Comprehensive, Quality Concussion Care

Many people will suffer a concussion at some point in their lives. Fortunately, eighty to ninety percent of symptoms usually go away within one to two weeks. But a small percentage of people who have a concussion will need therapy to help manage long-term concussion symptoms that do not go away.

Our rehab specialists take a comprehensive approach to treating concussions, working with specialists in other areas to combine therapies.

When Do You Need Treatment For a Concussion?

Although most patients will recover from a concussion within one to two weeks, some patients will have symptoms that last longer. Post-concussion syndrome is when you have three or more of the symptoms below four weeks after your injury:

  • headache,
  • dizziness,
  • fatigue (tiredness),
  • insomnia,
  • irritability,
  • difficulty concentrating,
  • memory loss,
  • and intellectual or cognitive difficulties.

Many patients benefit from physical therapy to reduce these symptoms.

concussion dynavision

Baseline Concussion Testing for Athletes

If you're an athlete, coach, or a physical trainer for an athlete, we offer baseline concussion testing before the start of the athletic season.

Doctors can use an athlete's baseline concussion testing results to see if that athlete may have a concussion after an injury or trauma.

What Is a Baseline Test for a Concussion?

Baseline concussion testing records an athlete's normal cognitive and physical skills, including the following:

  • memory & problem-solving skills
  • attention span
  • reaction time
  • balance
  • visual performance
  • muscle coordination
  • other skills

By measuring an athlete's normal performance before a sports season starts, doctors can compare these recordings after a sports season is over (or even after a single game) to see if an athlete may have a concussion. 

Baseline testing can also help doctors identify athletes who have higher chances of getting a concussion, and help these athletes and their coaches create injury prevention strategies.

Types of Concussion Baseline Testing

There are several types of baseline testing. They include the following tests:

ImPACT Test: computerized, neurocognitive assessment test that measures attention span, memory, reaction time, and problem-solving skills

COBALT Balance Assessment: a dynamic test that challenges a variety of balance systems inside the body. It also measures an athlete's sensitivity to visual motions. This tests uses force plate sway data to provide information on an athlete's balance.

BESS Testing: this test measures an athlete's sensory and vestibular systems. It measures how good an athlete's balance is when she's standing still with her eyes closed.

Vestibular/Oculomotor Screen: group of tests that examine how well an athlete's eyes can track and work together. These tests also measure the vestibular ocular reflex and whether the brain can suppress this reflex when needed.

Post-Concussion Symptom Scale (PCSS): this is a self-reported scale that measures the severity of mild traumatic brain injuries (TBIs) and concussions. This scale asks patients who've had a concussion 22 questions. These questions ask about a variety of symptoms including cervicogenic, vestibular, vision, sleep, emotional, and cognitive symptoms.

Neck Disability Index (NDI): this is another self-reported survey that measures pain and functional limitations. The survey asks 10 questions and ask patients to rate their responses on a scale from 0—5. Health care providers use this scale to diagnose and treat mechanical neck pain, whiplash, and whiplash associated disorder (WAD).

Pricing 

  • ImPACT test: $20
  • Full battery of tests (includes ImPACT, COBALT or BESS, VOMS, PCSS, & NDI): $35

Physical Therapy After a Concussion

Physical therapy can help reduce many of the most difficult symptoms after a concussion. Physical therapy can improve:

  • balance & exercise,
  • vision,
  • headaches/migraines,
  • and cognitive function so you can return to work or school.

Ocular (Vision) Rehabilitation

During a concussion, the brain or the brain's surrounding systems can become injured. One of the systems that can become injured is the visual center of the brain. The visual center allows us to see light. It is also very sensitive to trauma. It is located on the back, lower portion of the brain.

After a concussion, patients can experience blurriness and sensitivity to light. A concussion can also affect your eyes' motor function, which is the ability for your eyes to move together at the same time.

Our therapists offer ocular rehabilitation after a concussion to reduce some of the worst vision problems.

Vestibular (Inner Ear) Rehabilitation

The Bertec CDP (above) treats balance problems. Learn more

The vestibular system helps your body have a sense of balance. It includes fluid inside your inner ears, and this fluid responds to movement changes so you feel steady when you walk, run, or stand. After a concussion, it can be hard for the inner ear to process and respond to movement. Concussions can cause dizziness and nausea.

Our therapists work with patients to improve their sense of balance after a concussion.

Post-Traumatic Migraines

After a concussion, some people develop migraines even though they never had migraines before.

Concussions can overstimulate your brain and cause pain and sensitivity during everyday, normal activities. Many patients will have a migraine after driving, looking at computer screens or sunlight, or even after looking down long aisles. We help patients avoid migraines using therapy techniques.

Cervical Neck Pain

The cervical vertebrae are the first seven vertebrae in your spine toward the top of the neck. Concussions can cause pain and tension in this area of your spine. Our physical therapists use exercise techniques to help control this pain.

Anxiety, mood changes, and fatigue are also common after a concussion. Our therapists work with patients to help control and reduce these unpleasant side effects.