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.
Pandemic Planning: Creating a Schedule
December 15, 2020
By Stacy Leatherwood Cannon, M.D.
Henry Ford Health System
With coronavirus continuing to grab headlines and physical distancing orders still in place, every day tends to feel the same.
More parents than ever are working from home, have reduced hours or may even be out of work due to the pandemic. Those who are working at full capacity may feel the strain of trying to balance work and childcare. Many schools and extracurricular programs have been moved online or canceled.
With both parents and kids feeling the stress of new daily routines, it's more important than ever to create a schedule that all family members can follow.
Staying On Schedule
When schedules are off (particularly sleep schedules), children and teens may be at greater risk for depression and anxiety. Younger children may act out because they have increased energy with no outlet. The good news: Creating a schedule — and sticking with it — can help everyone feel more grounded.
Children thrive with an understanding of the daily routine. Knowing what to expect and what they need to do reduces anxiety and helps kids feel more in control.
A few ways to achieve an effective schedule:
• Make it a family affair: Instead of drawing up a schedule and expecting everyone to stick to it, involve your children in the process. Call a family meeting where you come up with sleep and waking times, mealtimes and breaks. Kids are more likely to embrace a new schedule if they played a hand in creating it.
• Enforce bedtime: Children doing remote learning may not have to rise as early to make it to school on time. Even so, it's important to set a regular bedtime so they can remain on task during daylight hours. Your best bet: Establish a bedtime routine that includes calming activities (like a bath and reading) and ensure your children go to bed at an appropriate hour. School-aged kids should get about 9 to 10 hours of sleep each night.
• Stick to mealtimes: Keeping mealtime consistent allows for a structured break where kids and parents can reconnect and troubleshoot when necessary. This is especially important with older adolescents who may work independently during the school day. Unfortunately, what works for one family member may not work for another. Ideally, families should work together to establish mealtimes, then adjust based on each individual's needs and assignments.
• Encourage breaks: Kids and adults alike become zombie-like after sitting in front of a screen for extended periods. For children who are distance learning, frequent breaks are especially important. The younger the child is, the more breaks they need to stay engaged. That said, even older kids should take breaks every 30 minutes or so to walk around, get a snack and do some simple stretches. Better yet, take your breaks together and do some jumping jacks or share a snack as a family.
Successful Scheduling
Coming up with an effective schedule that the whole family can follow is not something you do at the last minute. Plan for the week ahead over the weekend. Sit down as a family and discuss what worked — and what didn't — the previous week. Then tweak as necessary.
Most important, be patient. These are unprecedented times for all of us. And while we have months of experience dealing with this pandemic, transitioning back to school has brought new challenges.
Try to shift your focus toward the perks of this experience. This is a rare moment in history when families can come together and spend a lot of quality time together. It could be a time of growth and transformation for your whole family.
Concerned about how your children are managing the pandemic? Help is available. To find a doctor or pediatrician at Henry Ford, visit henryford.com or call 1-800-HENRYFORD (436-7936).
Stacy Leatherwood Cannon, M.D., is a board-certified pediatrician and the physician champion for childhood wellness for Henry Ford LiveWell. She sees patients at Henry Ford Medical Centers in midtown Detroit and Sterling Heights. Learn more about Dr. Leatherwood Cannon
PHOTO: Novi's Abigail Pheiffer, a senior on the MHSAA Student Advisory Council, gets in some wall sits during a break in her day.