Our clinicians will start with a careful medical history that includes the circumstances of your child’s current injury, pre-existing conditions that may affect your child’s exam and/or recovery, and history of past injuries.
We will then measure your child’s (age 5y and older):
- Symptom Scores and Vestibular Index Scores (Dizziness Handicap Inventory)
- Balance and motion reaction time with an accelerometer
- King-Devick Test performance: a measure of eye movements, visual processing, concentration, attention, speech, language, and other correlates of brain function
- ImPACT Test performance: a computerized neurocognitive test that measures attention span, working memory, sustained and selective attention time, non-verbal problem solving, and cognitive reaction time
After your child has completed testing, the clinician will then do a neurovestibular exam. This exam includes an assessment of cervical mobility, oculomotor function, visual fields by confrontation, convergence measurements, Vestibular-Oculomotor Screening (VOMS), funduscopic and cranial nerves, reflexes, and tandem gait.
At the conclusion of this initial visit, our clinicians will discuss your child’s clinical presentation and treatment plan. Depending on your child’s needs, the treatment plan may include rehabilitative services (physical therapy, vestibular therapy, speech/cognition therapy, vision therapy), therapeutic exercise, school adjustments, pain management, neuropsychological evaluation, and/or psychological support services.
Your child’s second visit will usually include a treadmill challenge test to evaluate their readiness for exercise. Studies show that starting aerobic exercise early after a concussion can help speed recovery. As your child recovers, we will also guide them through a graduated exercise protocol (age and sports-specific) for a safe “Return to Play” and/or return to contact sports.