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Number of View :182 Although the sports medicine community has not come to a consensus, there are two methods of objective testing that may satisfy the reasonableness test: neuropsychological testing and postural stability testing.

Neuropsychological testing measures the athlete's cognitive flexibility, attention span, orientation Clyde Drexler Jersey , concentration, visual-spatial capacity, distractibility, immediate memory recall Brandon Roy Jersey , and problem-solving abilities.

These tests directly measure the cognitive qualities that are affected by head injury and allow athletic trainers to objectively evaluate the athlete's condition.

The administration of these tests generally occurs in a clinical setting, although recent research indicates that athletic trainers may also administer neuropsychological tests on the sidelines and achieve valid results. The National Football League and National Hockey League currently use neuropsychological testing to assess professional athletes' cognitive abilities, establishing that it is reasonable to employ these tests as a standard for assessing, treating Bill Walton Jersey , and making return-to-play decisions.

Similarly, researchers have established that postural stability tests are reasonable to use in determining when symptoms of concussion cease. These objective tests use sophisticated force plate systems to challenge sensory systems involved in balance by altering visual and support surface conditions.

Although it may not be reasonable to expect the average athletic trainer to have access to this type of equipment, research indicates that there is a significant correlation between the results of simple tests that the athletic trainer can conduct on the sideline and the results of sophisticated postural stability tests.

One of the reasons that athletic trainers rely so heavily on subjective measures and personal intuition when evaluating an athlete with a head injury is that they have nothing for comparison. Athletic trainers and team physicians routinely conduct pre-participation examinations to determine if an athlete has a condition that would preclude participation in sports.

Although reported legal decisions provide little guidance regarding the appropriate nature and scope of a standard pre-participation examination, many lawsuits allege that the sports medicine professional did not discover a medical condition that later resulted in injury or death.

Informed Consent

Generally the law has found that physicians who conduct a thorough pre-participation examination in conformity with accepted standards of practice are not liable for the athlete's injuries that occurred post examination.

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