How Do I Find Out If I Have Any Tickets – Concussion tests assess your brain function after a head injury. Most concussion tests consist of questionnaires or symptom checklists. Concussion tests check things like alertness, memory, focus, how fast you think, and your ability to solve problems. They also check your balance and coordination. Concussion tests are one of the tools used to diagnose concussions.
Health care providers, athletic trainers, and coaches use concussion tests to evaluate brain function before and after a head injury.
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A concussion is a mild traumatic brain injury that results from a bump, violent jolt, or blow to your head. Injury disrupts normal brain function. You can also get a concussion after a hard blow to your body that causes you to jerk your head forward, back, or to the side.
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A common belief is that a concussion only happens if you lose consciousness. In fact, most people who have a concussion never lose consciousness. It’s also possible that you, your child, or a loved one may have had a concussion and not even know it. That’s why it’s important to get checked even if you think the blow to your head isn’t serious.
Anyone who experiences a blow to their head or a whiplash-like head movement should be checked for a concussion. The concussion test tests your cognition—your brain’s ability to think and process information—after a head injury.
The concussion test is a useful tool to help your healthcare provider diagnose a concussion. Early diagnosis allows early planning and management of a concussion. The repeat concussion test is also useful to assess how well your brain is recovering from a head injury.
There are many concussion tests. They range from the very simple (usually performed by non-health professionals) to the very detailed (performed by health professionals). All of these tests use a combination of oral, written, or electronic methods to test various brain functions.
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There are many “brand name” concussion tests. Most concussion tests are a series of questionnaires or symptom checklists. All have their own scoring system.
Some concussion tests are administered by athletic trainers, coaches, or sports medicine doctors. Other tests are self-reported tests that you can complete yourself. However, others are one of the tools used by health care providers such as neurologists.
Warning: Concussion assessment tools are not a substitute for a medical evaluation. No youth athlete (under the age of 18) who has sustained a blow to the head or a suspected concussion should ever return to sport on the same day. They should be removed immediately until a doctor feels it is safe to resume their sport. In all 50 states, it is against state law for an athlete to return to a practice/game without first being evaluated by a medical professional for clearance.
People use the standardized concussion assessment (SAC) test on the sidelines and in emergency testing to assess the immediate mental state of athletes. This test tests the athlete’s orientation, immediate memory, concentration and delayed memory. The SAC takes about five minutes to complete. Test questions include:
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SCAT stands for Sports Concussion Assessment Tool 5. It is a concussion assessment tool used for people 13 years and older. Includes the SAC test and more — neck assessment and balance assessment, yes/no symptom checklist and other information on concussion-related injury and conditions. The SCAT5 takes approximately 15 to 20 minutes to complete. There is also a pediatric version for children aged 6 to 12.
MACE stands for Military Acute Concussion Evaluation. This test collects information about the event, concussion points and symptoms and includes a version of the SAC test information.
Your eyes are closed and your hands are on your hips during this test. The stance is with your feet shoulder-width apart, one foot in front of the other, and one foot resting on your non-dominant leg. All poses must be held for 20 seconds.
Healthcare providers use the Acute Concussion Assessment (ACE) tool. It includes questions about the presence of concussion features, a checklist of 22 concussion symptoms, and risk factors that may prolong recovery. The form collects specific information, such as:
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The Post-Concussion Symptom Scale (PCSS) is a self-report exam in which you rank 21 symptoms based on severity (none to severe) at baseline and at various time points. Symptoms cover physical, thinking, sleep and emotional functioning.
The Immediate Post-Concussion Assessment and Cognitive Test is an electronic test for athletes 12 years of age and older. The test has three sections.
This testing platform now has a pediatric version as well as a rapid test for diagnostic testing in an emergency room or urgent care setting.
Cleveland Clinic has developed its own concussion mobile app for healthcare professionals who evaluate and manage concussions. Once the baseline data is collected, the C3 app is used to:
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The C3 app compares post-injury assessments on baseline athlete data and normative data on balance, information processing, reaction time, sequencing, coordination and vision.
Although these tests are helpful in identifying a possible concussion, you should see your healthcare provider (if the test was not administered by a medical professional). Your health care provider or neurology team will also do a complete exam, including balance and vision checks. They may also order imaging tests, including an MRI or CT scan, to check for bruising or bleeding in your brain. There is also a blood test called a brain injury marker. This blood test measures specific proteins in the blood that are released after mild traumatic brain injury. The presence of these proteins may indicate cerebral hemorrhage.
These types of concussion tests are primarily performed on student athletes. Student-athletes who play in contact sports are usually concussed before the start of their season. This questionnaire measures normal brain function in areas such as memory, thinking speed and attention. Computer tests are often similar to playing a video game. If the athlete develops a head injury at any time during the season, they are removed from the game and re-evaluated. Current concussion test results are compared to preseason results.
Another simple tool is the collateral concussion assessment. This test checks brain function in athletes with suspected concussions. Typical questions include:
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Remember, no player who has received a blow to the head or a suspected concussion should ever return to the game. These tests provide some information. If a physician or sports medicine specialist is not on staff at the school, players should be referred to their health care provider for further follow-up. Your health care provider will perform a complete physical exam and some tests, or may refer you to a sports medicine specialist or neurologist for additional tests and imaging tests, if needed.
First, know that only doctors can examine you or your loved one and order any necessary tests to diagnose a concussion. However, in some cases, you can ask a few simple questions and gather some information to share with your healthcare provider.
For example, you might be with your parent when they fall and hit their head, or with your child when they fall off their bike and hit their head. Gathering information immediately after a fall will not only be helpful when you first see the provider, but also when you are caring for your loved one after they return home from their exam. If there are changes to the information, call your loved one’s health care provider immediately.
Again, never try to diagnose a concussion yourself. No head injury is too small. All head injuries should be checked by a doctor. Your loved one’s health care provider will want to perform their own tests—possibly including brain imaging studies—before making a diagnosis.
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Each concussion test has its own scoring system. You can do one or more types of concussion testing. If the concussion test plus any other findings show you had a concussion, your healthcare provider will discuss a rehabilitation plan.
The normal diameter of the pupil (the black part of your eyes) should be about the same in both eyes. Your pupils react to direct light. A simple concussion assessment test is to shine a medium beam lens from the outer edge of each eye inward. Pupils must rapidly shrink (constrict) in response to light. A slow pupillary response to light can be a sign of brain damage (increased intracranial pressure or ICP). Pupils that do not react to light at all may mean a severe increase in ICP or severe brain damage.
The shape of the pupil can also reveal important information. Normally, your pupils should be round in shape. An oval pupil can also be a sign of brain damage (increased intracranial pressure).
A concussion is a mild traumatic brain injury. Concussion tests are a relatively simple, quick tool for evaluating potential concussions. Concussion tests are not the only method used by health care providers to diagnose concussions. Your health care provider will perform a complete exam, order imaging scans (if needed), and other tests. The results of concussion tests and other tests allow early diagnosis and management of concussion, which will help you recover faster and may prevent further injury.
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