Sunday, April 28, 2013

Protecting Our Athletes: Online Concussion Testing Effectively Diagnoses Concussions


      Throughout the years of sports, the industry and the separate sports have learned to adapt to the changes occurring from equipment technology to treatment of injuries. As these two aspects of sport gradually advance together, we can only hope that more things are done to protect athletes from the rudimentary to the professional level. Specifically, the way concussions are handled has been changing gradually as these intense brain injuries can have devastating impacts on learning and cognitive function of the brain. New forms of testing can be conducted online that help successfully diagnose concussions so athletes can properly recover.

      Psychology Teacher’s Assistant Judy Gerstenblith says she would check for multiple things if she suspected a concussion.


Use of online programs are necessary to prevent consequences from concussions.

      My high school came to a revelation that concussions were something to be proactive about after a friend of mine suffered two concussions in a row and, two years later, still suffers from learning disabilities. As a very involved athlete in high school, I was very cautious about head injuries and my school was very proactive about the issue from thereon out—we began using a very technologically advanced program that is becoming increasingly popular in the athletics world. We employed the program ImPACT, which is the newest and most advanced version of online concussion testing. Gerstenblith’s explanation of what she would check for if she suspected a concussion is exactly what online testing methods like ImPACT are trying to simulate. Developed by Dr. Mark Lovell at the University of Pittsburgh Medical Center, the system is the most widely used online concussion testing system.

Impact works by testing athletes before and after a suspected concussion.

      According to the ImPACT Test’s website, it is the most scientifically validated method of testing for concussions. What I recall about taking the test is at the beginning of the season, my entire team was stationed at computers and the test prompted us to remember words, match symbols and colors, and a test where we had to remember the placement of certain colored letters on a screen. The basics of ImPACT are that before the season of a sport begins, all the athletes are required to complete a series of assessments to test the capability of different parts of your intact brain. Learning, memory, visual processing, and spatial processing are all catagories of things tested during several computer tasks. Then, during the season if you get hit and may possibly have a concussion, you return to this test and retake it. Your scores from your first test are saved into a database with your name and, when you have a suspected concussion, your results from your second test post-injury is compared with the original. If you have lower results than when you had no head injury at all, you cannot return to the game.

The ImPACT system and computer tests in general benefit all types of players.

      Since the ImPACT test is conducted online, it is on an individual basis. The reason these tests were conducted is mainly because professional players, specifically NFL, would be tested in person after being taken off the field and would knowingly make it seem like they had suffered no injury. The pressure on football players to avoid concussions is immense because if they are taken out, they are replaced and often are replaced permanently. The online testing makes it easier to accumulate honest and unbiased results, making it easier to diagnose and treat concussions. The main reason these tests are being created is to reduce the number of concussions that go untreated and another concussion occurs right after. Otherwise known as second impact syndrome, the brain can swell and this is when severe consequences can occur. Different parts of your brain can be easily affected and, with the new neurocognitive testing, players’ concussions are diagnosed to ensure they do not suffer another.  

       Gerstenblith says that multiple concussions can have long term impacts on the brain and brain function. It can also lead to mental disorders, having a devastating impact on a player's life. 


Similar tests to ImPACT are making a debut on professional sidelines.

      Even professional sports like the NFL, MLB, NHL, and NBA are utilizing these types of computerized concussion testing. Specifically in the NFL, they will now be “expand[ing]concussion efforts during games”. Originally, the way the NFL determined if a player had a concussion after wobbling off the field after a hard hit would be to ask them a series of questions. “Where are we? Who did we play in the last game? What is the date” are all questions that are usually part of the NFL’s protocol. But since the NFL’s lack of force on the concussion issue has been so series and has been taken to court, they are using methods exactly like ImPACT that will be available on the sidelines. On iPads, they will now be forced to take a 6-8 minute test that features similar tests such as concentration, balance, and asks them to rate how them are feeling. They are also taken into the locker room and asked to say the months of the year in reverse or spit back a series of numbers.

Overall, online methods are becoming handier to diagnose concussions.

      The concussion issue is very serious, and it is very important that the whole world of sports takes it seriously. The new technologically progressive concussion testing is to the health benefit of our athletes that we love to watch each season. In years to come, the technologically will only advance further and ensure that no athlete suffers disabilities from head trauma or concussion related injuries. 

      On another note, the NFL is even revamping their rules to protect their players from concussions. They have changed rules so that the hits to the head are illegal, and results in a red flag. Players cannot hit someone in the head and it must be leading with their shoulder away from the helmet. These new rules came after lawsuits against the NFL claim they are negligent and should be taking concussions more seriously. (Audioboo form previous topic)

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