Concussion Baseline Testing

 

At Our Office

At our office, we will obtain baseline data from athlete’s (pre-concussed) and keep it on file for future reference.  If an athlete is to be diagnosed with a concussion we will have the ability to retest the athlete and compare the results to the baseline data.

We will perform a rhythmic “March in Place” test that measures a person’s dynamic stability.

March In Place Balance Protocol

Balance Control: The Self Check Program That Nobody Can Afford To Do Without

MIPWe must all remember that balance and coordination is controlled and influenced by, visuo spatial ability, vestibular/inner ear, and tactile sense/proprioception. The March in Place test is done first with eyes open so that we can get a baseline for the participant. We then perform MIP with a series of protocols in no particular order;
  • with Head Extended (MHE)
  • with Head Looking Left (MHL)
  • with Head Looking Right (MHR)
  • while performing a dual task (MDT)
  • with eyes closed (MCH)
  • with hearing impaired (MOI)
  • with eyes closed and hearing impaired (MCI)

any changes will be recorded. When you think about it the participant should be able to be as effective with any, one or a combination of , senses being compromised.

Differences seen are the result of body imbalances that could not be compensated for by proprioceptive ability. It is these imbalances, that can only be seen with dynamic testing, that prevent participants from reaching optimal performance. 

  • 1. Start in a jump stance, mark your starting position and concentrate on the 6 absolutes.
  • 2. Start marching in place with your eyes open. March aggressively.
  • 3. March for approximately 30 seconds.
  • 4. Check your ending position and compare to your starting position.
  • 5. Repeat 1-4 as followed with the instructors guidance.

 

Home Work: 3 minute balance and coordination practice, always focus on the 6 absolutes.

  • 1. Stand on one leg with eyes open with other leg holding thigh parallel to the ground.
  • 2. Try to hold this position for up to 15 seconds, when you lose balance control or you reach 15 seconds take a deep breath and switch legs.
  • 3. Do this for 3 minutes.
  • 4. When you reach 15 seconds with each leg follow steps 1-3 with your eyes closed.
  • 5. To make the exercise more difficult change the surface that you stand on. Example: Bosu Ball