About Concussions
Over the past few years, the medical community has become increasingly aware of the effect of head trauma on the adolescent brain. Teenagers and young adults often don't exhibit symptoms of a mild traumatic brain injury (mTBI) resulting from a level of impact that would cause more obvious findings in an adult. Consequently, an adolescent athlete with post-concussive syndrome most likely has suffered a more substantial injury than an adult with a similar level of symptoms. After suffering an initial mTBI, the young athlete is at a five-fold risk of sustaining another. If repeated trauma occurs after the initial injury has had a chance to fully resolve, 'second impact syndrome' may result—with tragic consequences.
What is ImPACT?
ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) is a computer-based neurocognitive tool established by researchers at the University of Pittsburgh. This testing evaluates visual and verbal memory, problem-solving ability, and reaction times to establish baseline scores in athletes. The evaluation is then re-administered following head injuries to follow the recovery process. Dr. Nash has specialized training in concussion management and works closely with the athletic trainers at most of the local high schools.
How It Works
Educational Video: Concussion Screening and Management
Watch Dr. Nash's comprehensive video about post-concussion screening, management, and care guidelines for parents and athletes. Learn about the recovery process and when it's safe to return to sports activities.
ImPACT Versions and Credentials
The current version of ImPACT is indicated for individuals aged 11 years and up. There is a pediatric version of ImPACT designed for kids down to age 5 that is also available in our office. ImPACT testing has been researched and advocated by The International Conference on Concussion in Sport. The evaluation is widely used by all teams in the NFL and NHL and many other professional sports teams.
Instructions on taking ImPACT
Watch this helpful video guide on how to properly complete your ImPACT baseline test. Learn about the test interface, what to expect during each section, and tips for accurate results.
Is ImPACT Covered by Insurance?
Baseline ImPACT testing is not covered by insurance. The $50 cost of the evaluation is less than the average pair of cleats or athletic shoes. In the event that an athlete sustains a suspected mTBI (concussion) the cost of the office visit and follow-up ImPACT testing usually are covered (check with your individual carrier). The office is an "in network" provider for most commercial PPO plans and is also "in-network" for Muir Medical Group HMO patients with a referral from the patient's primary care physician.
1-to-1 Pediatrics and the Community
Dr. Nash has been practicing primary care pediatrics in the San Ramon Valley for over 30 years. During that time, he has demonstrated a commitment to protecting the health and safety of his patients and all children in the community. The concussion management program that 1-to-1 Pediatrics offers is intended to quickly evaluate the adolescent student/athlete with a suspected mTBI. Once assessed, the patient is given a customized treatment plan designed to protect the brain from further injury while allowing the concussed athlete to rehabilitate and return to play as quickly and safely as possible. You wouldn't let your child play sports without the proper protective equipment. ImPACT baseline and follow-up testing is a hidden level of protection for the adolescent athlete's most valuable asset--their brain.