SX Concussion Testing

Harv379
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Harv379
Help me understand how this works. Every 2 years riders are required to do an impact concussion test to get a baseline score of neurocognitive function, which from what I gathered takes about 30 minutes, and sources say some riders have done this drunk or might purposely score low so they can pass if re-tested after a concussion (pulpmx). Every 2 years seems a little far out, considering the medical unit claimed a few years back they see an average of 2.4 concussions per race, which, do the math, how many races are there, and how many riders are there.

Once a concussion is suspected, if considered a possibility, riders are then required to re-take the impact test to compare results.

Being a TBI/repeat head injury sufferer, I'm curious how they determined so quickly McAdoo was ready to return to racing? Just the eye test which didn't look great?

I guess this is a, I'd like to see head injuries taken more seriously in this sport, but at the same time, I like the freedom of choice aspect, but our ego's often get in the way of our health. With how much grit and determination McAdoo has, he could have been cross eyed with a broken wrist and said he was good to race.

Anyone have any insight on how this was actually handled?
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ATKpilot99
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ATKpilot99 4/14/2021 10:28am
4/14/2021 10:28am
It looked like they asked him to describe what just happened to him and were satisfied with his explanation and thought he was lucid enough to continue.
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Harv379
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Harv379 4/14/2021 10:41am
4/14/2021 10:41am
ATKpilot99 wrote:
It looked like they asked him to describe what just happened to him and were satisfied with his explanation and thought he was lucid enough to...
It looked like they asked him to describe what just happened to him and were satisfied with his explanation and thought he was lucid enough to continue.
Nah there had to be more that was done. Part of his eye test was shown on Racer X's video, and it was twitchy. Memory/loss of consciousness is one of the obvious signs of a concussion but doesn't have to be present when they take place.
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dbaker521
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dbaker521 4/14/2021 10:42am
4/14/2021 10:42am
Seems like nobody (family, team, med crew) had McAdoo's long term health in mind.

Also seems more and more apparent that the sx/mx medical crews don't know how to handle head injuries.
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tuttle425
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tuttle425 4/14/2021 12:42pm
4/14/2021 12:42pm
dbaker521 wrote:
Seems like nobody (family, team, med crew) had McAdoo's long term health in mind. Also seems more and more apparent that the sx/mx medical crews don't...
Seems like nobody (family, team, med crew) had McAdoo's long term health in mind.

Also seems more and more apparent that the sx/mx medical crews don't know how to handle head injuries.
I'd be shocked if those people don't know how to diagnose a concussion. Given the litigious nature of society these days it would be beyond stupid to not have qualified Drs and technicians on staff.

It seems like every time someone has a bad crash Vital screams concussion and the guy should sit.

When people say someone is in the concussion protocol it means they have been dxed as having a concussion and it's the steps taken to ensure the athlete is healthy to return to full activity. The concussion protocol is not the diagnosis.

