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The Maddocks questions were developed as a tool for assessing possible concussion
on the sports sideline (pitchside).
The SCAT3 (Sport Concussion Assessment Tool - 3rd edition (1)) includes the
following modified Maddocks questions in the assessment of possible concussion.
When asking the Maddocks questions then the questions should be preceded with
- "I am going to ask you a few questions, please listen carefully and give
your best effort."
- the modified Maddocks questions are:
- At what venue are we today?
- Which half is it now?
- Who scored last in this match?
- What did you play last week?
- Did your team win the last game?
The Maddocks questions are used as part of the clinical assessment of
possible concussion on the sports sideline along with other assessments described
From the original research paper (2) when Maddocks described the use of the
questions in assessing possible concussion:
- likelihood that an athlete without a concussion will be correctly classified
based on the athlete's score on the Maddocks questions (a measure of its "specificity")
is high (an athlete will be correctly classified between 86 and 100% of the
- the sensitivity of the test is broad - likelihood that an athlete with concussion
will be correctly identified through the use of the Maddocks questions (a
measure of its "sensitivity") varies widely (32 to 75%)
- if an athlete answers all the Maddocks questions then the likelihood that
he is suffering from concussion is low although the Maddocks questions only
form part of the assessment that is SCAT3
- false-negative rate (the percentage of athletes who answer all questions
correctly but nevertheless are later found to have suffered a concussion)
is low (0-11%), making the Maddocks questions a valuable part of the screening
for concussion on the sports sideline
- however the false positive rate for the test is relatively high (an athlete
not being able to answer one or more questions and not having concussion)
- false-positive rate varies (29-68%)
- this is why SCAT3 uses sideline screening tools such as the Maddocks
questions in combination with other diagnostic tools
Last reviewed 01/2018