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What is a Concussion?

Concussions occur following sudden force changes that displace your brain within the skull resulting in trauma or damage to the brain. Like many injuries this damage results in a metabolic cascade altering neurotransmitter release, cellular metabolism, lactic acid accumulation, blood flow, and inflammation. All of these changes lead to the 22 hallmark symptoms of concussions, some of which include:

  • Headaches
  • Nausea
  • Vomiting
  • Balance Problems
  • Dizziness
  • Fatigue
  • Difficulty Sleeping
  • Excessive Sleeping
  • Loss of Sleep
  • Drowsiness
  • Light Sensitivity
  • Noise Sensitivity
  • Irritability
  • Sadness
  • Nervousness
  • More Emotional
  • Numbness
  • Feeling “slow”
  • Feeling “foggy”
  • Difficulty Concentrating
  • Difficulty Remembering
  • Visual Problems

What is the Role of Physical Therapy in Concussion Management?

Most concussions will resolve within 2 to 4 weeks following injury, but many people will suffer from persistent symptoms for weeks or months after. Evidence shows that early intervention, within the first 5 days, can result in improved patient results and ensure a safe return to normal activity whether that be sport or work activity. Through personalized assessment in our concussion program, we are able to identify and then treat many of those 22 symptoms associated with concussions.

About our Concussion Management Program

At HPT we have developed a comprehensive evaluation system that focuses on each individuals’ symptoms so that we can create a personalized program for treatment and recovery. During our evaluation we employ outcome measures such as DHI, NDI, and PCSS as well as a battery of tests and measures which include VOMs screening, BCTT, and cognitive behavior assessment. Following evaluation, treatments can include gaze stabilization, saccades, VOR activity, balance exercises, and exercises to promote strengthening and cardio. As patients progress in their recovery, we work to progress treatment and ensure a safe return back to previous activity whether that be sport or work duties.

Clinical Accomplishments

We are fortunate to have to have a member of our staff that has completed advanced training on Vestibular and Concussion Rehabilitation through the American Institute of Balance. In addition, we have a number of clinicians that have completed continued education courses focused on concussion evaluation and management through the American Physical Therapy Association.

Call for an appointment


Give us a call for more information, or to schedule your appointment: (402) 462-2665