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.
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:
- Balance and coordination
- Attention Span
Neuropsychological Exam: Evaluation of how the brain injury is impacting learning and general functioning. 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 in our network as needed.
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. 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
- Speech and language therapy
- Personalized return-to-learn care plan
- Personalized return-to-play care plan
- Advanced neurovestibular, cervical, oculomotor and exertional rehabilitation
- Daily living activity rehabilitation
- Facilitation of return to work, school and sport
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.
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.
Alpha-Stim Cranial Electrotherapy Stimulation (CES) as adjunctive treatment of headache and stress response.
We use the C3Logix System to evaluate and manage concussion treatment across the injury spectrum, from baseline testing to post-concussion assessment and return-to-play. Developed by the Cleveland Clinic, 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.
Proper concussion care for athletes begins before the sports season with preseason evaluations. Preseason, baseline testing can provide valuable information should an athlete sustain a concussion as it allows for something to compare to following an injury to help determine if an athlete has returned to baseline and is ready to return-to-play. Baseline testing is recommended once every two years. To schedule an appointment for a request a baseline test, call the Concussion Clinic at (515) 276-3406.