The Exertion Test: Buffalo Concussion Treadmill Test is a specialized assessment designed to evaluate autonomic dysfunction, or dysautonomia, which is common after a concussion. Concussions often disrupt the autonomic nervous system, affecting heart rate regulation and exercise tolerance. This test provides a safe, controlled method to progressively increase physical exertion on a treadmill while monitoring symptoms, heart rate, and physiological responses.

By assessing how the body reacts to increasing exercise demands, the test helps identify abnormal autonomic responses and exercise intolerance linked to dysautonomia. It measures the threshold at which symptoms like dizziness, headache, or nausea worsen, signaling that the autonomic system is not yet fully recovered. This information is crucial for clinicians to tailor rehabilitation plans, avoid overexertion, and guide safe return-to-play or daily activity protocols.

During the test, the individual walks on a treadmill with gradually increasing speed and incline. Heart rate and symptoms are closely monitored to detect signs of autonomic dysfunction. The test ends when symptoms worsen or when pre-set physiological criteria are met. Results help clinicians objectively assess recovery status and autonomic health.

Widely used in concussion rehabilitation, the Buffalo Concussion Treadmill Test is valuable for sports medicine professionals, physical therapists, and healthcare providers managing concussion recovery. It provides essential data to support safe, evidence-based decisions and promote optimal brain and autonomic nervous system healing.