If there is a neurologist on the board I would love to hear from them. Otherwise I'll trust that the Drs on site know what they are doing.
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DK23
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DK23 4/14/2021 1:09pm
4/14/2021 1:09pm
Same thing happens in hockey and football. If a player is suspected of having a head injury, they go to the blue tent or locker room for 5-10 mins and then either come back or not, depending on the results.
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kb228
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kb228 4/14/2021 1:16pm
4/14/2021 1:16pm
ATKpilot99 wrote:
It looked like they asked him to describe what just happened to him and were satisfied with his explanation and thought he was lucid enough to...
It looked like they asked him to describe what just happened to him and were satisfied with his explanation and thought he was lucid enough to continue.
Harv379 wrote:
Nah there had to be more that was done. Part of his eye test was shown on Racer X's video, and it was twitchy. Memory/loss of...
Nah there had to be more that was done. Part of his eye test was shown on Racer X's video, and it was twitchy. Memory/loss of consciousness is one of the obvious signs of a concussion but doesn't have to be present when they take place.
He was cleared by medical professionals what more do you want? Clearly he was fine. He literally podiumed the race with a mangled bike after getting whipped around up the face of a tunnel jump
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MXATC
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MXATC 4/14/2021 2:24pm
4/14/2021 2:24pm
Impact has a quick assessment tool that can be used. I use it on the sidelines at football games if needed.
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Rawly
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Rawly 4/14/2021 4:08pm
4/14/2021 4:08pm
Watch the crash a little closer. He hit face first not the back or side of his head first . He was not unconscious after the crash. He was moving around within the first second.which was a beautiful sight to see. I was more concerned about his neck and spine. If he suffered a concussion , he would have been limp for a bit and goofy for awhile. I’ve had my share of them.
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Harv379
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Harv379 4/14/2021 4:22pm
4/14/2021 4:22pm
ATKpilot99 wrote:
It looked like they asked him to describe what just happened to him and were satisfied with his explanation and thought he was lucid enough to...
It looked like they asked him to describe what just happened to him and were satisfied with his explanation and thought he was lucid enough to continue.
Harv379 wrote:
Nah there had to be more that was done. Part of his eye test was shown on Racer X's video, and it was twitchy. Memory/loss of...
Nah there had to be more that was done. Part of his eye test was shown on Racer X's video, and it was twitchy. Memory/loss of consciousness is one of the obvious signs of a concussion but doesn't have to be present when they take place.
kb228 wrote:
He was cleared by medical professionals what more do you want? Clearly he was fine. He literally podiumed the race with a mangled bike after getting...
He was cleared by medical professionals what more do you want? Clearly he was fine. He literally podiumed the race with a mangled bike after getting whipped around up the face of a tunnel jump
It's quite simple, to know what testing was done to 'clear him' from medical professionals.

If all that was done was a, repeat what happened, and eye test which looked glitchy. Then I have my answer.
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deanwhite51
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deanwhite51 4/14/2021 4:29pm
4/14/2021 4:29pm
In aus. Its super strict with the concussion rules. Helps having free health care here though, so probably why haha.

but its the same in all sports here... Any sort of hit to the head. your not allowed to continue and admitted to hospital to have scans straight away and have to supply a medical certificate of clearance.

You have a hard crash in motocross here. 9 times out of 10 they will call an ambulance for safety measures and have you assessed..


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kb228
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kb228 4/14/2021 4:51pm
4/14/2021 4:51pm
Harv379 wrote:
Nah there had to be more that was done. Part of his eye test was shown on Racer X's video, and it was twitchy. Memory/loss of...
Nah there had to be more that was done. Part of his eye test was shown on Racer X's video, and it was twitchy. Memory/loss of consciousness is one of the obvious signs of a concussion but doesn't have to be present when they take place.
kb228 wrote:
He was cleared by medical professionals what more do you want? Clearly he was fine. He literally podiumed the race with a mangled bike after getting...
He was cleared by medical professionals what more do you want? Clearly he was fine. He literally podiumed the race with a mangled bike after getting whipped around up the face of a tunnel jump
Harv379 wrote:
It's quite simple, to know what testing was done to 'clear him' from medical professionals. If all that was done was a, repeat what happened, and...
It's quite simple, to know what testing was done to 'clear him' from medical professionals.

If all that was done was a, repeat what happened, and eye test which looked glitchy. Then I have my answer.
And what makes you more qualified than medical staff trained for that specific purpose?
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lostboy819
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lostboy819 4/14/2021 4:59pm
4/14/2021 4:59pm
kb228 wrote:
He was cleared by medical professionals what more do you want? Clearly he was fine. He literally podiumed the race with a mangled bike after getting...
He was cleared by medical professionals what more do you want? Clearly he was fine. He literally podiumed the race with a mangled bike after getting whipped around up the face of a tunnel jump
Harv379 wrote:
It's quite simple, to know what testing was done to 'clear him' from medical professionals. If all that was done was a, repeat what happened, and...
It's quite simple, to know what testing was done to 'clear him' from medical professionals.

