Concussion Care
Consussion Care
We are trained providers of the Shift Concussion Management Program. We provide an advanced approach to concussion awareness and management, guiding injured individuals to a safe return to both sport participation and daily life activities. Our program emphasizes a continuum of care from education and baseline testing to injury management and return-to-play.
Our Concussion Care Services Include:
- Baseline Testing – ImPACT
- After Injury Care – Rehab from post-concussive syndrome
- Education and Training
Baseline Testing
NEUROCOGNITIVE PERFORMANCE TESTING
Recent advacements in concussion management have resulted in the widespread use of computer-based neurocognitive testing protocols, and evidence now shows that concussed athletes demonstrate subtle cognitive deficits that may persist beyond symptom resolution – emphasizing the fact that return to play once “symptom-free” is no longer an accurate measure of readiness.
After Injury Care
WHAT TO DO IF YOU SUSPECT A CONCUSSION
Following a suspected concussion, it is recommended that you consult a Medical Physician (Family GP or Sport Physician) as early as possible for medical evaluation. Most sport-related concussion injuries do not require emergent care. It is also important that the individual remain under close observation during the first few hours following their injury, and should not be left alone or allowed to drive.
Below is a list of common signs and symptoms of a concussion:
Headache
Dizziness
Neck pain
Nausea or Vomiting
Loss of balance
Poor coordination
Seeing "stars"
Ringing in ears
Easily distracted
Poor concentration
Vacant stare
Feeling "foggy"
Confusion
Amnesia, or poor memory
"Flashing lights"
Blurred or double vision
Irritability or emotional changes
Slow to follow direction
Decreased playing ability
Drowsiness/fatigue
Difficulty falling asleep
Feeling "off" or not like oneself
Trouble focusing on objects or words
WHEN TO GO TO THE HOSPITAL
Emergency evaluation is warranted in situations of deteriorating mental status such as increasing confusion and difficulty recognixing people or places. Other symptoms requiring immediate medical attention include worsening headache; worsening nausea or vomiting, and excessive drowsiness or lethargy.
When a concussion is suspected, we also recomment booking an initial assessment with us as early as possible. Even if you have not had a baseline assessment with us, we will assess your injury and provide you with a management strategy to aid in your recovery.
Assessments and subsequent visits/therapy are covered under most extended healthcare benefit packages (eg. Chiropractic). For inquiries about appointments, please contact us.
WHAT TO EXPECT AT YOUR CONCUSSION CARE ASSESSMENT
During your appointment we will conduct a thorough post-injury evaluation in order to gain a complete picture of your injury and how it has impacted you.
This includes a detailed interview in order to obtain information on:
- How the injury occurred
- How you felt immediately after
- How you’re feeling currently
- History of previous concussions
- Current and past medical conditions
- Previous trauma/injury
- Medications
The physical examination provides us with insight into the severity of your injury, as well as specific impairements that may need to be addressed as part of an ongoing management strategy.
This portion of testing may include a combination of the following:
- Computerized neurocognitive testing – ImPACT
- Balance testing
- Strength and Coordination testing
- Screening of visual-motor skills
- Vestibular (or equilibrium) testing
- Gait assessment
- Generalized neurological screen
- Orthopedic assessment of secondary injuries (e.g. neck, shoulders)
Please note that the above testing procedures may not all be completed on the first visit. The assessment methods used are tailored to the immediate needs of each individual and it will be at the discretion of the doctor as to which he/she will use.
Education and Training
Other Services
Chiropractic Care
Concussion Care
Pediatric Chiropractic
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Have a question or would you like to schedule an appointment with Dr. Bercovitch?. Call 613-225-3339 today.
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