Concussion is one of the most frequently discussed injuries in sport, but it remains widely misunderstood. Unlike a sprained ankle or a broken bone, there is no scan that can confirm a concussion. Diagnosis relies on clinical judgement, and recovery varies between individuals.

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Baseline testing helps provide clarity in this process.

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Baseline testing captures a snapshot of how a person’s brain functions when healthy. If a concussion occurs, results can be compared to this baseline to help guide diagnosis and monitor recovery. It does not replace clinical assessment, but it offers valuable objective context for decision-making.

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Available Tools

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The SCAT6 (Sport Concussion Assessment Tool) is one of the most commonly used resources. It assesses symptoms, memory, balance, and concentration using a structured paper format. While helpful in the first one to two days after injury, SCAT6 is a relatively blunt tool. Its accuracy decreases beyond the early phase, and it is not designed to track recovery or inform return to play. It is a starting point rather than a complete solution.

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Other tools now address this gap. One of the most valuable is Cognigram, a computer-based assessment that measures attention, memory, and processing speed. It takes around 15 minutes to complete, is simple to administer, and provides repeatable data that can be tracked over time. Axis now offers Cognigram (see our Online Concussion Baseline Screening service) as part of its concussion management services.

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Why Cognigram Is Useful in High-Risk Sports

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Cognigram is widely used in professional sport. In the National Rugby League, for example, it is mandated as part of the league’s concussion protocols. At Axis, we support this programme with the Warriors, administering and interpreting Cognigram to assist with medical decision-making. This gives our team extensive experience in using the tool in high-performance environments.

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We now apply that same expertise to community settings. Until recently, Cognigram was limited to elite sport. Axis is one of the few clinics in New Zealand offering this to recreational and amateur athletes. Whether playing club rugby, participating in snow sports, or returning after a previous concussion, having an objective baseline can support safer and more confident recovery.

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This approach is particularly relevant in skiing and snowboarding, which carry a high risk of concussion. Athletes in these sports often present with subtle or delayed symptoms that may not be detected using basic screening tools. Cognigram provides an additional layer of precision when guiding return to sport.

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A Broader Approach to Concussion Management

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Baseline testing is one part of a comprehensive concussion pathway at Axis. We also use advanced technologies such as force plates to evaluate balance and postural control, and NeuroFlex, a virtual reality platform that assesses visual tracking, reaction time, and other cognitive functions. These tools offer a level of analysis not typically available in general medical or physiotherapy settings and reflect standards used in elite sport.

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What This Means for You

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Concussion management has advanced considerably in recent years. While no test can prevent concussion, tools like Cognigram support more accurate monitoring and recovery planning.

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If you are involved in a sport with a higher risk of head injury, have a history of concussion, or want a structured plan in place before the season begins, baseline testing may be a useful option. The team at Axis can help you determine what is appropriate based on your individual needs.

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To learn more or to book a baseline cognitive test, head here

- Baseline Screening (Cognigram)

- Acute Sports Concussion Clinic

- Concussion Rehabilitation Service

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