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 result from neck and upper back irritation. Treatment may include manual therapy, dry needling, acupuncture, therapeutic exercise and electrothermal modalities for these areas.
Vestibular rehabilitation
Some people can experience dizziness and balance issues. Therapists can provide specific exercises and management strategies 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. Optical professionals can prescribe targeted exercises to train the eyes to move correctly while maintaining attention and focus with or without moving the head.
Autonomic dysregulation
We recommend an individualized, symptom-limited aerobic exercise program for those clients with persistent abnormal symptoms related to unconscious bodily functions such as blood pressure, breathing and heart rate.
Cognitive functioning
Some people experience difficulty with their memory, concentration and focus. Professionals can prescribe exercises 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.