Health

Concussion Testing: How to Assess for Possible Brain Injury

A concussion is a type of traumatic brain injury (TBI) that can occur when there is a sudden jolt or blow to the head. It is essential to recognize the signs and symptoms of a concussion to ensure proper medical attention and treatment. If you suspect that you or someone else may have suffered a concussion, it is crucial to conduct a thorough assessment to determine the presence and severity of the injury. This article will provide you with valuable information on how to test if you have a concussion, highlighting key indicators and methods used to assess this condition accurately. Remember, timely detection and appropriate management are vital for the well-being and recovery of individuals who have experienced a concussion.

How to test if you have a concussion?

Concussion testing refers to the process of assessing an individual for the presence and severity of a concussion, which is a type of traumatic brain injury. These tests are conducted to evaluate the cognitive, physical, and neurological functioning of a person who may have sustained a head injury.

There are various methods and tools used in concussion testing, including:

  • Symptom assessment

This involves evaluating the presence and severity of common concussion symptoms such as headache, dizziness, confusion, nausea, sensitivity to light or noise, and changes in mood or behaviour.

  • Cognitive testing
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Measures like the Standardised Assessment of Concussion (SAC) or the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) are often used to assess cognitive abilities such as memory, attention, processing speed, and reaction time.

  • Balance and coordination assessments

These tests assess an individual’s balance and coordination abilities, as concussions can affect these functions. Examples include the Balance Error Scoring System (BESS) and the Sensory Organization Test (SOT).

  • Neurological evaluation 

This involves a comprehensive examination of neurological function, including testing reflexes, coordination, sensation, and strength.

  • Imaging tests

In certain cases, imaging studies like computed tomography (CT) scans or magnetic resonance imaging (MRI) may be used to detect any structural abnormalities or bleeding in the brain.

What is a Concussion?

A concussion is a type of traumatic brain injury (TBI) that occurs when the brain experiences a sudden jolt, blow, or shaking, resulting in temporary dysfunction. It is characterized by a range of physical, cognitive, and emotional symptoms.

What are the symptoms of concussion?

The symptoms of a concussion can vary from person to person, and they may not always be immediately apparent. Some common symptoms include:

  • Headache or pressure in the head
  • Dizziness or feeling lightheaded
  • Confusion or feeling disoriented
  • Memory problems or difficulty concentrating
  • Nausea or vomiting
  • Sensitivity to light or noise
  • Blurred vision or difficulty with vision
  • Fatigue or feeling tired
  • Sleep disturbances, such as insomnia or excessive sleepiness
  • Balance problems or coordination difficulties
  • Slurred speech or difficulty finding words
  • Irritability or changes in mood
  • Anxiety or depression
  • Ringing in the ears (tinnitus)

What brain functions are checked by doctors in a concussion test?

When doctors perform a concussion test, they assess various brain functions to determine the presence and severity of a concussion. The specific brain functions that are typically checked during a concussion test include:

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Cognitive function

Doctors evaluate cognitive abilities such as memory, attention, concentration, processing speed, and problem-solving skills. They may use standardized tests like the Standardised Assessment of Concussion (SAC) or the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) to assess these functions.

Balance and coordination

Doctors assess balance, stability, and coordination to check for any impairments or disruptions. Tests like the Balance Error Scoring System (BESS) or the Sensory Organization Test (SOT) may be used to evaluate these aspects.

Reflexes and motor function 

Doctors examine reflexes, strength, and coordination of movements to assess the functioning of the nervous system. They may check for abnormalities or deficiencies that may be associated with a concussion.

Visual function

Doctors may evaluate visual processing and function, including visual acuity, tracking, and depth perception. Vision-related symptoms, such as blurred vision or sensitivity to light, are commonly assessed during a concussion evaluation.

Sensory function

Doctors may assess sensory functions, including touch, temperature, and proprioception (sense of body position and movement). They examine if there are any abnormalities or deficits related to sensory processing.

Speech and language

Doctors evaluate speech production, comprehension, and language skills to ensure there are no impairments or difficulties in these areas. They may assess speech clarity, word finding, and language comprehension.

Additionally, doctors may consider conducting imaging tests, such as computed tomography (CT) scans or magnetic resonance imaging (MRI), to rule out other potential brain injuries or complications.

Wen should you get Tested for a concussion?

It is advisable to get tested for a concussion if you experience or observe any of the following:

Head trauma or injury: If you have suffered a blow, jolt, or impact to the head, whether from a fall, accident, sports-related incident, or any other event, it is important to consider the possibility of a concussion and seek medical evaluation.

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Symptoms suggestive of a concussion: If you or someone else experiences symptoms commonly associated with a concussion, such as headache, dizziness, confusion, memory problems, changes in mood or behaviour, sensitivity to light or noise, or any other concerning symptoms, it is recommended to get tested for a concussion.

Suspected concussion in others: If you witness someone experiencing a head injury or notice signs that indicate a possible concussion, it is important to encourage them to seek medical evaluation. This is particularly important if they exhibit symptoms such as loss of consciousness, amnesia (memory loss) surrounding the incident, or worsening symptoms over time.

Participation in sports or high-risk activities: If you participate in sports or activities that carry a risk of head injuries, it is advisable to undergo baseline testing before the season or activity begins. Baseline testing provides a reference point for comparison in the event of a suspected concussion during the season or activity.

Professional assessment recommendation: If a healthcare professional, such as a physician, athletic trainer, or other qualified medical personnel, recommends testing or evaluation based on your symptoms, history, or circumstances, it is essential to follow their advice and get tested for a concussion.

It is worth noting that even if symptoms are mild or seem to resolve quickly, it is still important to seek medical evaluation. Concussions can have delayed or cumulative effects, and appropriate diagnosis and management are essential for ensuring the best outcomes and promoting recovery.

FAQ

Q1: How long does it take to recover from a concussion?

Ans: Recovery time varies but can range from days to weeks or even months.

Q2: Can I drive after a concussion?

It is not recommended to drive immediately after a concussion. Rest and consult a healthcare professional.

Q3: When can I return to sports after a concussion?

Ans: Return to sports should follow a gradual and supervised process, guided by a healthcare professional.

Q4: What is the difference between a concussion and a mild traumatic brain injury (MTBI)?

Ans: A concussion is a type of mild traumatic brain injury (MTBI), with concussion being a subset of MTBI.

Q5: What are the recommended treatment options for concussions?

Ans: Treatment for concussions typically involves rest, symptom management, and gradually returning to activities under medical guidance.

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