A physiotherapist trained in concussion management looks to identify and provide management techniques in the following ways:
Examination and treatment of the neck and thoracic spine
Pain, stiffness and headaches can come from irritation to the neck and upper back. Treatment may include manual therapy, dry needling, acupuncture, therapeutic exercise and electrothermal modalities to these areas.
Some people can experience dizziness and balance issues. Specific exercises and management strategies can be provided to allow the vestibular system to adapt and return to normal functioning.
Early vision rehabilitation
Some people can experience an altered depth of vision and the ability to track objects. Targeted exercises can be prescribed to train the eyes to move accurately while maintaining attention and focus with or without moving the head.
An individualized, symptom-limited aerobic exercise program is recommended for those clients with persistent abnormal symptoms related to unconscious bodily functions such as blood pressure, breathing and heart rate.
Some people experience difficulty with their memory, concentration and focus. Exercises can be prescribed to help the brain to adapt, leading to improvement in these areas.
Other education and management strategies
- Some people will experience sensitivity to light and sound. Strategies exist to help manage and improve these symptoms.
- Many people will experience alterations in sleep and mood (including anxiety and depression) that may require referral to a psychologist.
Working as part of a team
A physiotherapist may work as part of a team of health care professionals, including the family physician, neuropsychologists, and vision therapists (optometrists) for those with persistent symptoms.