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This exam looks for vestibular, balance, and vision problems that often occur with a concussion. Your doctor may order imaging tests such as MRI or CT scans to make sure theres no bruising or bleeding in your brain. To confirm a concussion diagnosis, your doctor will use the data from your: Exam and interview.
The ACE the easy name for the Acute Concussion Evaluation is an innovative assessment tool that can be used for the initial evaluation and diagnosis of people who have a known or suspected concussion or mild TBI.
The evaluation includes a clinical exam, self-reported symptom checklist, postural assessment, and neurocognitive testing [8-10].
Sport Concussion Assessment Tool (SCAT5) Red flags. Memory assessment Maddocks Questions. Glasgow Coma Scale (GCS) examination. Cervical spine assessment. Symptom evaluation. Cognitive screening. Neurological screening. Balance examination.
Acute phase is the initial period after sustaining a concussion in which the patient is still experiencing symptoms. This phase can last a week or more. During the acute phase, the concussed brain requires mental and physical rest to recover from the injury.
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Scoring: Sum total number of symptoms present per area, and sum all four areas into Total Symptom Score (score range 0-22). (Note: most sleep symptoms are only applicable after a night has passed since the injury. Drowsiness may be present on the day of injury.)
The ACE is intended to provide an evidence-based clinical protocol to conduct an initial evaluation and diagnosis of patients (both children and adults) with known or suspected MTBI. The research evidence documenting the importance of these components in the evaluation of an MTBI is provided in the reference list.
The evaluation includes a clinical exam, self-reported symptom checklist, postural assessment, and neurocognitive testing [8-10].

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