•  704-889-9000

400 Towne Centre Blvd • Pineville NC 28134



Ask the athlete the following questions:

  • What rink is this?
  • What city is this?
  • Who is the opposing team?
  • What month is it?
  • What day is it?
Anterograde AmnesiaAsk the athlete to repeat the following words: girl, dog, green.
Retrograde Amnesia

Ask the athlete the following questions:

  • What happened in the prior quarter/period?
  • What do you remember just prior to the hit?
  • What was the score of the game prior to the hit?
  • Do you remember the hit?

Ask the athlete to do the following:

  • Repeat the days of the week backwards (starting with today).
  • Repeat these numbers backwards: 63 (36 is correct), 419 (914 is correct).
Word List MemoryAsk the athlete to repeat the three words from earlier: girl, dog, green.
Any failure should be considered abnormal.  Contact Carolina Sports Concussion Program or a medical professional following a suspected concussion.

Signs ObservedSymptoms Reported By Athlete
Appears to be dazed and stunned.Headache
Is confused about assignment.Nausea
Forgets plays.Balance problems or dizziness.
Is unsure of game, score or opponent.Double or fuzzy vision.
Moves clumsily.Sensitivity to light or noise.
Answers questions slowly.Feeling sluggish.
Loses consciousness (even temporarily).Feeling "foggy"
Shows behavior or personality change.Change in sleep pattern.
Forgets events prior to hit (retrograde).Concentration or memory problems.
Forgets events after hit (anterograde).Symptoms may worsen with exertion. Athlete should not return to play until free of symptoms.



  • Encourage athletes ages 10 to 17 to take a baseline cognitive test at the start of each season.
  • Provide information to help athletes, parents and coaches identify when the risk of a concussion exists.
  • Remove injured athletes from activity when the risk of a concussion is identified, and direct them to seek appropriate medical evaluation and care before returning to play.
Education & Resources
  • Carolina Sports Concussion Program - The staff at the Carolina Neurosurgery & Spine Associates is dedicated to the assessment and management of sports-related concussions.  The goal of their program is to accurately diagnose concussions in athletes 10 years of age and older and determine when and if they can safely return to sports.  Please visit their website to learn more, or contact the practice at:  Carolina Neurosurgery & Spine Associates, 800-344-6716, 225 Baldwin Avenue, Charlotte, NC. 28204.  The program pays no advertising or endorsement fees to the Pineville Ice House.
  • USA Hockey - Visit the USA Hockey concussion management webpage for more information and links.
  • Center For Disease Control & Prevention - Visit the CDC "Heads Up to Youth Sports" page for information and helpful downloads.
Baseline Concussion Test
  • The Pineville Ice House recommends the Baseline Concussion Test provided by the Carolina Sports Concussion Program for its athletes ages 10 to 17 that participate in travel hockey, house league hockey or competitive figure skating.  A Baseline Concussion Test (or "ImPACT" test) is a cognitive test taken by a healthy athlete at the start of a season.
  • The online test costs $5.00 and takes about 30 minutes to complete.  Allow an additional 15 to 20 minutes before taking the test to register the athlete and complete a brief survey of his or her sports and medical history.
  • The test results are stored by the Carolina Sports Concussion Program.  If an athlete subsequently sustains or is suspicious of a concussion, then he or she retakes the test at the clinic, and the results are compared to the baseline test.  The comparison enables the clinic staff to identify the existence and extent of a concussion, manage the concussion recovery and guide the athlete's return to play.
Understand The RiskOur concussion management program seeks to inform our customers.  We offer no assurances of an athlete's safety or medical treatment when participating in our programs.  Please review liability statements associated with your league, program, class or event.  We encourage families to visit the websites listed on this page, review other comparable publications and talk to medical professionals to learn more about concussions and their treatment.