CONCUSSION MANAGEMENT

Offered by: de Winter Physiotherapy

Concussion management is a form of physiotherapy designed to assess and treat new and lingering concussion based symptoms. A thorough history and physical examination will be done in a comprehensive 2 hour appointment. This may include eye tracking ability, elevated heart rate exposure, and much more.

FAQs

Do I need to be checked by a doctor before having a concussion assessment by a physiotherapist? 

  • No, you do not. Physiotherapists can check for “red flags” and will refer you to the appropriate services if they are concerned. A doctor referral is sometimes needed for insurance purposes, but is not needed to book the appointment. 

Why is the assessment so long?

  • Our concussion assessments are scheduled for 2 hours. This is to ensure that we have time to assess all systems that can be affected by concussions and provide advice/education at the end of the assessment. Concussion assessments can also trigger symptoms - this extended appointment time allows us to take breaks if needed. 

What is checked during the appointment? 

  • All appointments are tailored to each client’s needs, but generally: subjective history, neurological screening, balance & proprioception testing, vestibular & visual testing, cervical spine exam and exercise tolerance testing. 

Will the assessment worsen my symptoms? 

  • It is very normal to feel worse during and after the initial appointment. This increase in symptoms usually lasts for 12-24 hours. If you are concerned about your symptom load following the appointment we recommended bringing a family member or friend to drive you home. In severe situations - we can split the initial appointment over multiple days to limit symptom increase. 

Can a physiotherapist clear me for return to sport? 

  • We can do return to sport testing and make recommendations, but a doctor should give the final clearance for return to sport.