HeadZone works with physical therapists to provide concussion prevention and rehabilitation services.
Physical therapists offer pre-sports screening and injury prevention training for athletes in:
- Neck strengthening
- Flexibility and agility
- Core stability and balance
- Strength and Power Training
Physical therapy for concussion rehabilitation:
- Musculoskeletal therapy for whiplash and other neck injuries
- Vestibular therapy for post-concussion syndrome
- Conditioning programs during concussion recovery
- Supervised “Return to Play” Programs
Physical Therapy Resources:
Below are resources we find helpful for the rehabilitation of post-concussive patients:
- The Vestibular/Ocular-Motor Screening (VOMS) is a brief screening (5-10 minutes) for vestibular and oculomotor impairments in patients with concussions. It consists of an assessment of smooth pursuits, horizontal and vertical saccades, convergence, vestibular ocular reflex (VOR), and visual motion sensitivity (VMS).
- Article: Mucha et al. “A Brief Vestibular/Ocular Motor Screening (VOMS) Assessment to Evaluate Concussions.” The American Journal of Sports Medicine 42.10 (2014): 2479-2486.
- Video: Vestibular-Ocular Motor Screening Exam
- Vestibular dysfunction after concussion is common and results in dizziness, difficulty focusing, and difficulty maintaining balance. Vestibular therapy uses specific head, body, and eye exercises to coordinate head movement, eye targeting, and balance.
- Article: Vidal et al. “Rehabilitation Strategies for Prolonged Recovery in Pediatric and Adolescent Concussion.” Pediatric Annals 41.9 (2012): 1-6.
- Early aerobic conditioning is now recommended for patients as tolerated. UPMC encourages patients to begin sub-symptom exertional therapy as early as possible to avoid feelings of anxiety and depression. Patients start at Stage 1 and as they recover, heart rate and duration are increased to Stage 5.
- Article: Collins et al. “Advancements in Assessment, Management, and Rehabilitations.” The Science of Concussion: Advancements in Assessment, Management, and Rehabilitation. Spec. edition of UPMC Restore. (2013):1-12.
- It is recommended to complete an exercise challenge test, such as the Buffalo Concussion Treadmill Test, prior to starting a ‘Return to Play’ protocol. The ability of concussed patients to perform provocative exercise without symptom exacerbation establishes readiness to begin a ‘Return to Play’ protocol.
- Article: Leddy and Willer. “Use of Graded Exercise Testing in Concussion and Return-to-Activity Management.” Current Sports Medicine Reports. 12.6. (2013): 370-376.
- Article: McCrory et al. “Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012.” British Journal of Sports Medicine. 47. (2013): 250-258