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PROscope Concussion Assessment Technology

Dr. Bottiglieri, with his research team, is actively involved in the development of ProScope, a novel, research-driven diagnostic tool designed to bring objective measurement to concussion evaluation-an area that has historically relied heavily on subjective symptoms and clinical judgment.

PROscope is a non-invasive, software-based technology that analyzes subtle biometric signals related to brain and body function to help detect and quantify concussion-related changes.

A New Approach to Concussion Diagnosis

Traditional concussion assessments often depend on patient-reported symptoms and clinical interpretation, which can vary and may miss subtle findings.

PROscope is built on the discovery of a novel biomarker linked to proprioception and head/neck stability, which has been shown to change in patients with concussion.

Using advanced algorithms and machine learning, the system captures and analyzes these signals to generate a quantifiable measure of neurophysiologic function, helping distinguish normal from abnormal findings.

How the Test Works

  • The test is non-invasive and performed in minutes
  • Patients wear a headset and focus on a visual target
  • The system measures subtle, involuntary head and neck movements
  • Proprietary software analyzes these signals and produces an objective result

The entire process takes approximately 3 minutes and requires minimal setup.

Why PROscope Matters

PROscope represents a significant advancement in concussion care by providing:

  • Objective data rather than relying solely on symptoms
  • Improved diagnostic confidence for clinicians
  • Early detection of subtle neurologic changes
  • Ability to track recovery over time
  • More informed return-to-play decisions

Because the biomarker reflects an unconscious neurologic pathway, it is not easily influenced or manipulated-making it a more reliable indicator than many traditional tests.

A Research-Driven Innovation

PROscope is currently an investigational technology being studied and refined through ongoing clinical research at Columbia and New York-Presbyterian.

Early data suggest strong potential for improving how concussions are diagnosed, managed, and monitored-not only in athletes, but also in broader patient populations.

How It Fits into Your Care

PROscope is part of a comprehensive concussion evaluation that may also include:

  • Clinical examination
  • Vestibular and neurologic testing
  • Imaging (when indicated)

By integrating advanced tools like PROscope, we aim to provide more precise, data-driven care and support safer decision-making for recovery and return to activity.

Read More About PROscope

https://www.nyp.org/advances/article/orthopedics/novel-concussion-biomarker-paves-way-for-new-diagnostic-tool

https://www.columbiaortho.org/research/proscope

Useful Links

  • Picture of The American College of Sports Medicine
  • Picture of The American Medical Society for Sports Medicine
  • Picture of Pediatric Research in Sports Medicine Society
  • Picture of American Osteopathic Association