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PostConcussion Symptom Inventory–2

Gerard A. Gioia, PhD, Christopher G. Vaughan, PsyD, and Maegan D. Sady, PhD

Evaluates physical symptoms of concussion
Paper and pencil
Age range:
5 years to 18 years
5 minutes to administer
Qualification level:
A degree, certificate, or license to practice in a health care profession or occupation, including (but not limited to) the following: medicine, neurology, nursing, occupational therapy and other allied health care professions, physician's assistants, psychiatry, social work; plus appropriate training and experience in the ethical administration, scoring, and interpretation of clinical behavioral assessment instruments. Certain health care providers may be eligible to purchase selected "B" and "C" level instruments within their area of expertise. Specifically, relevant supervised clinical experience using tests (i.e., internship, residency, etc.) in combination with formal coursework ( i.e., Tests and Measurement, Individual Assessment, or equivalent) qualifies a health care provider to purchase certain restricted products. Any PAR Customer already qualified to purchase a "B" or "C" level product, is also qualified to purchase an "S" level product. If you are not already qualified to purchase a "B"or "C" level product from PAR, please download and complete the special Qualification Form for Medical and Allied Health Professionals. (You will need Adobe Acrobat to view.) Close

Learn more about advanced interpretation and clinical applications of the PCSI-2 and PCEI in our Q&A! Click on the Resources tab above or here to view or download. 

The PCSI-2 is an essential part of a multimodal concussion evaluation. It measures physical, emotional, cognitive, and sleep/fatigue symptoms to assist with diagnosis of concussion; monitors recovery over repeated visits; and helps educators and clinicians manage students’ return to school and daily activities. Use in conjunction with other members of the ConcussTrack family for a thorough evaluation of concussion:

  • The PostConcussion Executive Inventory measures working memory, emotional control, and initiate/task complete to evaluate and monitor recovery from concussion.
  • The Acute Concussion Evaluation (ACE) is a brief checklist that uses a standardized protocol to assess key elements of concussion to assist clinicians with diagnosis and inform treatment recommendations. It is available here at no charge!

Features and benefits

  • Uses a systematic interpretive process that offers a reliable, valid, and efficient means of capturing symptom type and severity following concussion.
  • Monitors concussion recovery by comparing ratings over repeated visits.
  • Helpful when developing treatment recommendations, providing accommodations in school, and managing activities and expectations at home.
  • Indicates if symptoms are attributable to the concussion or if they were part of the child's preinjury functioning.

Test structure

  • Features a structured assessment of concussion-related symptoms via carbonless Parent, Child Self-Report, and Adolescent Self-Report forms that include observations of preinjury and postinjury functioning.
  • Includes four scales (Physical, Emotional, Cognitive, and Sleep/Fatigue) with retrospective baseline and postinjury ratings yielding a Retrospective-Adjusted Post-Injury Difference (RAPID) score that indicates risk.
  • Related clinical questions help examiners when screening for concomitant issues that may overlap with symptoms of concussion.

Technical information

  • Data were collected from a large sample including parents of children and adolescents ages 5-18 years (n = 1,469) and students ages 8-18 years (n = 1,393) split into recovered and not recovered groups.
  • Internal consistency for the Total RAPID score for all informants at all visits was .90. The Clinical Scale RAPID score alphas ranged from .71 to .92 (except for the Child Self-Report Form Emotional Scale at Visit 1).