{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T02:14:29Z","timestamp":1778552069148,"version":"3.51.4"},"reference-count":66,"publisher":"National Athletic Trainers' Association","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>Serial 7s is a common cognitive test that is implemented as part of the movement assessment in the 6th Sport Concussion Assessment Tool (SCAT6) and the 6th Sport Concussion Office Assessment Tool (SCOAT6). While the Serial 7s test has proven to be a useful dual-task concussion testing paradigm, increases in math anxiety may limit its ecological validity with current student-athletes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess student-athletes\u2019 perceptions of the Serial 7s dual-task concussion testing paradigm as outlined in the SCAT6.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>University laboratory setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients or Other Participants<\/jats:title>\n                    <jats:p>Fourteen participants, 7 females and 7 males, who had an average age of 20.79 \u00b1 1.05 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Collection and Analysis<\/jats:title>\n                    <jats:p>Participants completed the Timed Tandem Gait test and Dual Task Gait test as outlined in the SCAT6. Participants then completed a semistructured interview consisting of 4 questions. To establish the credibility of the qualitative data, member checking and data triangulation were used. Each interview was recorded and transcribed. The Colaizzi phenomenological approach was implemented to triangulate the findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five dominant themes emerged: (1) student-athletes displayed cognitive load and multitasking difficulties with Serial 7s; (2) student-athletes displayed math anxiety and varying confidence in mental math; (3) student-athletes displayed emotional and psychological reactions to Serial 7s; (4) prior experience and training affected student-athletes\u2019 perceptions of Serial 7s; and (5) student-athletes displayed task-specific challenges and strategies to Serial 7s.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Serial 7s dual task proved to be a mentally demanding exercise that elicited a range of positive and negative cognitive, emotional, and behavioral responses. Clinicians should be aware of various factors that may affect patients\u2019 ability to complete the task successfully. Future studies are needed to examine how math anxiety and task confidence change during recovery, which may provide methods to develop individualized recovery protocols.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4085\/1062-6050-0597.25","type":"journal-article","created":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:52:00Z","timestamp":1770771120000},"page":"322-328","source":"Crossref","is-referenced-by-count":0,"title":["Student-Athletes\u2019 Perceptions of the Serial 7s Dual-Task Concussion Testing Paradigm"],"prefix":"10.4085","volume":"61","author":[{"given":"Tyler A.","family":"Wood","sequence":"first","affiliation":[{"name":"Department of Kinesiology and Physical Education, College of Education, Northern Illinois University, DeKalb"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas E.","family":"Grahovec","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Physical Education, College of Education, Northern Illinois University, DeKalb"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Harris","sequence":"additional","affiliation":[{"name":"Harrisburg University of Science and Technology, PA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matt","family":"Wilson","sequence":"additional","affiliation":[{"name":"School of Allied Health and Communicative Disorders, College of Health and Human Sciences, Northern Illinois University, DeKalb"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2557","reference":[{"issue":"5","key":"i1938-162X-61-5-322-b01","series-title":"J Head Trauma Rehabil","first-page":"375","article-title":"The epidemiology and impact of traumatic brain injury: a brief overview","volume":"21","author":"Langlois","year":"2006","unstructured":"Langlois JA,\nRutland-Brown W,\nWald MM. The epidemiology and impact of traumatic brain injury: a brief overview. J Head Trauma Rehabil. 