Biodex Concussion Management Program

Benefits of the Biodex Concussion Management Program

• Balance Assessment utilizing the Biodex Balance System SD or the portable BioSway for objective comparison of preseason baseline to post-injury results.
• Neurocognitive Testing utilizing Axon Sports CCAT or cognitive program of choice.⁵
• Evidenced-based protocol facilitates medically supported “return-to-play” decision process.
• Biodex Concussion Manager Software – easy to navigate, store baseline and post-injury results for later comparison. (Runs on PC-based computer).
• HIPPA-Compliant Summary Report that illustrates relative performance - shows status, progress and outcomes of tests.
• Play It SAFE® Algorithm and Sideline Assessment offers guidelines for on-field RTP decisions for coaches, ATC's and team physicians.
• Ongoing Education available via print-on-demand protocol, graded symptom checklist and educational materials.
• Access to Medical Board for consultation via Concussion Health, a division of 360 Balance.
• Marketing Support to populate your program.
• Workshops & Education; Biodex University and co-sponsored concussion management workshops are scheduled regularly.

Play It S.A.F.E.® Sideline Assessment Guide Includes:

• Graded Symptom Checklist
• Cognitive Test
• Functional Testing
• Oculomotor (Eye Movement) 
• Dynamic Visual Acuity Testing
• Physical Tests
• Romberg
• 20-yard Jog
• Follow-up Evaluation
  (Repeat of Sideline Assessment)

Biodex Partner in Concussion Management

Follow the athlete's progress from baseline testing through post-injury evaluation.

1.	Administer the test(s).
2.	See the results.
3.	Enter the data and document progress with HIPPA-compliant Summary Report.

Components of the Program

Education
Supporting materials to educate athletes, coaches, parents, administrators, doctors and clinicians, including the CDC Heads Up Concussion in Youth Sports Materials.* Biodex University and co-sponsored concussion management workshops are scheduled regularly.

Preseason Baseline Testing
The ability to quantify balance and cognitive function in athletes before an injury occurs is an important consideration in a comprehensive athletic program. Computerized assessments of baseline performance against which post-injury performance can be compared provides objective decision data.

• Balance Assessment: Conduct important baseline balance testing on all athletes using the Biodex Balance System SD or portable BioSway. The tests
  are quick and easy to perform.
  
  The Clinical Test for Sensory Integration of Balance (CTSIB) helps to determine which sensory system (visual, vestibular, or somatosensory) an athlete relies on to maintain balance. Research has shown that Mild Head Injury (MHI) populations rely more on visual cues from the environment than an able-body population.⁴
  
  

• Cognitive Testing: Biodex Concussion Management Program complements results from computerized cognitive testing, such as: ImPACT™, Axon Sports CCAT, CNS Vital Signs™, CSMI SportsWare™ Concussion, HeadMinder™, SAC, SCAT2** or any program of choice.
  NOTE: Biodex includes Axon Sports CCAT baseline and post-injury test vouchers with Pro and Varsity programs.

Play It SAFE® Sideline Assessment
Follow the Play It SAFE® Algorithm and Sideline Assessment to screen for a concussion and remove the athlete from play, if needed.

Return-to-Play Decision
Doctors, trainers, athletes, parents, coaches and administrators feel confident as decisions are based on best practices objective data and clinical protocols.

Follow-up Evaluation
Repeat balance assessment and cognitive testing in the days following injury to track recovery using preseason baseline testing as a guideline. 

NOTE: * The CDC Heads Up Concussion Materials are included, but are also available free at http://www.cdc.gov/concussion/headsup/youth.html.
**The SCAT2 is a free tool for evaluating concussion in athletes, included with the Biodex Concussion Management Program. It was developed by experts at the 3rd International Consensus on Concussion in Sport in Zurich, Switzerland in November 2008. It is also available online.

DISCLAIMER: The information provided is not intended to be a substitute for professional medical advice but as a guideline to assessing athletes following a concussion. Always seek the care of a physician or other qualified healthcare provider with any questions or concerns you may have about a medical condition. If there is any question/concern about the athlete's status then recommend not returning to play. 

References:
1. Guskiewicz, KM, et al (1997). Alternative approaches to the assessment of mild head injury in athletes. Med Sci Sports Exerc, Vol 29, No 7 Supplement, pp S213-221.
2. Kauffman, et al. Balance is a critical parameter in orthopedic rehabilitation. Orthopedic Physical Therapy Clinics of North America;
New Technologies in Physical Therapy 6:1 1059-1516, 1997
3. Goldie, et al. Postural Control following inversion injuries of the ankle. Arch Phys Med Rehab 75:969-975, 1994
4. Lehmann J.F. et al Quantitative Evaluation of Sway as in Indicator of Functional Balance in Post-Traumatic Brain Injury. Arch Phys Med Rehab 1990;71: 955-962 

Concussion Management – Make it Your Business!

When we think of concussions, the media has us think of professional football. The truth is concussions have reached epidemic proportions in many sports, beginning with the local athletic leagues on through high school and university programs as well.

Biodex provides the marketing support to help launch your new Concussion Management Program to your community.

Materials include:

• Sample letters to coaches and athletic directors, pediatricians or referring physicians and to the parents of local team athletes.
• Sample press release for local newspapers.
• Tri-Fold Brochure, customized with your facility contact information, to use as follow up to the letters, placed in the waiting room, or sent to anyone that would benefit by learning about your program.
• Clinical Voucher, customized with your facility contact information, to send to partnering physicians directing athletes to your facility for baseline testing.
• Concussion Posters to post around your own facility or with partnering physicians, alerting patients to your Concussion Management Program.

To order, call 1-800-224-6339

Biodex Concussion Pro Package:
Biodex Concussion Pro Package features the versatile Biodex Balance System SD for static and dynamic balance testing and training.  The Balance System SD not only serves your concussion management needs, but standardized athlete knee injury screening tests, plus six interactive training modes to provide valuable and effective proprioceptive and neuromuscular training.

Concussion Program Upgrade for Existing Balance System SD Owners:

If you already have a Balance System SD with v1.3 or higher software, then all you need is the Indexed Foam Pad and the Concussion Manager Software. 

Contact Biodex Customer Service to upgrade Balance System SD software.

Biodex Concussion Varsity Package:

Biodex Concussion Varsity Package utilizes the Portable BioSway, a static balance training and testing device. The BioSway features a lightweight portable instrumented platform, easy-to-use 12" color touch-screen display, standardized testing, interactive training, plus a hard shell travel case – perfect when testing is brought to the athlete. 

Concussion Program Upgrade for Existing BioSway® Owners:
If you already have a BioSway, then all you need is Concussion Manager Software, BioSway Display Stand and Printer.

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