Concussion Management

We are dedicated to preventing concussions, as well as diagnosis and treatment. Our team of professionals work diligently with athletes, parents and coaches to educate them on proper return to play guidelines, as well as treatment and concussion prevention. 

Skilled concussion providers assist with pre/post concussion testing. Please contact (920)923-7940 to see a therapist or schedule an appointment.

What is a Concussion?

A concussion is a disturbance in brain function that occurs following either a blow to the head or as a result of the violent shaking of the head. All concussions are serious. Recognition and proper response to concussions when they first occur can help prevent further injury or even death. 

Management & Treatment of Concussions

Once a concussion is identified, there are several guidelines to follow to promote healing.

  • Removal from activity and all exercise
  • Athlete will take ImPACT within three days of injury
  • No activity until cleared by physician
  • Limited or no texting, computer or video games
  • Driving may be restricted
  • Avoid over stimulating activity (theme parks, movie theaters, concerts, etc.)
  • No headache medications unless advised by a physician
  • School attendance and activity may need to be modified

Click here to read Wisconsin's State Statute that governs concussions and head injuries.

How Do I Know If I Have a Concussion?

Signs & Symptoms

  • Balance issues or dizziness
  • Can’t remember plays
  • Concentration or memory concerns
  • Difficulty falling asleep
  • Doesn’t know what happened
  • Double or fuzzy vision
  • Feeling sluggish or “in a fog”
  • Forget instructions
  • Headache
  • Nausea/Vomiting
  • Sensitivity to light or noise
  • Sleeping more or less than usual

Post Concussion Symptoms

  • Chronic headaches and/or headaches that increase throughout the day
  • Deficits in short-term memory, problem solving and general academic functioning
  • Dizziness when standing quickly
  • Fatigue
  • Personality changes
  • Sensitivity to light or noise
  • Sleep difficulties

What is ImPACT?

ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) is the first, most-widely used, and most-scientifically validated computerized concussion evaluation system. ImPACT obtains objective data that measures how the brain is functioning and does not rely solely on how the athlete is feeling. The athlete may be symptom free and still be impaired.

ImPACT is a neurocognitive test that measures six different functions of the brain. A baseline test should be taken prior to engagement in athletics. Then, should a brain injury occur, the athlete takes the ImPACT test again, to see if they are back to their baseline. ImPACT results can also be used to determine if the athlete needs to be withheld from school or seek further treatment.

Agnesian HealthCare provides ImPACT pre- and post-tests to all area athletes.

It is used by the National Football League, National Hockey League, Major League Baseball, Major League Soccerand even the World Wrestling Entertainment and Cirque de Soleil. Additionally, more than 1,000 colleges and universities and more than 3,000 high schools also use ImPACT.



Return-to-Play Criteria

  • Cleared by physician to return to play
  • Pass exertion/exercise test administered by a licensed athletic trainer
  • Symptom free for 24 hours
  • Take ImPACT test as advised

When cleared, the athlete will participate in a gradual exercise progression over several days until back to full activity.