2006;21(5):375\u2013378. doi:10.1097\/00001199-200609000-00001"},{"key":"i1938-162X-61-5-322-b02","series-title":"Front Musculoskelet Disord","first-page":"1567611","article-title":"Long-term neurodegenerative sequelae of concussion: implications for musculoskeletal injury risk and neuromuscular interventions","volume":"3","author":"Wood","year":"2025","unstructured":"Wood TA,\nKamari M,\nGrahovec NE,\nWilson M. Long-term neurodegenerative sequelae of concussion: implications for musculoskeletal injury risk and neuromuscular interventions. Front Musculoskelet Disord. 2025;3:1567611. doi:10.3389\/fmscd.2025.1567611"},{"issue":"11","key":"i1938-162X-61-5-322-b03","series-title":"Br J Sports Med","first-page":"622","article-title":"Sport Concussion Assessment Tool-6 (SCAT6)","volume":"57","author":"Echemendia","year":"2023","unstructured":"Echemendia RJ,\nBrett BL,\nBroglio S, et al. Sport Concussion Assessment Tool-6 (SCAT6). Br J Sports Med. 2023;57(11):622\u2013631. doi:10.1136\/bjsports-2023-107036"},{"issue":"11","key":"i1938-162X-61-5-322-b04","series-title":"Br J Sports Med","first-page":"695","article-title":"Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport-Amsterdam, October 2022","volume":"57","author":"Patricios","year":"2023","unstructured":"Patricios JS,\nSchneider KJ,\nDvorak J, et al. Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport-Amsterdam, October 2022. Br J Sports Med. 2023;57(11):695\u2013711. doi:10.1136\/bjsports-2023-106898"},{"issue":"11","key":"i1938-162X-61-5-322-b05","series-title":"Br J Sports Med","first-page":"648","article-title":"Introducing the sport concussion office assessment tool 6 (SCOAT6)","volume":"57","author":"Patricios","year":"2023","unstructured":"Patricios JS,\nDavis GA,\nAhmed OH, et al. Introducing the sport concussion office assessment tool 6 (SCOAT6). Br J Sports Med. 2023;57(11):648\u2013650. doi:10.1136\/bjsports-2023-106860. Published correction appears in Br J Sports Med. 2023;57(21):e4. doi:10.1136\/bjsports-2023-106860corr1"},{"issue":"10","key":"i1938-162X-61-5-322-b06","series-title":"J Clin Psychiatry","first-page":"495","article-title":"Tests of cognition and their relationship to psychiatric diagnosis and demographic variables","volume":"47","author":"Rosen","year":"1986","unstructured":"Rosen AM,\nFox HA. Tests of cognition and their relationship to psychiatric diagnosis and demographic variables. 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The math anxiety-math performance link and its relation to individual and environmental factors: a review of current behavioral and psychophysiological research. Curr Opin Behav Sci. 2016;10:33\u201338. doi:10.1016\/j.cobeha.2016.04.011"},{"issue":"2","key":"i1938-162X-61-5-322-b09","series-title":"J Exp Psychol Gen","first-page":"224","article-title":"The relationships among working memory, math anxiety, and performance","volume":"130","author":"Ashcraft","year":"2001","unstructured":"Ashcraft MH,\nKirk EP. The relationships among working memory, math anxiety, and performance. J Exp Psychol Gen. 2001;130(2):224\u2013237. doi:10.1037\/\/0096-3445.130.2.224"},{"issue":"1","key":"i1938-162X-61-5-322-b10","series-title":"Curr Dir Psychol Sci","first-page":"52","article-title":"The math anxiety-performance link: a global phenomenon","volume":"26","author":"Foley","year":"2017","unstructured":"Foley AE,\nHerts JB,\nBorgonovi F,\nGuerriero S,\nLevine SC,\nBeilock SL. 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Accessed May 21, 2025. https:\/\/www.niu.edu\/about\/fast-facts.shtml"},{"issue":"5","key":"i1938-162X-61-5-322-b01","series-title":"J Head Trauma Rehabil","first-page":"375","article-title":"The epidemiology and impact of traumatic brain injury: a brief overview","volume":"21","author":"Langlois","year":"2006","unstructured":"Langlois JA,\nRutland-Brown W,\nWald MM. The epidemiology and impact of traumatic brain injury: a brief overview. J Head Trauma Rehabil. 2006;21(5):375\u2013378. doi:10.1097\/00001199-200609000-00001"},{"key":"i1938-162X-61-5-322-b02","series-title":"Front Musculoskelet Disord","first-page":"1567611","article-title":"Long-term neurodegenerative sequelae of concussion: implications for musculoskeletal injury risk and neuromuscular interventions","volume":"3","author":"Wood","year":"2025","unstructured":"Wood TA,\nKamari M,\nGrahovec NE,\nWilson M. Long-term neurodegenerative sequelae of concussion: implications for musculoskeletal injury risk and neuromuscular interventions. Front Musculoskelet Disord. 