent samples t test, Cohen’s d effect size). A total of 5233 collegiate athletes (18.8 ± 1.2 years, 70.5% white/Caucasian, 39.1% female) contributed to the CARE-MVP norms (development N = 2616; internal validation N = 2617). Race and WTAR score were the strongest and most consistent ImPACT score predictors. There were negligible mean differences between observed and predicted (CARE-MVP) baseline scores (Cohen’s d < 0.1) for all ImPACT composite scores except Reaction Time (predicted ~ 20 ms faster than observed, d = − 0.28). Low score base rates were similar for athletes across subpopulations when using CARE-MVP norms (ADHD/LD, V = 0.017–0.028; black/African American, V = 0.043–0.053); while, other Normative Reference methods resulted in disproportionately higher rates of low scores (ADHD/LD, V = 0.062–0.101; black/African American race, V = 0.163–0.221). Acute (24–48 h) postconcussion ImPACT scores were significantly worse than CARE-MVP norms but notably varied as a function of concussion symptom severity. Results support CARE-MVP norm use in populations typically underrepresented or not adjusted for in traditional Normative Reference samples, such as those self-reporting ADHD/LD or black/African American race. CARE-MVP norms improve upon prior Normative methods and may offer a practical, simple alternative for collegiate institutions concerned about logistical and financial burden associated with baseline testing. An automated scoring program is provided.