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.

An Athletic Trainer's Guide To Winter Sports You Should Test Out This Year

February 15, 2022

Christina Eyers, Ed.D., AT, ATC, is the Director of Athletic Training & Community Outreach with Henry Ford Sports Medicine.

With the winter Olympics kicking off, you might be wondering which (if any) winter sports are safe for you to try.

In addition to favorite pastimes like skiing, snowshoeing and ice skating, athletes in the winter Olympics are shining a light on lesser-known sports that are worth checking out if you're feeling adventurous. (Curling anyone?)

Breaking Down Winter Olympic Sports

Whether you prefer snow or ice, there are plenty of cold-weather activities that offer a heart-pumping workout — and you don't have to be an Olympic athlete to join in the fun. A bonus: Many of these activities are easy on your joints and offer cross-training benefits.

Several favorites:

  1. Cross-country skiing. Cross-country skiing is a full-body, endurance pursuit similar to running. But since you're gliding through the snow, not pounding pavement, there's less stress and strain on your joints — and a lower risk of repetitive use injuries.
  2. Ice skating. Figure skating is among the most popular winter Olympic sports. It's also the oldest sport in the winter program. Even if you feel unsteady on ice skates (and what beginner doesn't?), taking an introductory lesson can help you glide safely while learning proper mechanics. Since falling is common for beginners, make sure you wear some extra padding and take your time as you master new maneuvers.
  3. Curling. A unique Olympic sport, curling is like shuffleboard on ice. While it may be one of the slower sports in the winter games, it's also a great game to play on the ice with your family.
  4. Skiing. Skiing is a fun activity for the whole family. But if you're an amateur skier, it's critical to be realistic about your abilities. Don't be afraid to take ski lessons to get the basics under your belt. A ski instructor not only gauges your skill level, but can also direct you to the slopes that are the best fit for your experience.
  5. Snowboarding. One of the newer Olympic sports on the circuit, snowboarding was first included at the 1998 Winter Olympics in Nagano, Japan. But since its introduction, snowboarding has become one of the most popular sports in the Games — and for winter recreation among nonathletes.

    No matter which winter sports you choose, make sure you have appropriate equipment that fits. Winter sports gear can get pricey, but try secondhand stores or even rent equipment for weekend use. Just make sure to ask the experts for advice on things like length of skis, boots, bindings, figure skates or hockey skates. Most importantly, make sure to always wear a helmet for activities such as skiing and snowboarding (kids should wear helmets when ice skating too!).

    Cold-Weather Sports Caveats

    Winter sports can be engaging for everyone, no matter what their age or skill level. You can use the Olympics as inspiration or try one of the many non-Olympic sports that get your heart pumping during colder months. A few favorites:

    ► Sledding. Tubing and sledding require you to climb up the hill in order to ride your way down. Toboggan runs and sledding hills are a great way to enjoy local parks during the wintertime — and they're fun for the whole family.
    ► Snowshoeing. Like walking on sand, snowshoeing requires you to navigate uneven surfaces, which helps strengthen your leg and glute muscles.
    ► Hiking. If the weather is on the mild side, don't be afraid to get outdoors and explore. With newer materials and textiles, it's easier than ever to dress warmly and remove layers as you work your way up a hill or mountain.

    Whatever winter activity you choose, keep in mind you’re not competing in the Olympics. If you’ve been mostly sedentary, it's important to start slow. Gradually increase your activity level and be sure to wear appropriate safety gear.

    To find a primary care or sports medicine specialist at Henry Ford, visit henryford.com or call 1-800-436-7936.