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.
The COVID-19 Pandemic & Your Teen's Mental Health
April 13, 2021
Even in normal times, a teenager often feels emotional, vulnerable, insecure and confused.
But when a global pandemic turns their world upside down, many teens feel completely overwhelmed. They are challenged with social distancing, remote learning and the cancellation of important events and activities, like school sports, homecoming, prom and graduation. They also may be worried about the health of loved ones.
How to Tell if It's Anxiety or Depression
Aurif Abedi, M.D., a child and adolescent psychiatrist with Henry Ford Allegiance Health, advises parents to look for changes in your teen’s behavior. Don't ignore signs of anxiety and depression, such as:
► Experiencing mood swings, agitation, frequent irritability or outbursts of intense anger.
► Being uninterested in connecting with friends or family – avoiding interactions and not texting, gaming or video chatting with friends.
► Losing interest in things they normally enjoy, like music, drawing or other hobbies.
► Having difficulty sleeping or sleeping more than usual.
► Losing their appetite or eating more frequently, often resulting in weight fluctuations.
► Not showering regularly, and not making an effort with how they look.
► Struggling with school: having attendance problems, not finishing assignments, or seeing a drop in grades.
► Engaging in risky behavior, including drug or alcohol use.
How to Help Your Anxious or Depressed Teen
Gently tell your child you’ve noticed a change in their behavior and give examples. Help them feel safe to tell you how they feel. Let them know you want to help and encourage them to ask questions.
Contact your teen’s doctor about your concerns. The doctor can complete an assessment and make recommendations, including letting you know if counseling seems appropriate.
If There is a Risk of Suicide
Thoughts of suicide, desperation or hopelessness should always be taken seriously. Make sure your home is safe for your child by locking up medications and weapons and getting help for your teen.
Contact your child’s doctor, call the National Suicide Prevention Lifeline at 1-800-273-8255, text TALK to the Crisis Line at 741741, or take your child to the nearest emergency department for an assessment. If your teen is in immediate danger of serious self-harm, call 9-1-1 immediately.
Learn about the wide range of behavioral health treatment options available at Henry Ford Health System.
Dr. Aurif Abedi, is a physician who is board-certified in psychiatry as well as child and adolescent psychiatry, and sees patients at Henry Ford Allegiance Health in Jackson.