Competitive sports are fun, but concussions are serious, potentially causing long-term physical, cognitive, and emotional consequences. According to American Academics of Pediatrics data, an estimated 1.1 million to 1.9 million recreational and sports-related concussions occur every year in the United States in children ages 18 and younger.

This may have you wondering if you should consider tools such as baseline concussion testing. Felicia Gliksman, D.O., MPH, FAAN, a pediatric neurologist at Hackensack University Medical Center, weighs in on what baseline testing is and who might benefit from it.

What is baseline concussion testing?

“Baseline concussion testing consists of a baseline neurological examination and a computerized neurological test that measures a person’s baseline levels of concentration, reaction times, memory and motor skills,” says Dr. Gliksman. These results can be used for comparison if your child is suspected of having a concussion in the future.

What are the benefits of baseline testing?

Baseline testing can provide a foundation of measurement of a person’s cognitive and physical abilities if a concussion is suspected and help provide a comparison rather than relying on self-reporting. If it is determined that your child has a concussion, it can then be used as a guide for treatment and management.

“Every kid is different and may have different symptoms, so baseline testing helps ensure their treatment fits their needs,” says Dr. Gliksman.

Who should get baseline testing?

For boys, studies show tackle football carries the highest risk of concussion, with lacrosse, ice hockey and wrestling also with high risks. For girls' sports, soccer carries the highest risk of concussion, followed by lacrosse, field hockey and basketball.

If your child participates in a sport with minimal to no contact, baseline concussion testing may not be necessary.

“There is no concrete guideline for testing, so you may want to consult your child’s coach or talk with your pediatrician,” says Dr. Gliksman. Some schools automatically provide free testing for those playing competitive contact sports at the beginning of the school year.

For children who play competitively outside of school, parents can consider getting the test on their own. Currently, most insurance companies do not cover this testing, and costs can vary from institution to institution.

How to prepare for baseline concussion testing?

“For optimal results, make sure your child has had a good night’s sleep, has eaten and feels well. Also, confirm they will be taking the test in a quiet environment with minimal distractions,” says Dr. Gliksman. Some schools provide an online code for testing so a proper, quiet environment needs to be ensured.

Dr. Gliksman says it’s important for your child to take the test seriously. While poor results won’t necessarily exclude your child from playing, Dr. Gliksman warns: “Poor baseline computerized results may warrant further investigation and a more in-depth neurological history and exam.”

Current legislation in New Jersey requires kids to be pulled from play if a concussion is suspected; however, it has yet to mandate concussion baseline testing. “So if you want your child to be tested, speak with your child’s coach to see if the school district performs tests or contact your pediatrician to find a site near you,” Dr. Gliksman says.

Next Steps & Resources:

• Meet our source: Felicia Gliksman, D.O., Director of the Pediatric and Adult Concussion Center at Joseph M. Sanzari Children's Hospital at Hackensack University Medical Center
• To make an appointment with a neurologist near you, call 800-822-8905 or visit our website.
• Learn more about concussion care and pediatric neurology at Hackensack Meridian Health

The material provided through HealthU is intended to be used as general information only and should not replace the advice of your physician. Always consult your physician for individual care.