2025;3:1567611. doi:10.3389\/fmscd.2025.1567611"},{"issue":"11","key":"i1938-162X-61-5-322-b03","series-title":"Br J Sports Med","first-page":"622","article-title":"Sport Concussion Assessment Tool-6 (SCAT6)","volume":"57","author":"Echemendia","year":"2023","unstructured":"Echemendia RJ,\nBrett BL,\nBroglio S, et al. Sport Concussion Assessment Tool-6 (SCAT6). Br J Sports Med. 2023;57(11):622\u2013631. doi:10.1136\/bjsports-2023-107036"},{"issue":"11","key":"i1938-162X-61-5-322-b04","series-title":"Br J Sports Med","first-page":"695","article-title":"Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport-Amsterdam, October 2022","volume":"57","author":"Patricios","year":"2023","unstructured":"Patricios JS,\nSchneider KJ,\nDvorak J, et al. Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport-Amsterdam, October 2022. Br J Sports Med. 2023;57(11):695\u2013711. doi:10.1136\/bjsports-2023-106898"},{"issue":"11","key":"i1938-162X-61-5-322-b05","series-title":"Br J Sports Med","first-page":"648","article-title":"Introducing the sport concussion office assessment tool 6 (SCOAT6)","volume":"57","author":"Patricios","year":"2023","unstructured":"Patricios JS,\nDavis GA,\nAhmed OH, et al. Introducing the sport concussion office assessment tool 6 (SCOAT6). Br J Sports Med. 2023;57(11):648\u2013650. doi:10.1136\/bjsports-2023-106860. Published correction appears in Br J Sports Med. 2023;57(21):e4. doi:10.1136\/bjsports-2023-106860corr1"},{"issue":"10","key":"i1938-162X-61-5-322-b06","series-title":"J Clin Psychiatry","first-page":"495","article-title":"Tests of cognition and their relationship to psychiatric diagnosis and demographic variables","volume":"47","author":"Rosen","year":"1986","unstructured":"Rosen AM,\nFox HA. Tests of cognition and their relationship to psychiatric diagnosis and demographic variables. J Clin Psychiatry. 1986;47(10):495\u2013498."},{"issue":"7","key":"i1938-162X-61-5-322-b07","series-title":"Am J Phys Med Rehabil","first-page":"566","article-title":"Balance and gait alterations observed more than 2 weeks after concussion: a systematic review and meta-analysis","volume":"98","author":"Wood","year":"2019","unstructured":"Wood TA,\nHsieh KL,\nAn R,\nBallard RA,\nSosnoff JJ. Balance and gait alterations observed more than 2 weeks after concussion: a systematic review and meta-analysis. Am J Phys Med Rehabil. 2019;98(7):566\u2013576. doi:10.1097\/PHM.0000000000001152"},{"key":"i1938-162X-61-5-322-b08","series-title":"Curr Opin Behav Sci","first-page":"33","article-title":"The math anxiety-math performance link and its relation to individual and environmental factors: a review of current behavioral and psychophysiological research","volume":"10","author":"Chang","year":"2016","unstructured":"Chang H,\nBeilock SL. The math anxiety-math performance link and its relation to individual and environmental factors: a review of current behavioral and psychophysiological research. Curr Opin Behav Sci. 2016;10:33\u201338. doi:10.1016\/j.cobeha.2016.04.011"},{"issue":"2","key":"i1938-162X-61-5-322-b09","series-title":"J Exp Psychol Gen","first-page":"224","article-title":"The relationships among working memory, math anxiety, and performance","volume":"130","author":"Ashcraft","year":"2001","unstructured":"Ashcraft MH,\nKirk EP. The relationships among working memory, math anxiety, and performance. J Exp Psychol Gen. 2001;130(2):224\u2013237. doi:10.1037\/\/0096-3445.130.2.224"},{"issue":"1","key":"i1938-162X-61-5-322-b10","series-title":"Curr Dir Psychol Sci","first-page":"52","article-title":"The math anxiety-performance link: a global phenomenon","volume":"26","author":"Foley","year":"2017","unstructured":"Foley AE,\nHerts JB,\nBorgonovi F,\nGuerriero S,\nLevine SC,\nBeilock SL. The math anxiety-performance link: a global phenomenon. Curr Dir Psychol Sci. 2017;26(1):52\u201358. doi:10.1177\/0963721416672463"},{"issue":"12","key":"i1938-162X-61-5-322-b11","series-title":"Orthop J Sports Med","first-page":"2325967117745033","article-title":"Lived experiences of adolescent athletes following sport-related concussion","volume":"5","author":"Valovich McLeod","year":"2017","unstructured":"Valovich McLeod TC,\nWagner AJ,\nBacon CEW. Lived experiences of adolescent athletes following sport-related concussion. 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