Baseline Testing

Be proactive about brain health. 

An annual assessment of your athlete’s brain health, starting with a baseline test, should be a routine part of their preventive healthcare. A baseline test should be performed at the beginning of each sports season to document your athlete’s brain health.

At ChoiceOne, our team of highly qualified healthcare providers uses the ClearEdge Brain Health Toolkit to get an accurate assessment of your athlete’s brain health. When a suspected concussion or head injury occurs, the ClearEdge Toolkit allows our healthcare providers the ability to compare post-event tests with healthy baseline tests to assess brain health and determine appropriate treatment decisions for your athlete’s recovery.

What is a baseline test?

According to the Centers for Disease Control (CDC), a baseline test is a pre-season exam conducted by a trained health care professional. Baseline tests are used to assess an athlete’s balance and brain function (including learning and memory skills, ability to pay attention or concentrate, and how quickly he or she thinks and solve problems), as well as for the presence of any concussion symptoms. Results from baseline tests (or pre-injury tests) can be used and compared to a similar exam conducted by a health care professional during the season if an athlete has a suspected concussion.

What are the benefits of getting a baseline test?

According to the CDC, pre-season baseline testing is a good way to assess balance and brain function by providing a basis for comparison in the event of a suspected concussion. The CDC, NCAA, and the National Athletic Trainers Association (NATA) have identified symptoms, cognitive function, and balance as important components of baseline concussion assessment.

What is a typical baseline test like?

Baseline testing is available to anyone over the age of nine (9). It is simple, painless, and only requires a few steps:

    • REGISTER: Patient or parent/legal guardian (if patient is under the age of 18) registers online prior to testing day by visiting https://portal.clearedgetest.com.
    • SCHEDULE: Select an arrival time in advance of your baseline test by clicking on a participating center under the Locations tab above. Baseline tests are only available at select ChoiceOne Urgent Care centers located in Dundalk, Phoenix, Rotunda, and Severna Park.
    • ARRIVE AND TEST: Arrive at the selected ChoiceOne Urgent Care center during your pre-selected arrival time. Our trained staff will conduct about twenty (20) minutes of testing which consist of:
      • Symptoms collection: Patients note any symptoms or pain they are experiencing
      • Four cognitive tests are administered on a tablet
      • Eight 30-second balance tests
    • COMPLETE: Results are saved in the ClearEdge Portal and can be accessed by a ChoiceOne Provider if ever needed for comparison after an injury occurs.

How do I schedule a baseline test?

Select an arrival time in advance of your baseline test by clicking on a participating center under the Locations tab above. Baseline tests are only available at select ChoiceOne Urgent Care centers located in Dundalk, Phoenix, Rotunda, and Severna Park.

How do I get a copy of my baseline test results?

Baseline test results are securely stored in the ClearEdge Portal and are only accessible by clinically trained ClearEdge healthcare providers. Baseline tests are used to compare brain health prior to an injury and after an injury, and there is no “score” that is assessed as part of a baseline. Providers will access results of the baseline only in the case that the patient has an injury.

What is the cost of an annual baseline test?

Baseline tests can be purchased for $75 (not covered by insurance) or are available at no cost for ChoiceOne Athlete Care members.

If I did not have a baseline test performed at ChoiceOne, can I still be seen if I have a suspected concussion or head injury?

YES! Although it is optimal to be able to compare brain health pre- and post-injury, concussion testing may still be performed to determine brain health post-injury even if there is no baseline. In most cases, insurance does cover post-injury concussion testing.

What is the ClearEdge Brain Health Toolkit?

ClearEdge is a toolkit with devices that assess balance and cognitive function, as well as collects your symptoms and injury history. Its devices are very sensitive to subtle changes in balance and cognitive efficiency- in other words, it will indicate if there has been a statistically significant functional change in your balance and/or cognition. The ClearEdge Toolkit offers baseline and post-event testing; allowing healthcare providers the ability to compare post-event tests with healthy baseline tests to assess brain health and help determine treatment and recovery recommendations.

What is ClearEdge DANA?

ClearEdge DANA is an FDA cleared Class II medical device that provides clinicians with objective measurements of reaction time (speed and accuracy) to aid in the assessment of an individual’s medical/psychological state. It has been well-studied and has very good test-retest reliability and sensitivity to various cognitive-related conditions that affect the measurement of reaction time including, but not limited to, concussion, head injury, insomnia, PTSD, depression, ADHH, and dementia.

What is ClearEdge Motion?

ClearEdge Motion is an FDA listed Class I medical device. It is intended to measure variations in the patient’s approximate center of mass over time to assess postural stability during a series of tasks. ClearEdge Motion assesses the following 3 sensory inputs:

  • Vision: To challenge the patient’s vision, four of the balance tests are tested with eye open while the other four are conducted with eyes closed.
  • Vestibular: To challenge the inner ear system; four of the balance tests are conducted in a tandem stance, or heel-to-toe stance, with the dominant foot forward.
  • Proprioception: To challenge the body’s sense of position and ability to react to stimulation in different positions; four of the balance tests are tested on a firm surface, while the other four are conducted on a foam surface to challenge proprioception.