Student athletes – in fact, athletes of any age – must be wary of undetected injuries. One injury that often goes undetected and has serious consequences is a concussion.
A concussion results from a blow to the head. Even a mild bump can cause a concussion. When you receive a second concussion before the first has properly healed, it can result in serious complications, even death. That’s why it’s so important that when a concussion occurs, the injury be accurately diagnosed and appropriately treated.
Although tests such as CT scans and MRIs cannot detect a concussion, ImPACT, a software program that measures an individual’s brain function, can. OSMC is the only facility in Michiana with credentialed ImPACT consultants. With the ImPACT system, an athlete takes an initial test to establish their reaction-time baseline. After a head injury, a second exam is administered in conjunction with a physical evaluation. The results of the test and the evaluation are used to determine when the athlete can safely return to play.
Signs and Symptoms of a Concussion
Signs and symptoms of a concussion can range from mild to severe – but in all cases require a medical examination. Athletes should not return to play until they are free of these signs and symptoms, which could worsen with exertion.
Signs of a concussion that others may observe in an athlete include:
- Appears dazed or stunned
- Is confused about assignment
- Forgets plays
- Is unsure of game, score, or opponent
- Moves clumsily
- Answers questions slowly
- Loses consciousness (even temporarily)
- Shows behavior or personality change
- Forgets events prior to hit (retrograde)
- Forgets events after hit (anterograde)
Concussion symptoms an athlete may self-report include:
- Balance problems or dizziness
- Double or fuzzy vision
- Sensitivity to light or noise
- Feeling sluggish
- Feeling “foggy”
- Change in sleep pattern
- Concentration or memory problems
On-Field Cognitive Testing
Some simple cognitive tests a coach, friend, or loved one may administer at the site of activity include the following. Any failure should be considered abnormal. Consult a sports medicine physician trained in the proper evaluation and management of concussions any time you suspect a concussion.
Ask the athlete:
- What stadium is this?
- What city is this?
- Who is the opposing team?
- What month is it?
- What day is it?
Anterograde Amnesia Test
This type of amnesia involves difficulty remembering things that occurred after the concussion.
Ask the athlete to repeat the following words:
Retrograde Amnesia Test
This type of amnesia involves difficulty remembering things that occurred before the concussion.
Ask the athlete:
- What happened in the prior quarter/period?
- What do you remember just prior to the hit?
- What was the score of the game prior to the hit?
- Do you remember the hit?
Ask the athlete to do the following:
- Repeat the days of the week backward, starting with today.
- Repeat these numbers backward: 63 (36 is correct) 419 (914 is correct)
Word List Memory Test
Ask the athlete to repeat the three words from earlier (girl, dog, green).
Additional Concussion Resources
OSMC Concussion Care Providers