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Concussion Assessment

A threshold issue in discussing sports related concussions, is the assessment of the individual following a concussion or a suspected concussion.

The big question in this area is what tests to use.  The most recent consensus published in the June issue of neurosurgery-online is that a combination of assessment tools be utilized.  Starting in the off season, all players need to have a base line neuropsychological assessment that can be utilized for comparison purposes after a concussion or suspected concussion takes place. 

Following the concussion, assessment tools should include:

  • a self report of concussion symptom profile, typical questions are related to the post concussion syndrome symptoms of headache, dizziness, nausea, vomiting, memory problems, concentrations difficulties, sensitivity to sound or light,feeling in a "fog", feeling "slowed down", trouble falling asleep, drowisness ;
  • an assessment of postural control;
  • repeated tests of neurocognitive functioning

The consensus concludes that when used in conjunction with clinical examination the combined sensitivity of this testing in assessing concussions ranges from 89% to 96%.

Thus, in evaluating concussions or suspected concussions in athletes, it is important for those doing the evaluation to use ALL of these tools together. 

You can read the entire study on line "Sensitivity of the Concussion Assessment Battery

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