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CONCUSSIONREHABILITATION PROGRAMSPECIFICConcussion research has proven that the most effective method to rehabilitate a mTBI is with thoughtful and specific neuraxis rehab strategies performed after a short period of rest (7-10 days). No two mTBIs are the alike, it is for this reason that our concussion rehabilitation program relies on an in-depth neurologic exam to identify components of the neuraxis requiring attention and which components can be used therapeutically to generate plasticity. In order to accurately asses the severity of the mTBI, thorough testing is required in the following domains:
Figure 1 - View of our Concussion Rehabilitation Program, showing Photobiomodulation, Repeated Peripheral Somatosensory Potentials, Transcutaneous Vagus Nerve Stimulation and Vision Therapy THERAPY & EVALUATION TOOLSPhotobiomodulation Photobiomodulation (PBM) is a form of non-invasive light therapy using red and/ or near-infrared light. PBM has extensive research showing its effectiveness for reducing inflammation, immunomodulation, tissue repair and increased production of Adenosine Triphosphate (ATP). Oculomotor Evaluation Evaluating the oculomotor system is critical to proper diagnosis and aids effective treatment. We perform multiple recorded oculomotor testing sessions on our patients to ensure consistent progress. A practical example of evaluation would consist of performing specific eye movements while the eyes are being recorded with infrared cameras, similar to a VNG/ VOG. Repetitive Peripheral Somatosensory Stimulus Repetitive Peripheral Somatosensory Stimulus (RPSS) is a non-invasive treatment modality that involves the application of a mild electrical impulse to the skin. RPSS has a wide array of uses, in our rehabilitation program it is commonly used to directly treat conditions such as vertigo or migraines/ headaches. Transcutaneous Vagus Nerve Stimulation Transcutaneous Vagus Nerve Stimulation (TVNS) involves application of mild electrical impulse to the outer ear in order to stimulate the Vagus nerve. TVNS has been shown to successfully treat conditions such as cluster headaches, migraines, epilepsy, trigeminal pain, mTBI, irritable bowel disease and many others.
Vision Therapy Vision Therapy is a commonly used method to improve the precision of ocular movements. Practical examples of dysfunctional eye movements can appear as double and/or blurry vision, difficulty concentrating, difficulty reading, eye strain and headaches. Focus Builder The Focus Builder App was created by a team of Board Certified Chiropractic Neurologists, dedicated to providing doctors with the latest brain rehabilitative techniques. Click here for more information. Motion Guidance Motion Guidance is a visual bio-feedback tool where a laser is mounted on a patient's body to encourage perfect sensorimotor integration. Click here for more information. Oxygen Saturation Oxygen Saturation is a reliable and recognized method used to evaluate the autonomic nervous system. It is performed through a fingertip monitor emitting an infrared light. Neuro-muscular Electric Stimulation (NMES) NMES is a modality used in identifying the neurologic origin of all physiologic symptoms rather than the symptoms alone Ear Insufflation Ear Insufflation is a modern procedure involving gently puffing air into the ear canal. The purpose of this technique is to affect the Trigeminal nerve (CN V). As it plays a crucial role in facial/ scalp sensation and proper jaw function. STRATEGICThere are a number of variables that determine the induction of plasticity, the most commonly neglected variables of stimulation are specificity, repetition and intensity. The Ottawa Performance Care Concussion Program is specifically designed with these variables in mind. Ottawa Performance Care doctors take pride in both, their abilities to properly evaluate and effectively diagnose conditions, this component of treatment is often overlooked/ neglected. The variables of repetition and intensity can only be addressed when a thorough examination and proper diagnosis have been made. Once we have the necessary information we can create an appropriate treatment strategy designed specifically for your case with the variables of specificity, repetition and intensity in mind. What are the main components of a rehabilitation program?Regardless of the specifics of the injury, however, here are fundamental components that need to be included in all successful rehabilitation programs:. Pain Management. ... . Flexibility and Joint ROM. ... . Strength and Endurance. ... . Proprioception and Coordination. ... . Functional Rehabilitation. ... . The use of Orthotics. ... . Psychology of Injury.. What kind of strengthening exercises are commonly used in the early phase of rehabilitation?Isometric exercise of the shoulder
Isometric exercise is usually utilized in the early phase of rehabilitation to minimize muscle atrophy when movement of the shoulder is limited.
When an athlete is injured the best thing for the coach to do is to ignore them until they have recovered?When an athlete is injured the best thing for the coach to do is to ignore them until they have recovered. An athlete must be informed and able to vent any frustration during the rehabilitation process. An athlete who continues to play on a poorly rehabilitated injury reduces the chances of a healthy life of activity.
When using a plastic ice pack apply it directly to the skin?Do not apply an icepack or frozen item directly to the skin. Cover the icepack in a cloth. A plastic bag does not provide enough protection. Be aware of numb parts of the body, and don't leave an icepack on for more than 10 minutes at a time.
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Which of the following components of a rehabilitation program is most commonly neglected?
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