What is Persistent Concussion Symptoms/Concussion?
Concussion is usually caused by an impact/blow to the head or from rapid forces of acceleration and deceleration. These injuries can be caused by a variety of incidents including road traffic accidents, sporting injuries and falls. A concussion is also known as a mild traumatic brain injury (mTBI). After a concussion people may report a broad range of symptoms, which are often temporary and in the majority of cases resolve within one month. However, around 15-20% of people will experience persistent concussion symptoms also known as post-concussion syndrome (PCS) which is a collection of symptoms that happen after concussion including headache, dizziness, fatigue, irritability, reduced concentration, sleep disturbance, memory problems, anxiety, sensitivity to noise and light, blurred vision and low mood.
A concussion can set off a series of events in the brain that can disrupt the normal balance of brain cells. It is thought that this ‘neurochemical cascade’ is a major reason why people experience different signs and symptoms following a head injury.
Other Related Services
What does it involve?
Our Concussion Clinic forms part of our Vestibular and Balance Service however because symptoms can be so varied and complex, we have developed a specialised provision. The service typically includes physiotherapy, occupational therapy and neuropsychology and provides individual intervention, education and information.
Upon diagnosis, or when we receive a referral, we will organise an initial assessment which will identify your own key symptoms. An individual, bespoke treatment plan will be devised which will include a combination of:
Graded exercise programmes
Return to work
Hobbs Rehabilitation's Concussion Clinic focusses on dealing with the range of difficulties caused by concussion. We aim to support people to understand and cope with the effects of their concussion and develop a rehabilitation plan specific to their impairments and goals. This aims to help people manage any physical changes, cognitive difficulties and psychological distress that they may be experiencing. We offer a interdisciplinary rehabilitation approach and provide comprehensive assessment and therapy to promote greater quality of life including reconnecting with previously valued activities relating to work, education, family and social life.
All Hobbs Rehabilitation Physiotherapists have extensive post-graduate training and experience in brain injury and additional training and experience in vestibular rehabilitation including physiotherapy intervention for post-concussion syndrome.
Physiotherapy assessment will incorporate a full subjective history and bed-side assessment of oculo-motor, vestibular function and balance. The assessment is very holistic and will take into consideration pre-existing issues such as musculoskeletal injuries or neurological conditions, as these can all impact on balance and movement.
Physiotherapy intervention will be prescribed based on the assessment findings and your personal goals. This could include specific repositioning manoeuvres to treat BPPV, balance and gait re-education, multi-sensory training, treatment of musculoskeletal issues and a customised exercise programme to target specific issues identified in your assessment. Guidance will be given to support a graded return to every-day activities which may have become challenging such shopping, using public transport, returning to sport, education or work. Education is a key component of PCS rehabilitation. We aim to empower our patients to understand their symptoms, their triggers, and how to manage them, working towards their individual goals.
Clinical Neuropsychology is a branch of clinical psychology specialising in brain-behaviour relationships. At Hobbs Rehabilitation a team of Clinical Psychologists who specialise in working with individuals affected by a range of neurological conditions including PCS/concussion. Our clinical psychologisists also have expertise in helping people understand and cope with the effects of their neurological condition, including exploring changes to memory and thinking skills (cognition), as well as emotional wellbeing.
Research into concussion recommends that Neuropsychological assessment and intervention is an important part of the wider clinical management of the condition. This may include:
Education about concussion.
The opportunity to make sense of difficulties people are experiencing so that they feel understood and reassured
Formal neurocognitive assessment to identify the nature of cognitive changes and inform strategies to help with graded return to work or social activities. It is important to note that Clinical Neuropsychologists have extensive training both at doctoral and post-doctoral level to administer and interpret these psychometric tests.
Advice and guidance about managing sleep disturbances.
Psychological therapy to help people manage changes to their mood, anxiety, relationship difficulties or adjustment. This may take the form of Cognitive Behaviour Therapy (CBT) and Acceptance and Commitment Therapy (ACT).
If you would like to receive further information about our service or wish to self-refer, please use our contact form or contact us via: