Post Concussion Syndrome / Mild Traumatic Brain Injury
Concussion is also referred to as a 'mild traumatic brain injury' and can occur after an injury or direct blow to the head or the brain hitting the skull causing a direct injury, or by rapid accelleration or decelleration causing a shear, tensile and compressive forces to the brain tissue. This type of damage is not often seen on a conventional CT or MRI scan.
The injury initiates a complex cascade of metabolic events leading to a disruption of the normal homeostatic balance of the delicate brain cells. It is thought that this metabolic process is the main explanation for most post-concussive signs and symptoms.
Post-concussion syndrome (PCS) is a collection of symptoms that some people develop after they have had concussion. Symptoms of post-concussion syndrome can include headache, dizziness, fatigue, irritability, reduced concentration, sleep disturbance, memory problems, anxiety, sensitivity to noise and light, blurred vision and depression. Most patients suffering a mild traumatic brain injury recover in the first 3 months, but up to a third report symptoms persisting beyond 6 months.
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-Bennett, Team GB Hockey Captain has been widely reported in the press and we feature our involvement with Alex on our Patient Stories page.
What does the treatment approach involve?
Hobbs Rehabilitation offer a comprehensive multidisciplinary approach encompassing specialist physiotherapists, occupational therapists and neuropsychologists. We work in collaboration with other medical professionals such as Consultant Neurologists.
All Hobbs Vestibular Physiotherapists have extensive post-graduate training and experience in brain injury and additional post graduate training and experience in vestibular rehabilitation including physiotherapy intervention for post-concussion syndrome.
Your initial physiotherapy assessment will take up to 90 minutes and will incorporate a full subjective history and bed-side assessment of oculo-motor and vestibular function and balance. The assessment is very holistic and will take into consideration pre-existing issues such as neurological conditions and musculoskeletal conditions from a stiff neck to an old ankle fracture, 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, a customised exercise programme to target specific issues identified in the assessment, graded return to functional every day activities such shopping, using public transport, returning to sport, education or work.
Education is a key component of PCS rehabilitation. We aim to empower the patient through understanding of their symptoms, the triggers, and how to manage them, so that the person can effectively work towards returning to their usual activities.
The service at Hobbs Rehabilitation comprises experienced neurological physiotherapists who have completed further training in assessing and treating people with vestibular disorders. They are based at Hobbs South East in Liss.