Baseline & Post-Injury Testing

What is ImPACT? (Immediate Post-Concussion Awareness and Cognitive Testing)

• The first, most-widely used, and most scientifically validated computerized concussion evaluation system.
• Developed to provide useful information to assist qualified practitioners in making sound return to play, school and work decisions following concussions. It should never be used as a stand-alone tool or as a diagnostic instrument.

What does ImPACT measure?
ImPACT takes about 20 minutes to complete and objectively measures multiple aspects of cognitive functioning including:

• Attention Span
• Verbal & Visual Memory
• Processing Speed & Reaction Time
• Nonverbal Problem Solving

What is the purpose of baseline testing?

• A Baseline ImPACT, taken before a head injury establishes a person's cognitive functioning, at their peak performance.
  • Should an injury with suspected concussion occur, a repeat test is completed within 48-72 hours to evaluate the post injury condition and track recovery for a safe return to activity, using the established baseline values as individualized reference points.
• Because concussion management is complex, it is important to manage concussions on an individualized basis. ImPACT testing allows this individualization which is why it is important to implement baseline testing whenever possible (as well as complete post-injury testing as needed throughout the recovery process should a concussion occur).

Who should complete baseline testing, and how often?

• Although those participating in collision sports are most at risk, concussion can occur during participation in any sport, recreational activity, physically demanding occupation or fall/accident.
• By completing baseline testing, any individual that participates in sports, recreational activities and/or a physically demanding job, would be putting themselves in the best position for optimal management and recovery, should they sustain a concussion in the future.
• If, as a result of you or your child's active lifestyle, you have decided that baseline testing is indicated, it is recommended that a test be completed:
• Every two years during the years of 6th-12th grade
• Once during the college years
• Once in adulthood.

What else can be done at baseline to optimize management of potential future concussions?

• Postural Stability (balance) Testing
• Decreased stability has been shown to occur both immediately after or up to five days post concussion. This can be the result of ineffective use of one or more of the sensory systems.
• The inclusion of an objective balance assessment is now represented as part of "best practice" for concussion assessment and management. There is strong evidence demonstrating the correlation between balance deficits on functional performance and the increased risk of re-injury
• At Braintree Rehabilitation Hospital we can objectively measure balance using the Biodex Balance System SD.
• Athletic School Physical
  • Several times a year physicals are required in order for a high school athlete to participate in school sponsored sporting events. The medical staff at Braintree Rehabilitation Hospital are available to provide those physicals. We can also provide a "LAST MINUTE" service for those athletes who have been unable to obtain their physical in a timely manner.
• Education
  • Braintree Rehabilitation Hospital offers community education classes which review the signs and symptoms of a concussion as well as potential consequences. Community Concussion Education.

  Testing Services at BRH

  The team of clinicians involved in BRH's Concussion Awareness and Management Program (C.A.M.P.) are now offering the following self-pay services to be completed prior to participation in activities that have the potential to result in a concussive injury.

  Baseline Testing with ImPACT and/or Biodex: $25
  Post Concussion Testing with ImPACT and/or Biodex: $50
  Athletic School Physicals: $50

  Call 781-348-4000 to make an appointment*

  *Please note: in all cases involving someone under the age of 18:
  Parent /Guardian must accompany the patient to sign consent forms, OR
  Parent/Guardian can print the consent from the website, sign, and send with the patient or fax to: 781-356-4222. The consent form must be accompanied by a copy of the signees driver's license in order for us to match signatures to validate the parent/guardian's signature.

  Have you or your child sustained a recent concussion?