Window 1: ImPACT Test – Brain Function and Concussion Management

ImPACT Testing and Concussion Management    The following is an adaptation from a presentation by Micky Collins, Ph.D., Management of Sports Concussion and The ImPACT Program. The following information is intended to help those who have taken the ImPACT test understand how the composite scores are derived. It is not intended to be used as a substitute for a medical evaluation or treatment. This blog and the other blog “windows” into brain function are not intended for anybody to make any diagnosis or determine treatment for anybody. It is simply intended to help patients...

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Window 2: Balance / Posturography for Concussion Management

Balance testing with advanced technologies rather than simply “eye balling” it,  is the best way to accurately gain a “window” into the vestibular or “balance” system. Thankfully, new technology like the CAPS force plate from Vestibular Technologies, provides a very fast and valid assessment tool for detecting even low grade concussions. Sophisticated force plate technology, like the CAPS unit, can identify postural stability deficits lasting approximately 72 hours following sport-related concussion. “It appears that postural stability testing...

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Window 3: VNG – TBI, Concussion and Brain Function Evaluation

The eyes have been said to be “windows to the soul”. More importantly for us, they are a “window” (i.e. functional assessment tool) of brain function and balance centers of the nervous system. Different areas of brain are responsible for various functions like tracking objects, making quick eye movements from target A to target B, stopping the eyes on an intended target and keeping the eyes fixed on a target. These functions and other characteristics of eye movements; like how smooth the eyes move, whether or not the eyes move together, the symmetry of the pupils and...

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Window 4: IM – TBI, Concussion Management, Sports Performance

Historically, the Interactive Metronome has been used to help those with ADHD, dyslexia, learning disabilities, sensory integration issues, dyspraxia, balance disorders, concussions and other traumatic brain injury or brain disorder rehabilitation. However, it is now also being used to optimize sports performance. This blog and the other blog “windows” into brain function are not intended for anybody to make any diagnosis or determine treatment for anybody. It is simply intended to help patients understand what a functional approach to neurology, brain function, concussion...

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Window 5: Posture – Concussion Assessment and Brain Health

Our brain determines how we stand, the curves of our spine, our awareness of our head position relative to our body and our joint angulations. It is for this reason, that a part of the functional neurological exam at Issaquah’s Brain Centers NW includes an evaluation of posture. Posture evaluation is important for baseline testing, concussion assessment and brain health evaluations. Here are a few things that I look at when examining posture: Can you maintain a stable upright posture? The posture is observed both with the eyes open and closed; with feet normal width apart and / or...

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Window 6: Gait – Traumatic Brain Injury, Concussion, Brain Function

How we move, our gait, is a window into brain function. Do a little people watching and note the asymmetries in stride and arm swing, toe walkers that bounce. Again to appreciate the extent of how are brains influence our gait you only need to begin to observe the differences in gait seen with various neurocognitive challenges like Asperger’s, Autism, ADHD or disease states like Parkinson’s or Alzheimer’s or stroke. These are gross examples but a lot can be gained in our understanding of anybody’s function by observing gait. I see significant asymmetries within the...

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