Neuropsychological Baseline and Concussion Testing

Dr. Kristine Keane provides baseline and post-injury testing utilizing ImPact testing. ImPact (Immediate Post-Concussion Assessment and Cognitive Testing) is a computerized concussion testing system that aids practitioners in making a return to play decisions. ImPACT is the first, most widely used, and validated computerized concussion evaluation system. ImPACT was developed to provide useful information to assist qualified practitioners in making sound return to play decisions following concussions.

Given the inherent complexities of concussion management, it is important to manage concussions on an individualized basis and to implement baseline testing and/or post-injury neurocognitive testing whenever possible. Neurocognitive assessment can help to objectively evaluate the concussed athlete’s post-injury condition and track recovery for a safe return to play, thus preventing the cumulative effects of concussion. In fact, neurocognitive testing has been called the “cornerstone” of proper concussion management by an international panel of sports medicine experts.

Paper and Pencil Neurocognitive Testing

Sometimes, a student’s symptoms or previous learning difficulties inhibit their ability to take computerized neurocognitive tests. In these cases, Dr. Keane administers brief, one-hour, pencil and paper examinations that assess cognitive functions like those measured on traditional computerized tests such as verbal and visual memory, visual processing speed, and reaction time. Dr. Keane may need to review previous school-based psychological testing, 504 plans, and or IEP plans, to create a comprehensive concussion management plan or to make an accurate return to play decisions.

Return to Play

Neuropsychologists determine when the athlete can return to his/her sports activities in coordination with their pediatrician, school physician, or sports medicine physician. Once an athlete is symptom-free, and neurocognitive, vestibular, and ocular motor testing are within a normal range, the athlete is cleared to begin a return to play protocol with their school athletic trainer or a physical therapist who specialized in concussion.  Athletes do not return to sports until they are fully able to return to their usual academic activity and schedule.

Return to Learn

Neuropsychologists utilize post-injury data to make academic recommendations for returning to school and/or academic coursework following a concussion. Until an athlete is symptom-free, he or she may be recommended to be given classroom accommodations such as reduced workload, frequent breaks, or reduced classroom time. Individual educational plans are created based upon the post-injury clinical interview and objective testing. They are provided to the athlete’s coach, guidance counselor, and pediatrician.  Students who have a previously diagnosed learning disability or ADHD may be provided with additional accommodations relative to an existing 504 plan or IEP.

Treatment for Post-Concussion Syndrome (PCS)

Post-Concussion Syndrome is defined by persistent symptoms that occur beyond the window of usual recovery.
Center for Neurowellness concussion management and treatment options:

• Academic accommodations and support
• Cognitive retraining/rehabilitation
• Individual psychotherapy/counseling
• Biofeedback therapy