Broad domain relevance to SCOAT6 (Sub-acute & Office Follow-up).
SCOAT6 (Sub-acute and Office Follow-up)
Office Assessment Protocol
Sub-acute Follow-up (3d – 3wk)
Time Post-Injury
Symptom Severity
0 / 132
Multi-Domain Review
The SCOAT6 is designed to identify "Delayed Recovery" patterns. It integrates symptom tracking with mental health, sleep hygiene, and cervical/vestibular screening to guide office-based rehabilitation.
Key Management Target
Sleep HygieneMental HealthVisual RehabCervical PT
SCOAT6 is a clinical evaluation framework, not a diagnostic score. It guides the multidisciplinary management plan for complex concussion recovery.
Guidelines & Evidence
Clinical Details
Section 1
When to Use
When to Use
Evaluation of athletes in the sub-acute phase of concussion (72 hours to 30+ days).
Designed for the office or clinical setting by licensed healthcare professionals.
Monitoring recovery trajectory and determining needs for targeted rehabilitation.
Transition from SCAT6
While the SCAT6 is for acute sideline/immediate triage, the SCOAT6 is more comprehensive and designed for serial (repeated) clinical follow-up during recovery.
Section 2
Formula & Logic
Expanded Multimodal Assessment
01
Sub-acute Symptom Scale: Similar to SCAT6 but tracks change over time.
02
Mental Health Screen: Brief screening for anxiety (GAD-7) and depression (PHQ-2).
03
Sleep Assessment: Evaluates sleep disturbance (using ASSQ or similar).
04
Advanced Coordination: Tandem gait and more complex motor tasks.
05
Modified VOMS: Integrated vestibular and ocular motor screening.
Cervical Spine Eval
Range of motion testing.
Tenderness and trigger point mapping.
Differentiation between concussion and cervical-driven symptoms.
Section 3
Pearls/Pitfalls
Serial Monitoring
The SCOAT6 is designed to be administered multiple times throughout the recovery window. It provides a structured way to document "Percentage of Baseline" and identify if recovery is stalling, which may require referral to a specialist multidisciplinary team.
Clinical Pearls
Always evaluate orthostatic vitals if the patient reports dizziness on standing.
If the SCOAT6 results remain significantly abnormal at 4 weeks, consider "Persistent Post-Concussive Symptoms" (PPCS).
Integrate academic/work status assessments into the office visit.
Section 4
Next Steps
Management Considerations
01
Update Return-to-School/Work plan based on symptom levels.
02
Prescribe sub-threshold aerobic exercise if indicated by BCTT.
03
Coordinate with specialists (Vestibular, Vision, or Psychology) for persistent deficits.
Related Tools
SCAT6
BCTT
VOMS
GRTP Protocol Tracker
Section 5
Evidence Appraisal
Standard Reference
Sport Concussion Office Assessment Tool 6 (SCOAT6).
Echemendia RJ et al. • British Journal of Sports Medicine. 2023;57(11):622–631. Part of the Amsterdam 2022 / 2023 Consensus Statement series.