About ten years ago Tina Bonci, MS, ATC, LAT Co-Director, Division of Athletic Training/Sports Medicine at University of Texas was interested in establishing a concussion management program at UT...she had been following the work of Kevin Guskiewicz, who was heavily involved in posturography in return to play decisions.

Bridgett Wallace PT, DPT was also using posturography and integrating additional vestibular testing and providing vestibular rehabilitation. After many discussions and review of the literature, they implemented a concussion management program that combined baseline testing of cognitive, balance and eye-head coordination. The findings were first used to identify potential at risk athletes and provide athletic enhancement exercises if needed. The baseline testing was also used to compare the athlete's status following a concussion to assist the team physician(s) in return-to-play decisions as well as provide appropriate vestibular exercises that would then be carried out by the athletic trainer.