Concussion and mild TBI Rehabilitation

What is a concussion?

A concussion is defined as a brain injury that is a complex pathophysiological process affecting the brain, induced by biomechanical forces. A concussion may be caused by either a direct blow to head, face, neck or elsewhere on the body with ‘an impulsive’ force transmitted to the head. All concussions are a mild traumatic brain injury, but not all mild traumatic brain injuries’ are a concussion.

What types of symptoms are associated with concussion?

Concussions can often show no abnormalities on standard structural neuroimaging as clinical symptoms are usually reflected as functional disturbances as opposed to structural. After a trauma to the brain, simple tasks can become very difficult and patients may experience any of the following symptoms

  • Headache
  • Brain fog/cognitive decline
  • Dizziness or vertigo
  • Anxiety, depression, changes in personality
  • Behavioral changes such as irritability/anger/mood swings
  • Cognitive impairment such as slowed reaction time
  • Sleep disturbances
  • Vision changes such as light sensitivity, difficulty with screens, blurred vision
  • Noise sensitivity
  • Problems in busy environments
  • Decreased stamina- cognitive, visual, physical
  • Difficulty initiating tasks
  • Difficulty following conversation with several people

How are concussions or mild TBI’s treated?

A concussion can have severe neuropathological changes to the brain, which is why having an early diagnosis and proper treatment is essential for management. Treatment for a concussion can vary for every individual, but effective concussion management will put an emphasis on planning and pacing, vision rehabilitation, vestibular training, gait, balance and cardiovascular training along with education on return to work or return to activity.

What to expect on your first visit?

Your first visit to Neuromotion Physiotherapy following a brain injury will consist of a 90-minute assessment to determine severity of symptoms and establish an individualized treatment plan that will be effective for you. 

Ryan C Past client
I started going to Neuromotion after a car accident that broke my back. The first thing I noticed was the positive atmosphere, and the general concern for my overall progress. What else is great is having someone who is smart at what they do and ask about my goals. Doctors told me I would never walk again and now I can walk with two canes. I have completed my goals of walking 2 kilometres, walking up 25 flights of stairs, and taking a month-long road trip to Alaska thanks to Neuromotion!
Davin M Past volunteer
What makes the clinic so special is that is has such a positive atmosphere. Every time I go there, I am impressed by the determination of the clients, and how the therapists connect and motivate them to achieve their goals. The whole Neuromotion team really comes together to create an encouraging environment that is focused on the success of the clients. (Davin is now pursuing his degree in Physiotherapy at the University of British Columbia)
Lawrence M Client
Throughout the entire 11 month therapy I have received: compassionate care, consistency, competence, enthusiasm and above all else , the opinion that improvement was possible. Suffice to say , I shall continue therapy at Neuromotion and categorically encourage any person with CNS impairment to become a patient at Neuromotion; they will excel.  
Gordon C Client
I have an incomplete high-level spinal cord injury and I have been going to Neuromotion for over a year. I have since "graduated" from the Lokomat and I am now walking on the treadmill with my own power and full body weight. I would consider Neuromotion one of the most professional and competent physiotherapy providers in Metro Vancouver, particularly in the specialized field of treating people with neurological health issues that affect their mobility.
Ralph T Client
I have had foot drop for over a year - I started coming to the clinic and the progress has been quite impressive - I can now walk with almost no noticeable impact from the foot drop and have improved my gait.  I like the attitude in the clinic - upbeat, compassionate and personalized to my needs.
Laurel J Volunteer
I’m Laurel and I volunteer at Neuromotion Physiotherapy and have enjoyed my time here a lot. The staff and clients are all super friendly and welcoming, and create a positive atmosphere. I have learned quite a bit while I have been here and find practical experience to be more fulfilling than schoolwork, although you really do need both. I like seeing people work towards their goals and gain the confidence that they can reach them. I think Neuromotion helps people to live healthier lives!
Heather B Client
By coming to Neuromotion I came to understand exercise is not optional but imperative to living well with Parkinson's Disease.