Tips & Techniques

Concussion Testing

Dana Tress 
 • 
March 15, 2017

Parents, athletes, coaches and medical professionals are all talking about concussions. They have become a hot topic of conversation as we learn and understand
more about the effects of concussion. One question surrounding this discussion—how do we determine the severity of concussion to decide appropriate
treatment?

The answer to this question is concussion testing. The first step in this process takes place before an injury ever occurs.This is called baseline testing.
Baseline testing can be performed by looking at a variety of cognitive and physical performance levels including: balance, proprioception, strength,
memory, reaction time and visual processing. Often, reaction time, visual processing, and memory can be tested with the use of computer programs designed
to establish a person’s baseline, or “normal function”, for these tasks. These tests are often administered by physical therapists and athletic trainers.
Balance, proprioception, and strength testing can be performed with or without the assistance of computerized technology. While it is not necessary
to have baseline concussion testing performed, it is a helpful in determining deficits and treatment options should that person ever suffer from a
concussion.

If a concussion in an individual is suspected, screening tools are available that can be used immediately on the sidelines by doctors, physical therapists,
coaches and athletic trainers to help determine if an athlete has sustained a concussion. An appropriate referral to the emergency room or the individual’s
primary care physician would be indicated at that time. If a concussion is confirmed and other medical testing, such as CT scans, are negative, the
same tools used for baseline testing can be used again following the injury. The post-injury test would then be compared to the individual’s baseline
test, should they have one. This comparison then very clearly shows what problems the person is having following their concussion. Without a baseline
test, a post-injury exam is still essential in determining the next step toward your recovery.

A physical therapist trained in concussion rehabilitation can work alongside you, your physician and athletic coaching and training team to help you determine
if further treatment is needed, and how you can get back to your normal activities safely and as soon as possible!

Meet the Author
Dana Tress, PT, MS, CEAS, AIB-CON is a physical therapist specializing in the management of concussion, balance dysfunction, headaches and dizziness in Crystal Lake, Illinois at Smith Physical Therapy Balance + Concussion Center, an award winner in concierge physical therapy services for McHenry County and surrounding regions.
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