Is Baseline Concussion Testing Right For You?
November 2, 2021
Did you know there’s a test that can aid your recovery if you sustain a concussion?
Read on to get the facts about baseline testing from Michelle Gambino-Gorney, a certified athletic trainer for Henry Ford Health System.
What Is Baseline Concussion Testing?
“Baseline testing is an evaluation of your normal brain function that tests for neurocognitive abnormalities,” explains Gambino-Gorney. “We recommend baseline testing prior to the start of a sports season, before tryouts or practice.”
During baseline concussion testing, athletic trainers or physicians collect extensive information about an athlete’s brain health. They evaluate health, family history and neurocognitive function. Gambino-Gorney says that might include assessing everything from balance and reflexes to memory, vision and concentration. “If the athlete does sustain a concussion during the season, we can compare pre-injury test results to post-injury test results and find out how the injury is affecting an athlete’s brain. It helps us make the right recovery plan and determine when it’s safe for them to return to their sport.”
Myth: Concussion Baseline Testing Is Only for Football Players
While baseline testing is ideal for athletes (ages 9 and up) who play high-impact collision sports, any athlete at risk of a concussion should consider baseline testing. This includes football, lacrosse and hockey players, in addition to gymnasts, snowboarders, skateboarders and lots of other athletes.
In fact, even if you just take the occasional weekend bike ride, go jogging or lift weights, there’s no harm in having baseline test results on file. Pre-concussion screenings can also benefit people with physically demanding jobs, such as first responders, military personnel and tactical athletes.
Myth: You Only Need to Get Baseline Testing Once
Just as your joints and muscles change as you get older, your brain changes, too. It’s best to get annual baseline testing. Yearly tests help your healthcare team keep track of your brain health over time. They can spot problems or changes early, before they develop into serious issues. Ask your physician about baseline neurocognitive testing as part of your annual sports physical.
Myth: Baseline Testing Is Only Useful If You Get a Concussion
First and foremost, baseline testing tracks your physical and mental well-being. Even if you never sustain a concussion, the test is a way to stay proactive about your brain health. Gambino-Gorney explains that they can look at test results across seasons to detect changes in neurocognitive function that can indicate disorders such as:
► Anxiety
► Attention-deficit/hyperactivity disorder (ADHD)
► Depression
► Learning disabilities
Myth: Baseline Testing Diagnoses a Concussion
Baseline testing is not a diagnostic tool for concussions. It’s one piece of all the information a healthcare provider needs to determine if you sustained a mild traumatic brain injury. In addition to comprehensive neurocognitive testing, your provider assesses a broad range of concussion signs and symptoms to confirm a diagnosis after you’ve sustained an impact to your head.
To find a primary care or sports medicine specialist at Henry Ford, visit henryford.com or call 1-800-436-7936.
Michelle Gambino-Gorney is a certified athletic trainer in the Henry Ford Kutcher Clinic for Concussion and Sports Neurology.
How Acupuncture Can Help Soothe Pregame Anxiety
May 7, 2024
The topic of mental health in sports has been mostly ignored until fairly recently. But thanks to several high-profile athletes’ willingness to open up about their struggles, the topic is no longer quite so taboo.
“Athletes at all levels are realizing the importance of their overall mental health, mental preparation before an event and mental recovery afterward,” says Thomas R. Betts, DAOM, LAc, a sports medicine acupuncturist at Henry Ford Health. “Having your mind in the right place pays big dividends in terms of sports performance.”
One of the many tools athletes are using to get their minds healthy is acupuncture. It may be an ancient Chinese practice, but it can be useful to help improve the mental health of modern athletes.
What Is Acupuncture?
Acupuncture is a healing technique that has been used in traditional Chinese medicine for thousands of years. Acupuncture practitioners (acupuncturists) insert very fine, thin needles into the skin at various points on the body, depending on what condition they’re treating.
According to traditional Chinese medicine, the insertion points for the needles correspond to specific internal organs or energy channels in the body. “The philosophy behind traditional Chinese medicine is that acupuncture works by manipulating the flow of blood and energy to create balance and harmony in the body,” says Betts.
From a Western medicine perspective, acupuncture works by stimulating the central nervous system and by having some direct effect on the tissues in which needles are placed. Acupuncture also has a balancing effect on hormones within the body. It works well with other treatments for anxiety such as sports psychology, massage therapy, guided visualization and meditation.
How Can Acupuncture Improve Sports Performance?
Acupuncture has long been used to help people relax, reduce stress and cope with anxiety. And it can have that effect even when the acupuncturist is treating a physical problem. “Even when I’m treating an athlete for a sports injury, when I ask how they feel post treatment the overwhelming response I hear is ‘I feel so relaxed,’” says Betts.
This is why acupuncture seems like a natural fit for helping athletes of all levels cope with performance anxiety, pregame jitters or other competition-related fears. “Reducing stress helps athletes perform better,” says Betts. “And more and more athletes are realizing that taking care of their mental health and using tools to stay mentally focused can really enhance their performance.”
When Should Athletes Try Acupuncture?
Since an acupuncture session can leave you feeling super calm and relaxed, you don’t want to try it for the first time right before a game or competition. “The timing is important,” says Betts. “You want the athlete to feel motivated to compete, not totally Zenned out.”
The best approach is to schedule a series of acupuncture sessions in the weeks leading up to a big game, competition or race. Betts says he typically recommends athletes come in twice a week for three weeks to get started. “It’s not about treating their anxiety in the moments before a game,” he says. “It’s about establishing a baseline of calm that they can carry with them into the competition.”
While there’s still some stigma surrounding athletes and mental health, Betts sees the popularity of acupuncture as one sign of a shift. “I think we’re trending in the right direction for mental health,” he says. “Athletes are starting to understand that if they want longevity and success in their sport, they need to take care of their mental and emotional health—not just the physical.”
Reviewed by Thomas Betts, DOAM, RAc, a certified sports acupuncturist who sees patients at the Henry Ford Center for Athletic Medicine in Detroit.
To find a sports medicine provider at Henry Ford Health, visit henryford.com/athletes or call 313-651-1969.