If all that was done was a, repeat what happened, and eye test which looked glitchy. Then I have my answer.
kb228 wrote:
And what makes you more qualified than medical staff trained for that specific purpose?
Because he plays a doctor on the internet.Wink
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DonM
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DonM 4/14/2021 5:26pm
4/14/2021 5:26pm
ATKpilot99 wrote:
It looked like they asked him to describe what just happened to him and were satisfied with his explanation and thought he was lucid enough to...
It looked like they asked him to describe what just happened to him and were satisfied with his explanation and thought he was lucid enough to continue.
Harv379 wrote:
Nah there had to be more that was done. Part of his eye test was shown on Racer X's video, and it was twitchy. Memory/loss of...
Nah there had to be more that was done. Part of his eye test was shown on Racer X's video, and it was twitchy. Memory/loss of consciousness is one of the obvious signs of a concussion but doesn't have to be present when they take place.
In one of the other threads or on racerX there is video that explains everything rules wise and part of the video shows the docs giving Mcadoo a concussion eye test
Harv379
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Harv379 4/14/2021 6:15pm
4/14/2021 6:15pm
kb228 wrote:
He was cleared by medical professionals what more do you want? Clearly he was fine. He literally podiumed the race with a mangled bike after getting...
He was cleared by medical professionals what more do you want? Clearly he was fine. He literally podiumed the race with a mangled bike after getting whipped around up the face of a tunnel jump
Harv379 wrote:
It's quite simple, to know what testing was done to 'clear him' from medical professionals. If all that was done was a, repeat what happened, and...
It's quite simple, to know what testing was done to 'clear him' from medical professionals.

If all that was done was a, repeat what happened, and eye test which looked glitchy. Then I have my answer.
kb228 wrote:
And what makes you more qualified than medical staff trained for that specific purpose?
HuH? I'm not claiming I am more qualified, if noticing his glitchy eyes when coming to a stop in the eye test portrays this, I'm sorry for misleading you, but it's usually a sign of a concussion from what I know. Let me tell you how I know this. Since my tbi, I've done cognitive therapy, vestibular system rehab, vision therapy, mental therapy, speech therapy, numerous holistic approaches to try and recover from it. I've studied the brain and vestibular system for my own knowledge, spent many hours with specialists, trying to heal and recover. I know enough about head injuries to know the glitchy eyes can be a sign of a concussion and how concussions are never the same which makes them so difficult to diagnose.

I'm simply just asking what testing was done to quickly determine no possible concussion to not need to re-take the impact test or sit him out. If it was this 'quick impact assessment' as mentioned, what tests are in said quick assessment. Sounds like it was a recall of events, and eye test. If that is it, great, I have my answer, close the thread. If anyone else knowns more, please share. Thank you
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smashingpumpkins167 4/14/2021 6:28pm
4/14/2021 6:28pm
That crash looked bad, and I thought he was in trouble when he over jumped that rhythm on the first lap after the restart, but.....If he suffered a concussion it would have been pretty obvious in his podium interview. He was good to go. Makes me want to buy a Bell helmet.
cheapsmack 4/14/2021 6:44pm
4/14/2021 6:44pm
The decision by the doctor to let him ride was vindicated by Mcadoos performance. Ramit changed his tune from "Bodner cleared me to race" to "please check me now" indicating mental clarity. Ballsy call by the Doc ,he might not have seen the replay.
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captmoto
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captmoto 4/14/2021 6:50pm
4/14/2021 6:50pm
dbaker521 wrote:
Seems like nobody (family, team, med crew) had McAdoo's long term health in mind. Also seems more and more apparent that the sx/mx medical crews don't...
Seems like nobody (family, team, med crew) had McAdoo's long term health in mind.

Also seems more and more apparent that the sx/mx medical crews don't know how to handle head injuries.
You are assuming he had a head injury.
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dbaker521
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dbaker521 4/14/2021 7:02pm
4/14/2021 7:02pm
dbaker521 wrote:
Seems like nobody (family, team, med crew) had McAdoo's long term health in mind. Also seems more and more apparent that the sx/mx medical crews don't...
Seems like nobody (family, team, med crew) had McAdoo's long term health in mind.

Also seems more and more apparent that the sx/mx medical crews don't know how to handle head injuries.
captmoto wrote:
You are assuming he had a head injury.
110% assuming!
8tensolutions
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8tensolutions 4/14/2021 7:33pm
4/14/2021 7:33pm
deanwhite51 wrote:
In aus. Its super strict with the concussion rules. Helps having free health care here though, so probably why haha. but its the same in all...
In aus. Its super strict with the concussion rules. Helps having free health care here though, so probably why haha.

but its the same in all sports here... Any sort of hit to the head. your not allowed to continue and admitted to hospital to have scans straight away and have to supply a medical certificate of clearance.

