Concussion Managment

Overview and Features of the ImPACT Test

ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) is the first, most-widely used, and most scientifically validated computerized concussion evaluation system.

Developed in the early 1990's by Drs. Mark Lovell and Joseph Maroon, ImPACT is a 20-minute test that has become a standard tool used in comprehensive clinical management of concussions for athletes of all ages. ImPACT Applications, Inc. was co-founded by Mark Lovell, PhD, Joseph Maroon, MD, and Michael (Micky) Collins, PhD.

Given the inherent difficulties in concussion management, it is important to manage concussions on an individualized basis and to implement baseline testing and/or post-injury neurocognitive testing. This type of concussion assessment can help to objectively evaluate the concussed athlete's post-injury condition and track recovery for safe return to play, thus preventing the cumulative effects of concussion. In fact, neurocognitive testing has recently been called the "cornerstone" of proper concussion management by an international panel of sports medicine experts.

ImPACT can be administered by an athletic trainer, school nurse, athletic director, team doctor or psychologist, provided that they have completed training in the administration of the test. Post-concussion care and the management of concussion should only be administered by a trained medical professional. ImPACT assists doctors in making return-to-play decisions and should never be used as a stand-alone tool.

ImPACT is the most widely used computer-based testing program in the world and is implemented effectively across high school, collegiate, and professional levels of sport participation.

Test Features
  • Measures player symptoms
  • Measures verbal and visual memory, processing speed and reaction time
  • Reaction time measured to 1/100th of second
  • Assists clinicians and athletic trainers in making difficult return-to-play decisions
  • Provides reliable baseline test information
  • Produces comprehensive report of test results
  • Results can be e-mailed or faxed for fast consultation by a neuropsychologist
  • Automatically stores data from repeat testing
  • Testing is administered online for individuals or groups
  • Compatible with PC and MAC
The test battery consists of a near infinite number of alternate forms by randomly varying the stimulus array for each administration. This feature was built in to the program to minimize the "practice effects" that have limited the usefulness of more traditional neurocognitive tests.

ImPACT takes approximately 20 minutes to complete. The program measures multiple aspects of cognitive functioning in athletes, including:
  • Attention span
  • Working memory
  • Sustained and selective attention time
  • Response variability
  • Non-verbal problem solving
  • Reaction time

Heads Up To Clinicians
Mandatory concussion education certification course for clinicians and coaches.

IMPACT History and Community Involvement:

Dr. Trazzera is CEO of NYTEX Sports, LLC a sports management company based in New York and Texas and owner of the Texas Brahmas Professional Hockey Team in the Central Hockey League (AA Minor Professional League) as well as the Texas Jr. Brahmas, a Tier III Jr. A Hockey Team playing in the Western States Hockey League (WSHL).

A 'Certified ImPACT Consultant' (CIC) trained at the University of Pittsburgs prestigeous Concussion Management Program, he is a leader and expert in Traumatic Brain Injury (Concussion) management and works with local high schools and colleges to provide the IMPACT Concussion Prevention and Management Program to their athletes.

He is a Clinical Assistant Professor in the Department of Radiology at Stony Brook University Medical Center and serves as Team Physician for the Stony Brook University Ice Hockey Team. He has introduced a concussion education, prevention and management program utilizing state of the art clinical neurocognitive (ImPACT) and neurophysical assessment. This program will help guide athletes to safer return to play minimizing recurrent and long term injury further decreasing post concussive cognitive impairment.
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