Persistent Concussion Symtoms / Mild Traumatic Brain Injury Service
Our Service in a nutshell:
This service 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.
What is the process?
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:
- Pain management
- Fatigue management
- Graded exercise programmes
- Return to work
More about PCS / mTBI
Concussion is an injury to your brain that may occur after a blow to your head. The blow to your head causes your brain to move slightly within your skull. This can momentarily disrupt the electrical activity within some of the cells in your brain so that your brain stops working properly for a short period of time. It is this disruption that leads to the symptoms of concussion. Concussion is also known as 'minor traumatic brain injury' by doctors.
Post-concussion syndrome is a collection of symptoms that some people develop after they have had concussion. It is a complication of concussion. Symptoms of post-concussion syndrome can include headache, dizziness and memory and concentration problems. Reduced sense of taste and smell, emotional symptoms such as anxiety/increasingly aggressive or other personality changes can also occur. Symptoms usually clear within three months after the initial head injury.
The specialists at Hobbs Rehabilitation can assess your condition and give you a treatment programme to follow. Your initial assessment will take around an hour and will incorporate a full case history, a graded assessment of the vestibular function and a treatment programme will be prescribed. The story of Alex Danson-Bennet, former Team GB Hockey Captain has been widely reported in the press and we feature our involvement on our Patient Stories page.
More about the PCS / mTBI Service
The Hobbs mTBI/PCS service focusses on dealing with the range of difficulties caused by mTBI. We aim to support people to understand and cope with the effects of their mTBI 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 multidisciplinary 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 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, we are a team of Clinical Psychologists who specialise in working with individuals affected by a range of neurological conditions including mTBI/PCS and have expertise in helping people understand and cope with the effects of their neurological condition. This includes exploring changes to memory and thinking skills (cognition) and also emotional wellbeing.
Research into mTBI and PCS recommends that Neuropsychological assessment and intervention is an important part of the wider clinical management of the condition. This may include:
- Education about mTBI.
- 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 more information about our service or wish to self-refer, please email with the following information:
Brief summary of your injury and ongoing problems:
Details of any investigations or other professionals involved in your care:
Email : firstname.lastname@example.org
Telephone : 01730 890072