What is the RPQ?

The Rivermead Post-Concussion Symptoms Questionnaire (RPQ) is a standardized, self-report screening tool used to assess and monitor symptoms commonly associated with post-concussion syndrome (PCS). Originally developed by King et al. (1995), the RPQ helps quantify physical, cognitive, and emotional changes that may occur following a mild traumatic brain injury (mTBI), such as a concussion sustained from sports, accidents, or falls.

Use in Clinical Settings

The RPQ is widely used by clinicians in neurology, rehabilitation, sports medicine, and behavioral health to evaluate symptom severity and recovery trajectories following head injury. Its ability to track symptom changes over time makes it especially useful in developing return-to-play or return-to-work protocols and informing ongoing care strategies.

How It Works

Patients are asked to rate how problematic a range of symptoms have been over the past 24 hours, compared to how they felt prior to their injury. These symptoms include common post-concussive complaints like headache, dizziness, irritability, and memory difficulties. Responses are provided on a 5-point scale:

• 0 = Not experienced at all

• 1 = No more of a problem

• 2 = A mild problem

• 3 = A moderate problem

• 4 = A severe problem

The RPQ includes both early symptoms (e.g., headache, nausea) and late symptoms (e.g., fatigue, poor concentration), allowing clinicians to monitor patterns of recovery or persistence.

Scoring and Interpretation

When administered through Creyos, responses are automatically scored and compiled into a report. Scores are totaled across all items, and both early and late symptom categories can be tracked independently.

• A total score between 16–35 may indicate post-concussion syndrome.

• A score above 35 may suggest moderate to severe functional limitations.

Scores should be interpreted in the context of the individual's injury profile, treatment plan, and functional status.

Clinical Considerations

The RPQ provides a subjective measure of symptom burden, offering critical insight into how patients perceive and experience their post-concussion recovery. However, it should not be used in isolation. Interpretation should be paired with clinical interviews, objective assessments (such as cognitive tasks), neurological evaluation, and patient history.

For further reading, see King et al. (1995), the original development study, and refer to the Creyos Standardized Questionnaires Guide for the full listing of available behavioral and cognitive health screeners.