Approximately 10 percent of all athletes involved in contact sports, such as football, hockey, and soccer suffer a brain injury or concussion each season. Although the majority of these athletes will recover quickly, others may experience physical, cognitive and neurobehavioral difficulties related to the injury.


Often times, it is difficult to determine when it is safe for an athlete to return to play. In the past, return-to-play decisions were made based on observation and player report of symptoms. However, it is now possible to determine return to play based on scientific guidelines using a neuropsychological assessment tool called ImPACTTM, in addition to neurological evaluation as necessary.

ImPACTTM  evaluates an athlete's pre-concussive and post-concussive performance.  This Web-based program is available to schools throughout the community.  WellSpan Health is a credentialed ImPACTTM  provider.



Log onto: https://impact.wellspan.org

Link to concussion information site:



Concussion Facts


What is a concussion?


A concussion is a mild, traumatic brain injury that:


  • Is caused by a bump, blow, or jolt to the head.
  • Can change the way your brain normally works.
  • Can range from mild to severe.
  • Can occur during practices or games in any sport.
  • Can happen even if you haven't been knocked out.
  • Can be serious even if you've just been "dinged" or had your "bell rung."


How can I prevent a concussion?


It's different for every sport. But there are steps that can be taken to protect yourself from concussion.


  • Follow your coach's rules for safety and the rules of the sports.
  • Practice good sportsmanship at all times.
  • Use the proper sports equipment, including personal protective equipment (such as helmets).
  • In order for equipment to protect you, it must be:
    • Appropriate for the game, position, and activity
    • Well maintained
    • Properly fitted
    • Used every time you play


How do I know if I've had a concussion?


You can't see a concussion, but you might notice some of the symptoms right away. Other symptoms can show up days or weeks after the injury. It's best to see a health care professional if you think you might have a concussion. An undiagnosed concussion can affect your ability to do schoolwork and other everyday activities. It also raises your risk for additional, serious injury.


What are the symptoms of a concussion?


Symptoms of a concussion may be present immediately or may be delayed.


  • Nausea (feeling that you might vomit)
  • Balance problems or dizziness
  • Double or fuzzy vision
  • Sensitivity to light or noise
  • Headache
  • Feeling sluggish
  • Feeling foggy or groggy
  • Concentration or memory problems (forgetting game plays)
  • Confusion


What should I do if I think I have a concussion?


  • Tell your coaches and your parents. Never ignore a bump, blow, or jolt to the head. Also, tell your coach if one of your teammates might have a concussion.
  • Get a medical check up. A health care professional can tell you if you have had a concussion and when you are OK to return to play.
  • Give yourself time to recover. If you have had a concussion, your brain needs time to heal. While your brain is still healing, you are much more likely to have a second concussion. Second or later concussions can cause permanent brain damage, and even death in rare cases. Severe brain injury can change your whole life.


Injured: Now What?

If a concussion occurs, you need to take the post-concussive test 48-72 hours after the injury.  If your school participates with ImPACTTM, your athletic trainer will administer the test.  After  completion of the test, the athletic trainer will review the results and determine if additional follow up is necessary. 

If your school or club does NOT participate with ImPACTTM, please call WellSpan Sports Medicine at (877) 482-5420 to schedule an appointment. The test is offered at the following locations:

Upon completion of the test, a trained medical professional will review the results and determine if additional follow up is necessary. Should follow up be required, WellSpan Neurology will contact you to arrange a consultation at WellSpan Pediatric Neurology.

If you have not taken the baseline test, ImPACTTM has norms that can be used to evaluate the recovery process of a concussed athlete.



Mandatory Impact Concussion Testing U13 & U15 levels
ALL players are REQUIRED to under go MANDATORY IMPACT TESTING  before playing in any in season game for York Suburban Lacrosse Club at levels U13 and U15 only.  If your player completed the baseline testing they do not have to retest this season.  You do need to complete the liability/certification form and return to the coach.
 Please follow the instructions to complete your baseline testing
Please return the signed waiver and certification of testing to your coach before March 26th
Please go to the documents page of this website and download the IMPACT Waiver
INSTRUCTIONS for Concussion Testing


Log onto: https://impact.wellspan.org: View the YouTube video, then, after watching the video,
Click on: "More information: Wellspan ImPACT site"
You will then see a page that has a heading at upper right "In Concussion Management".
Under that heading, click on "Baseline Testing: Getting Started"
then click: "York County Lacrosse"
Enter Password: lax
Click: "Submit"

Click; " Launch Baseline Test" 

  • Type in Customer ID Code (all caps); FMVKQFRXTC
  • Click: "Launch Baseline Test"
  • Click: " Resume Application"
  • Select: English or Spanish