Concussion Management and Treatment
The Concussion Center's interdisciplinary team uses a collaborative approach to concussion management. We offer a variety of state-of-the-art evaluation protocols and tests because there is no one best test for diagnosing a concussion. Each concussion is unique, and the specific symptoms experienced demand an individualized approach to evaluating and treating each person's injury.
Unique Facility Designed for Concussion Treatment
- Adjustable lighting to ease suffering or increased concussion symptoms experienced with bright lights
Adjustable white noise to help with sensitivity due to concussion symptoms
Black-out shades for patient rooms to reduce sun glare that can aggravate symptoms
- Magnetic wall for adjusting visual tracking targets
- Video wall to mimic life encounters our patients will experience when recovering
- Force plate to assess balance of concussed patients
- Fit lights for vision tracking and agility training
Our concussion program uses industry-leading technology to assess and treat patients of all ages recovering from concussions.
Dynavision, the leading visual-motor training device for concussion management, is used by our specially trained physical therapists to provide vestibular-ocular testing and rehabilitation. Dynavision tests the body's vision and balance systems and how they impact decision-making and concentration under stress as recovery progresses.
Alpha-Stim Cranial Electrotherapy Stimulation (CES) as adjunctive treatment of headache and stress response.
The Sport Concussion Assessment Tool (SCAT-5) evaluates an athlete's balance, coordination, cognition, symptoms and progress toward recovery.
Auricular acupuncture as adjunctive treatment of headache and stress response.
- C3Logix System, developed by the Cleveland Clinic, is used to evaluate and manage concussion treatment across the injury spectrum, from baseline testing to post-concussion assessment and return-to-play. C3Logix uses a computerized testing platform to test an athlete's preseason baseline brain activity. In the event of a concussion, the results from the athletes baseline test can be compared to their post-concussion screening to determine the extent of their injury. C3Logix can also be applied to non-sport related concussions.
At your initial appointment, you will be seen by our sports medicine physician or by our sports neuropsychologist who are experienced in brain-behavior relationships and the biomechanics of concussion injuries. They will assess your balance, coordination, vision and neurocognitive functioning.
Physical Exam: Evaluation for physical signs of injury, such as neck pain, strain, as well as:
- Vision and eye-tracking/coordination
- Balance and coordination
- Attention Span
Neuropsychological Exam: Evaluation of how the brain injury is impacting learning and general functioning at home, in the workplace and in the classroom. Our neuropsychologist utilizes a variety of evaluation tools, including ImPACT, C3Logix, CNS Vital Signs and Sway.
Following your evaluation, our multidisciplinary team will work collaboratively to develop an individualized treatment plan for your recovery, including a return-to-learn and return-to-play care plan. This may include coordinated referrals to other specialists either in our clinic and/or in our network as needed.
What is a neuropsychologist?
A neuropsychologist is a licensed psychologist with specialized training in the study of brain-behavior relationships. This includes extensive training in the anatomy, physiology, and pathology of the nervous system and in evaluating and guiding treatment for individuals with developmental or acquired brain injuries and illnesses.
What is sports neuropsychology?
As defined by the Sports Neuropsychology Society, Sports Neuropsychology is a subspecialty of clinical neuropsychology that applies the science and understanding of brain-behavior relationships to the assessment and treatment of sports-related brain injuries.
The practice of sports neuropsychology requires education, training, experience, and competence in the primary field of clinical neuropsychology, followed by a secondary specialization through experience and understanding of applying clinical neuropsychology to the unique demands of evaluating and treating brain injury in the sports domain. General training in neuropsychology and in the management of structural brain injuries is not sufficient. Some sports neuropsychologists also include strategies for promoting overall brain health and performance enhancement in their work as well.
What do sports neuropsychologists do?
- Consumer Protection and Advocacy
- Professional Development
- Lead or support Interdisciplinary Teams
What is Behavioral Sleep Medicine?
As defined by the Society for Behavioral Sleep Medicine, behavioral sleep medicine is the field of clinical practice and scientific inquiry that encompasses: the study of behavioral, psychological, and physiological factors underlying normal and disordered sleep across the life span; and, the development and application of evidence-based behavioral and psychological approaches to the prevention and treatment of sleep disorders and co-existing conditions.
A Behavioral Sleep Medicine Specialist (BSM) is one with specialized training and expertise in sleep medicine, behavioral health and methods of behavior change. As such, the BSM specialist has expertise in differential diagnosis of sleep and health (psychological and physiological) conditions. The BSM specialist utilizes this expertise along with expertise in behavior change to develop evidence-based treatment plans for those with sleep disorders and co-existing health conditions.
Including behavioral sleep medicine approaches in an interdisciplinary approach to sports medicine can enhance performance and remove barriers to recovery from sports injuries, including concussions and musculoskeletal injuries.
What is developmental neuropsychology
As the field of clinical neuropsychology focuses generally on brain-behavior relationships, developmental neuropsychologists focus on development and changes in those relationships across the lifespan. While most developmental neuropsychologists focus more on children, adolescents, and younger-middle aged adults, some focus more on stages of adulthood, including aging processes. Irrespective of ages of focus, all neuropsychologists study the natural, developmental progression of brain structures and functions, as well as changes to age-related processes such as developmental and/or aging disorders, and the age-related impact of different illnesses and injuries.
What is biofeedback?
Biofeedback uses your body's own functions like breathing rate and heart rate to help you learn to monitor your body's basic functions in a way that also helps to reduce feelings of physical or emotional pain and tension. During in-office sessions with our Sports Neuropsychologist, you can learn new techniques you can practice at home to help reduce feelings of pain and the chronic stress it places on our minds, in addition to our bodies.
Just as every patient and injury is unique, the treatment plan needs to be tailored to the individual symptoms and needs of each patient. During recovery, it is important to know that many people have a range of symptoms that affect them in different ways. Some symptoms may appear right away, while others may not be noticed for hours or even days after the injury. You may not realize you have problems until you try to do your usual activities again, which is why our treatment plan includes routine follow-up and care coordination with schools and teams, in addition to referrals as needed in order to expedite recovery.
Services Offered After a Diagnosed Concussion
- Comprehensive physical, musculoskeletal, and neuropsychological evaluation by multidisciplinary team
- Ongoing medical and neuropsychological follow-up
- Speech and language therapy
Vestibular and physical therapy
- Personalized care plans for return-to-learn, work or play
- Advanced neurovestibular, cervical, oculomotor and exertional rehabilitation
- Treatment of headache and stress response
- Daily living activity rehabilitation
- Management of pain, sleep disruption and insomnia
- Facilitation of return to work, school and sport
- Pre-season, baseline concussion testing using a variety of methods including ImPACT, C3Logix, Sway, VOMS, and paper/pencil measures for youth, collegiate, and professional athletes