A baseline computerized cognitive assessment was completed by 483 military
cadets before their initial school year. Fourteen cadets concussed during p
hysical education boxing were retested <1 hour after injury and again on re
turn to full activity 4 days later. Compared with baseline testing, postinj
ury performance on simple reaction time and continuous performance tests wa
s significantly slowed, even after cadets experienced resolution of physica
l symptoms and were cleared to resume full activity. These findings may be
relevant to current concussion management guidelines.