You have a hard crash in motocross here. 9 times out of 10 they will call an ambulance for safety measures and have you assessed..


Off topic response.....Your healthcare is not free. Everyone pays for it.
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smashingpumpkins167 4/14/2021 7:41pm
4/14/2021 7:41pm Edited Date/Time 4/14/2021 7:42pm
deanwhite51 wrote:
In aus. Its super strict with the concussion rules. Helps having free health care here though, so probably why haha. but its the same in all...
In aus. Its super strict with the concussion rules. Helps having free health care here though, so probably why haha.

but its the same in all sports here... Any sort of hit to the head. your not allowed to continue and admitted to hospital to have scans straight away and have to supply a medical certificate of clearance.

You have a hard crash in motocross here. 9 times out of 10 they will call an ambulance for safety measures and have you assessed..


8tensolutions wrote:
Off topic response.....Your healthcare is not free. Everyone pays for it.
Funny, slightly related story. My wife needs an ultrasound, she was worried about the cost because we don't have insurance coverage right now. The insurance cost was around $800 per month. I'm like, okay if it's less than $800 we're doing all right. Because we luckily missed out on paying $800 for insurance for one month because I am in-between contracts.
Bnagazina 4/14/2021 9:11pm
4/14/2021 9:11pm
deanwhite51 wrote:
In aus. Its super strict with the concussion rules. Helps having free health care here though, so probably why haha. but its the same in all...
In aus. Its super strict with the concussion rules. Helps having free health care here though, so probably why haha.

but its the same in all sports here... Any sort of hit to the head. your not allowed to continue and admitted to hospital to have scans straight away and have to supply a medical certificate of clearance.

You have a hard crash in motocross here. 9 times out of 10 they will call an ambulance for safety measures and have you assessed..


8tensolutions wrote:
Off topic response.....Your healthcare is not free. Everyone pays for it.
smashingpumpkins167 wrote:
Funny, slightly related story. My wife needs an ultrasound, she was worried about the cost because we don't have insurance coverage right now. The insurance cost...
Funny, slightly related story. My wife needs an ultrasound, she was worried about the cost because we don't have insurance coverage right now. The insurance cost was around $800 per month. I'm like, okay if it's less than $800 we're doing all right. Because we luckily missed out on paying $800 for insurance for one month because I am in-between contracts.
That is kinda sad to hear. $800 per month insurance, co-pays, deductibles? Private companies balances their profit against my healthcare.... I must admit my American friends are a more independent and hardy lot than me.
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kb228
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kb228 4/15/2021 7:39am
4/15/2021 7:39am
Harv379 wrote:
It's quite simple, to know what testing was done to 'clear him' from medical professionals. If all that was done was a, repeat what happened, and...
It's quite simple, to know what testing was done to 'clear him' from medical professionals.

If all that was done was a, repeat what happened, and eye test which looked glitchy. Then I have my answer.
kb228 wrote:
And what makes you more qualified than medical staff trained for that specific purpose?
Harv379 wrote:
HuH? I'm not claiming I am more qualified, if noticing his glitchy eyes when coming to a stop in the eye test portrays this, I'm sorry...
HuH? I'm not claiming I am more qualified, if noticing his glitchy eyes when coming to a stop in the eye test portrays this, I'm sorry for misleading you, but it's usually a sign of a concussion from what I know. Let me tell you how I know this. Since my tbi, I've done cognitive therapy, vestibular system rehab, vision therapy, mental therapy, speech therapy, numerous holistic approaches to try and recover from it. I've studied the brain and vestibular system for my own knowledge, spent many hours with specialists, trying to heal and recover. I know enough about head injuries to know the glitchy eyes can be a sign of a concussion and how concussions are never the same which makes them so difficult to diagnose.

