Concussion Assessment & Management

Playing sports can be a lot of fun until someone gets hurt or has a serious injury. Many sports are becoming more competitive and with that can come aggressiveness. Taking hits, falling on your head or getting a ball thrown at your head can cause a whiplash effect of the brain in the skull causing damage. It is our job as health care professionals to make athletes aware of how to prevent injuries from occurring like concussions or musculoskeletal injuries. This way athletes can feel safe when stepping onto the playing surface.

We at Weber Sports Physiotherapy are here to help prevent concussions as well as other injuries from occurring. If sustained by one, we are here to help you recover properly so that you can return to sport/play safely.

 

WHAT IS A CONCUSSION?

A concussion can be simply defined as a disruption in neurological functioning following a significant impact to the head or elsewhere on the body. This causes a biochemical imbalance within brain cells as well as decreased blood flow and temporary energy deficits within the brain.

Following a suspected concussion, a player should be immediately removed from play, assessed and placed on complete rest in order to recover from the energy deficit. Studies have shown that any activity, both mental and physical, in the immediate days following concussion can delay the process of recovery and should be avoided until the athlete is completely symptom free.

{slider HOW DO I KNOW I HAVE SUSTAINED A CONCUSSION?|closed}

Any of the following signs and symptoms may show up immediately or after a few hours/days.

Symptoms

  • Headaches
  • Confusion
  • Disorientated
  • "Pressure in the Head"
  • Light and Noise Sensitivity
  • Fatigue/ Slowed Down
  • Nausea/Vomiting
  • Vision Problems
  • Thinking Problems
  • Light-Headedness

Behavioural Changes

  • Disorientated
  • Feeling of Being "Stunned"
  • Irritability
  • Abnormal Behavior
  • Depression
  • Mood Change
  • Strange and Inappropriate Emotions
  • Feeling Slowed Down or "In a Fog"
  • "Don't Feel Right"

Physical Signs

  • Nausea/Stomach Pain
  • Vomiting
  • Physical Fatigue
  • "Pressure in the Head"
  • Headaches
  • Light-Headedness
  • Seeing Bright Stars/Light
  • Vacant Stare
  • Ringing in the Ears
  • Loss of Vision
  • Seeing Double/Blurry Vision
  • Loss of Bladder and Bowel Control
  • Short Term Loss of Consciousness
  • Inability to Perform Activities of Daily Living (ADLs)
  • Poor Coordination/Balance Problems
  • Slow Reaction Times

Cognitive Impairments

  • Disoriented
  • Confusion
  • Drowsiness
  • Mental Fatigue
  • Headaches
  • Difficulty Concentrating
  • Thinking Problems
  • Short Term Memory Problems
  • Slow Reaction Time
  • Light and Noise Sensitivity

Sleep Disturbances

  • Trouble Falling Asleep

{slider Baseline Testing}

We offer teams or individual athlete’s baseline testing for concussions pre-season. Teams or individuals can set up times pre-season with our practitioners to conduct this test.

What is Baseline Testing?

The biggest concern surrounding concussions comes from the energy deficit that occurs in the brain following injury. When the brain is in this low energy state, it has been well established that the brain is extremely vulnerable to additional trauma, where even smaller impacts can lead to another concussion; and these second concussions can cause severe brain injuries with potentially permanent or fatal outcomes.

The problem is that symptoms (meaning how someone feels) do not coincide with brain recovery. The only way to know when the brain has fully recovered and out of this "vulnerable period" is to compare current brain function to when the individual was healthy; this is what is known as a "baseline test".

A baseline test is a battery of tests that measures every area of brain function that could potentially become affected following a concussion. The reason that the test is termed a "baseline" is because it is done BEFORE the athlete gets injured. In order to know when an athlete has fully recovered, we first have to know where they were when they were healthy. Without having this information, there is no way to truly know when an athlete has fully recovered and is safe to return to their sport.

Baseline testing is the most important thing to get done prior to beginning your sports season on a yearly basis.

{slider Muscle Assessment/Treatment}

Since a concussion is caused by direct/indirect blows to the head, face, neck etc., those muscles in the area will be in spasm trying to guard the injured areas. To help relieve the pain of the muscles our therapists will help to relieve those muscles and allow them to relax again. Our goal is to try to relax the muscles in spasm so that you can carry on with your daily tasks pain free. All of our physiotherapists do acupuncture as well and it has proven to successfully help with concussions and concussion symptoms. Please phone the clinic to book an appointment with one of our physiotherapists.

Check your insurance provider as physiotherapy can be covered.

{slider Return-to-Learn/Work & Return-to-Sport Protocols}

Diagnosis for a concussion is commonly diagnosed as a mild traumatic brain injury (mTBI). An mTBI results in a number of impairments in the function of the brain and central nervous system including blood flow abnormalities and an energy crisis. It is very important to your recovery to follow these steps under the guidance of your healthcare provider to insure that you are recovering appropriately at each stage.
Failure to follow this protocol may result in a prolonged recovery or permanent neurological impairment. Each step must be separated by at least 24 hours. You must be completely asymptomatic- symptom free. at each stage in order to progress to the next stage. If you experience ANY concussion-like symptoms during any one of the stages, you are to drop back to the previous stage for another 24-hour asymptomatic period before attempting that stage again.

Do not return to physical activity or contact sport until being cleared to do so.

It is our job to help return our clients in a safe manner and to make sure that the concussion is fully healed to reduce the chance of second impact syndrome.
Our concussion practitioners will explain more in depth our return to play/work protocol once you have been assessed.
We have a complete step by step protocol in which to return clients back to their everyday life; weather that be:
Return-To-Learn
Return-To-Play
Return-To-Work
Contact our clinic for an initial assessment.

 

WHAT WE CAN OFFER YOU!!

Sport Teams Pricing

Baseline Testing (Recommended once per year/season)

Team Rate- Discounted Baseline Testing 

NEW Coach/Trainer Seminar

 Please contact the clinic for more information on pricing.