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.
Bloomingdale Trainer Performing Invaluable Role in Keeping Athletes Playing
By
Pam Shebest
Special for MHSAA.com
November 22, 2022
BLOOMINGDALE — If Scott Allison looks bored during one of Bloomingdale’s sporting events, that is a good thing.
“Trainers like to be behind the scenes and in the shadows,” the certified athletic trainer said. “We’re only needed in emergencies.
“It’s one of those jobs that if we’re sitting around looking bored, then things are going well.”
But if an athlete goes down with an injury, Allison is quick to run onto the court or field.
In his first year at Bloomingdale, he has found that working with middle and high school students is a lot different than his previous work with the minor-league hockey Kalamazoo Wings.
Treating the hockey team, with whom he spent much of his 22 years, “There was a lot of traumatic stuff like lacerations or deep contusions, overuse injuries like hip flexors or core injuries or broken bones.
“Everything’s acute and fast. It’s a different animal. In hockey, they’re all pro athletes so they know their bodies really well.”
However, high school and middle school athletes are still in a growing phase.
“These kids don’t really know what’s going on a lot of times, so it’s a lot more education on what’s happening,” Allison said.
“Is it an injury, or is it just soreness? You get a lot of kids that don’t understand the difference between aches and pains or an injury. We see a lot of ankle sprains or shin splints because they’re just developing. They’re in that awkward range where their bodies try to grow too fast.”
Allison is the Cardinals’ first certified athletic trainer, a new position for which athletic director Jason Hayes campaigned.
“What we notice is that if a kid’s injured, they’re out a lot less if you have a trainer because it speeds up recovery time,” said Hayes, who also coaches varsity football and is an assistant wrestling coach. “It’s like having a built-in physical therapist on your staff, too.”
Studies support Hayes’ statements.
According to information from The Sports Institute at University of Washington, “‘The athletic trainers know the athletes,” says Stan Herring, M.D., cofounder of The Sports Institute at (University of Washington) Medicine and a team physician for the Seattle Seahawks and Seattle Mariners. “They see the athletes frequently, if not every day. They know when something is wrong. They are medical professionals who evaluate, treat and rehabilitate athletes.’”
The article continued: “Three recent studies suggest that athletic trainers are linked to significant improvements in the diagnosis of concussion in young athletes and significant reductions in ‘time-loss’ injuries that require athletes to take time away from sports.”
Allison sees himself as a teacher as well as a trainer.
“We see a lot more strains or growth issues,” he said. “A lot of it is maintenance and teaching kids what’s going on with their bodies or what they need to do to change things.”
He also meets with parents and coaches to talk about the best way to prevent injuries.
Allison’s day begins about 1:30 or 2 p.m., giving athletes a chance to talk with him before practices or games.
During the action, he always has his first aid backpack filled with the basics: air splints for fractures or dislocations, AED, EpiPens, and bench kits (with taping and bandaging supplies, splints, gauze, ACE wraps, ice bags, latex gloves and other basic first aid supplies.)
He travels with the teams when they are involved in high-impact sports, such as football, and many times he is also called to treat an opposing player if that team has no trainer.
Allison is a perfect fit with Bloomingdale, Hayes said.
His wife, Kirsten, coached the Cardinals girls basketball team for seven years. His daughter Emma, now at Glen Oaks Community College, graduated from there, and his daughter Bailey is an eighth grader.
“We are a very lucky town,” Hayes said. “We had Doc (Robert) Stevens, who had been volunteering as our athletic trainer for 15 years. He’s just aging out.
“About a year ago, he came to me and said that it was his last year. Scott has 22 years experience, and he has relationships here. To me, it was a no-brainer.”
Assistant varsity football coach Lance Flynn, who also coaches the middle school football team, saw Allison in action during competition in the fall.
“First quarter in a middle school football game, a kid broke his arm,” Flynn said. “My own son, Ryder, was on the varsity team and he sprained his AC socket and Scott took care of him.
“If something happens during a game, they can go see him and I don’t have to worry much because I know they’re in good hands.”
Allison’s affiliation with Bronson Sports Medicine is also a plus, the trainer said.
“With Bronson, we can offer a lot more and expedite getting in to see doctors or specialists if we need to,” he said. “We’re on the same system as the doctors, so we can diagnose and send notes to the doctors and they can send notes back to us.
“If there’s anybody we need to keep track of with the doctors, I can talk with the doctors and figure out how that’s going. If anybody needs to see me, they know I’m here early if they just want to come down to talk.”
Bronson also provides certified athletic trainers at 21 other southwest Michigan high schools: Brooke Vandepolder (Battle Creek Central), Lindsay Aarseth-Lindhorst (Climax-Scotts), Amanda Monsivaes (Comstock), Makenzie Hodgson (Delton Kellogg), Salvador Robles-Soriano (Gobles), Holly Ives (Richland Gull Lake), Katelyn Baker-Contreras (Kalamazoo Hackett Catholic Prep), Lizzy Smith (Kalamazoo Central), Emma Beener (Kalamazoo Christian), Holly Sisson (Kalamazoo Loy Norrix), Nico Talentino (Mattawan), Aaron Eickhoff (Otsego), Quincey Powell (Parchment), Malorie Most (Paw Paw), Jessica Bakhuyzen (Plainwell), Lance LeTourneau (Portage Central), Janelle Currie (Portage Northern), Carrie Calhoun (Schoolcraft), Chelsea Harrison (South Haven), Alexis Walters (Three Rivers) and Natalie McClish (Vicksburg).
Pam Shebest served as a sportswriter at the Kalamazoo Gazette from 1985-2009 after 11 years part-time with the Gazette while teaching French and English at White Pigeon High School. She can be reached at [email protected] with story ideas for Calhoun, Kalamazoo and Van Buren counties.
PHOTOS (Top) Bloomingdale trainer Scott Allison has several tasks as he works to keep the school’s student-athletes healthy and pain-free. (Middle) Bloomingdale athletic director Jason Hayes, left, and assistant varsity football coach Lance Flynn. (Below) Allison packs his bag for another full afternoon. (Ankle-taping photo by Andreya Robinson; all other photos by Pam Shebest.)