I'm simply just asking what testing was done to quickly determine no possible concussion to not need to re-take the impact test or sit him out. If it was this 'quick impact assessment' as mentioned, what tests are in said quick assessment. Sounds like it was a recall of events, and eye test. If that is it, great, I have my answer, close the thread. If anyone else knowns more, please share. Thank you
Ill give you the benefit of the doubt and consider you new to the sport. Go back and watch james stewart race when he was concussed and compare it to mcadoo. James was riding like he was drunk. missing lanes and hardly able to operate the bike.
jjavaman
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jjavaman 4/15/2021 8:02am
4/15/2021 8:02am
8tensolutions wrote:
Off topic response.....Your healthcare is not free. Everyone pays for it.
smashingpumpkins167 wrote:
Funny, slightly related story. My wife needs an ultrasound, she was worried about the cost because we don't have insurance coverage right now. The insurance cost...
Funny, slightly related story. My wife needs an ultrasound, she was worried about the cost because we don't have insurance coverage right now. The insurance cost was around $800 per month. I'm like, okay if it's less than $800 we're doing all right. Because we luckily missed out on paying $800 for insurance for one month because I am in-between contracts.
Bnagazina wrote:
That is kinda sad to hear. $800 per month insurance, co-pays, deductibles? Private companies balances their profit against my healthcare.... I must admit my American friends...
That is kinda sad to hear. $800 per month insurance, co-pays, deductibles? Private companies balances their profit against my healthcare.... I must admit my American friends are a more independent and hardy lot than me.
We’ve got friends in Hawaii, young couple with 1 kid and he tells me they pay 2000$ a month for medical!!!
AH387
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AH387 4/15/2021 8:22am
4/15/2021 8:22am
kb228 wrote:
Ill give you the benefit of the doubt and consider you new to the sport. Go back and watch james stewart race when he was concussed...
Ill give you the benefit of the doubt and consider you new to the sport. Go back and watch james stewart race when he was concussed and compare it to mcadoo. James was riding like he was drunk. missing lanes and hardly able to operate the bike.
That is kind of his point though. Back when James hopped back on to ride, that was kind of ridiculous. He should've been evaluated but instead was out there riding. I still put Mcadoo in that same category. If the only test was a quick eye test and a recall of what happened, is that really thorough enough? Sure he seemed fine and was riding well enough to get a podium but again, not the point. Concussion symptoms don't always come up immediately. I had an experience 2 years ago. Crashed hard was briefly out. I remember leading up to the crash but a bit foggy as it happened. I just had chest/shoulder soreness at first. No head symptoms but it ended my day. Had help loading my stuff, called my wife and started to drive home, alone (hour drive.) Probably an hour after getting home, I started seeing double and had headaches etc. So the point is, a quick test might not be enough. If there is injury, symptoms may come later. And if he were to take another hard fall in that race, that could have huge consequences. Plus he was riding with a potentially compromised helmet. It's a slippery slope, I get that. And to be fair, Mcadoo's and James's rides were both epic. But I still think maybe the trackside protocol might need updated a bit.
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DK23
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DK23 4/15/2021 8:26am
4/15/2021 8:26am
smashingpumpkins167 wrote:
Funny, slightly related story. My wife needs an ultrasound, she was worried about the cost because we don't have insurance coverage right now. The insurance cost...
Funny, slightly related story. My wife needs an ultrasound, she was worried about the cost because we don't have insurance coverage right now. The insurance cost was around $800 per month. I'm like, okay if it's less than $800 we're doing all right. Because we luckily missed out on paying $800 for insurance for one month because I am in-between contracts.
Bnagazina wrote:
That is kinda sad to hear. $800 per month insurance, co-pays, deductibles? Private companies balances their profit against my healthcare.... I must admit my American friends...
That is kinda sad to hear. $800 per month insurance, co-pays, deductibles? Private companies balances their profit against my healthcare.... I must admit my American friends are a more independent and hardy lot than me.
jjavaman wrote:
We’ve got friends in Hawaii, young couple with 1 kid and he tells me they pay 2000$ a month for medical!!!
Before the 'new and improved' insurance plans, I was paying $125/month for a PPO plan that covered just about everything with low copays. That was about 0.9% of my income. Good times.
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