2. After a Concussion (Early Assessment and Treatment)

Parkways Complete Concussion Care

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2. After a Concussion (Early Assessment and Treatment)

Early Assessment:
Early assessment and early activation are vital factors to maximize recovery and decrease the chance of developing Post-Concussion Syndrome.

Please call us as quickly as possible after the injury and let the team know that you or your loved one has a concussion. We will do everything possible to ensure you receive an assessment and treatment plan as quickly as possible.



Brain Repair Protocol:
The Brain Repair Protocol uses the Brain Gauge to test various parts of our cognitive processing and the Symptom Tree to understand your symptoms and genetics. The Brain Gauge primarily uses vibration (somatosensory testing) to get sensitive measures of your:


  • Reaction time speed
  • Brain fatigue
  • Brain connectivity
  • Neuroplasticity
  • Temporal Order Judgement (spatial processing)
  • Time perception
  • Accuracy
  • Focus

The Symptom Tree is a questionnaire that looks at your current state, past history and genetic make-up (maternal)

All this information is brought together to produce your Brain Repair Protocol, an evidence-based map of suggested assessments and treatments that may be indicated based on your test results.

To access the Brain Repair Protocol for yourself, please call the clinic to get booked in. You will take the tests on your first visit (approximately 60 minutes). On the second visit, you will see your physiotherapist to interpret the results and typically begin assessment and treatment right away.

Once again, our partnership with the CAP Health Corp has allowed us to bring our community this patented technology. For more on the Brain Repair Protocol science, please see https://capbraingain.com/brain-repair-protocol/


Visual and Vestibular Testing:
Dizziness and visual processing problems are extremely common after a concussion injury. A concussion treatment plan often includes visual rehabilitation and/or vestibular rehabilitation.


Heart Rate Ramping:
Early activation after a concussion injury is a critical part of a complete treatment plan. This said exercise can also create significant setbacks, so it’s essential that we test you in a safe and specific way and then develop target heart rate zones that help your concussion to heal rather than lead to a setback. We use the so-called Buffalo protocols to create this part of your treatment plan.


Mood Dysfunction:
Mental health challenges after a concussion injury are very real and deserve an early assessment and discussion from a mental health professional. At Parkway, we use two questionnaire-based tests (GAD-7 and PHQ-9) to assess whether a mental health referral to your doctor is appropriate.


Strength and Conditioning:
Your treatment plan will depend on your goals and the types of activity that you are returning to. Strength and conditioning can occur on your own as home exercises and in the clinic as part of our team treat model of care. Since concussions occur due to a rapid direction change of the head, it is common that one’s neck is also injured at the same time. This is a frequent finding and is primarily part of assessing and treating concussions related to motor vehicle accidents. At the end of the day, our neck function plays an essential role in preventing a concussion from happening in the first place. In a return to life decision, excellent neck function can prevent a second concussion.



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