All athletes/patients require physical and cognitive rest, as well as a stepwise progression for return to physical activity under the careful supervision of a concussion-trained specialist. Some patients may require additional treatment options including:
- Medication management
- Vestibular (balance) therapy
- Supportive counseling
- Cognitive rehabilitation and/or speech therapy
Most people with a concussion recover quickly and fully; however, symptoms can last for days, weeks or longer. Research shows that high school athletes with less than 15 minutes of on-field symptoms experienced symptoms lasting up to one week post-injury. Symptoms have been known to last longer than one week.
Rest is very important after a concussion because it helps the brain to heal. This includes limiting or removing use of television, cell phones, texting, video games, etc.
Your physician may recommend additional neuropsychological testing, which many include a full battery of paper/pencil testing, vestibular testing, computerized cognitive testing, and more which can help identify problems with brain function.
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Concussion symptoms »
Return to Play Guidelines
Under Texas House Bill 2038, any school-age athlete who exhibits signs and symptoms of concussion must be removed from play immediately and is not allowed to participate in games or practices until the athlete has been evaluated and given permission by an appropriate health care provider.
The athlete must also complete a Return-To-Play Protocol before full participation can begin. Go to the UIL website to learn more.
The Importance of Baseline and Post-Injury Neurocognitive Testing
Baseline testing is a pre-season exam conducted by neuropsychologists, neurologists, or other physicians and medical professionals such as athletic trainers specifically trained in concussion management. Baseline tests are used to assess an athlete's balance and brain functions (.i.e., learning and memory skills, ability to pay attention or concentrate, and how quickly he or she thinks and solves problems) prior to a concussion being sustained. The results from baseline tests can then be used and compared to similar post-injury tests in the event the athlete suffers a concussion.
Baseline testing ideally should take place prior to the first practice of the season. Most cognitive testing (both paper-pencil and computerized testing) is suggested for athletes 10 years of age and older. Additional neuropsychological tests are available to assess children under the age of 10.
ImPACT™ (Immediate Post‐Concussion Assessment Cognitive Test) is a web‐based, scientifically validated computerized concussion evaluation test used to test your cognitive ability. It is NOT an IQ test. It is a test of verbal and visual memory, processing speed and reaction time. It tests aspects of cognitive functioning in athletes with attention span, working memory, sustained and selective attention time, response variability, non‐verbal problem solving and reaction time. ImPACT™ baseline testing takes approximately 30 minutes to administer and the IRONMAN Sports Medicine Institute Concussion Program at Memorial Hermann offers this baseline test free of charge to all school-aged athletes.
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Baseline tests are available at the IRONMAN Sports Medicine Institute at Memorial Hermann.
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IRONMAN Sports Medicine Institute at Memorial Hermann
6400 Fannin #2250
Houston, TX 77030
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