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Concussion Assessment & Management Process

Getting a qEEG brain evaluation as soon as possible following a head injury will provide insight to the extent and location of the injury. For participants of high impact sports, the qEEG can be a valuable tool for tracking potential brain trauma over time.

Symptoms of brain injury or concussion may go unnoticed at first, but can appear later and worsen over time. TBI can have long lasting impacts on memory and speech, often presenting with co-morbid depression, anxiety and mood disorders. A scan is particularly important if you have experienced the following:

  • Repeat head blows from impact sports

  • Other sports injury

  • Car accident

  • Stroke

  • Incidents of falling

  • Other head trauma

Sports Injury Prevention

For athletes of high impact sports such as football and soccer (heading the ball is a leading cause of TBI), Dr. Keifer recommends getting a qEEG brain scan before and after your season to monitor possible damage. While abnormalities may not show immediately, especially in the case of repeat blows to the head, damage may develop over time so follow-up brain scans are important.

Using the QEEG to evaluate Sports Injury and TBI

A qEEG is a detailed analysis of brain activity known as “brainmapping.” It can be performed to understand the extent and location of the brain injury, obtain an accurate diagnosis and establish baseline information to track changes over time (both positive and negative).

The qEEG is done painlessly by wearing a special headset with sensors resting gently on your head.  After scanning, specialized software constructs a 'map' of your brain based on the pattern of brainwaves, which can be compared to published databases to check for deviations from normal patterns and evaluated as to whether it contains any patterns known to be associated with clinical conditions.


Step 1 - qEEG & Neuro-cognitive testing for baseline measurement 

             Dr. Keifer uses quantitative EEG, also known as brainwave analysis & mapping, to understand your unique brain activity along with neurocognitive tests to further assess and correlate clinically how different areas of your brain function & communicate.  The qEEG and testing are non-invasive, painless and can be completed typically in 30-60 minutes.


Step 2 - In season/post-injury qEEG & Neuro-cognitive Testing

                    Should you see signs of concussion and have concern about your health and brain functioning following an injury or series of blows, or you or your loved one are uncertain and would like peace of mind, follow up brain wave analysis and neuro-cognitive scoring is performed to determine if the brain suffered symptom 


Step 3  - Individualized management & treatment protocol

              Analysis & comparison of brainwave & neurocognitive scores allows Dr. Keifer to create a personalized & targeted approach aimed at promoting proper brain functioning, health and performance.


What is a Concussion?

A concussion is a category, or type, of traumatic brain injury (TBI), caused by a blow or jar to the head that alters the way your brain normally functions.  Concussions can also occur from falls or blows to the body that cause the brain to move quickly back and forth inside the skull.  While concussions may be clinically described as mild TBI (mTBI), their effects can be serious and long-lasting when not diagnosed and managed properly.

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Concussions represent a large percentage (20%) of injuries sustained by athletes, including increasing number of kids and teenagers, while participating in games and practices.  Concussions commonly occur from automobile accidents as well. 

The signs and symptoms of concussions may be hard to establish early on, and can be missed by the person suffering, family members and doctors as the concussed person may look fine, almost normal, even though they are feeling or acting differently.


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Signs & Symptoms of Concussions:

Sleep - some sleep more than usual, others sleep less than usual and/or have trouble falling asleep

Thinking/Memory - difficulty thinking clearly, difficulty concentrating, feeling slowed down or foggy, difficulty remembering new information

Emotional - Irritability, Sadness, more emotional, sense of nervousness, worry and/or restlessness

Physical - early on you may experience nausea or vomitting; Headache with fuzzy or blurry vision, dizziness, sensitivity to noise or light, fatigue, difficulty maintaining balance


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