Category Archives: concussion

concussion management clinic Oakville Mississauga

Concussion Baseline Testing: Why You Need to Get Tested

There are still another few weeks of Summer to enjoy, but September is just around the corner and it marks the start of a new season for athletes who participate in football, hockey, soccer and many other high impact sports. It’s also the perfect time of year to get your concussion baseline testing completed. The most recent International Consensus Statement on Concussion in Sport suggest “completing comprehensive baseline tests prior to the start of the season offers health care professionals valuable and objective information to help them make difficult return to play decisions. It also provides an additional educative opportunity to teach athletes about concussions. Furthermore, the Ontario Neurotrauma Foundation, Ontario Psychological Association, The Canadian Academy of Sport and Exercise Medicine, and the Center for Disease and Control all support and recommend the use of baseline testing in high-risk athletes to help manage concussions and the return to play decision making.

Unfortunately, there is no single clinical test that can be done to know when an athlete has fully recovered from a concussion. Furthermore, symptom resolution occurs much sooner than brain recovery, which may put athletes at risk for returning to sport too quickly, especially if sport clearance is based solely on symptoms. How are health practitioners, coaches and parents supposed to know when an athlete is ready to return to sport? In order to know when an athlete has fully recovered, the different areas of the brain that could potentially be affected with a concussion must be assessed, including:

  • Balance;
  • Strength;
  • Reaction time;
  • Neurocognitive performance;
  • and visual processing.

These different test results need be compared to pre-injury values in order to know when an athlete has returned to their normal pre-concussion baseline values. As such, the best way to ensure that you return to sport safely following a concussion is to get baseline tested before a concussion even occurs. At Sheddon Physiotherapy and Sports Clinic we offer the most comprehensive concussion baseline testing of any sports medicine clinic in the Mississauga and Oakville area.

Why choose us for baseline testing?

Most clinics will tell you that they provide concussion baseline testing, but that doesn’t mean they do it properly. Traditional baseline programs focus solely on computerized neuropsychological tests, such as the ImPACT test. Although vital for assessing neurocognitive function, the Canadian Academy of Sports Medicine (CASM) suggests that neuropsychological tests should not be used in isolation, since they only address one aspect of concussion. In order to properly manage concussions a baseline test must be multidimensional, assessing the full spectrum of concussion outcomes (i.e., balance, reaction time, visual processing, physical capacity).

All of the therapists at Sheddon Physiotherapy and Sports Clinic have undergone extensive training with the Complete Concussion Management program in order to be educated with the most recent research-proven concussion management strategies. CASM and the Canadian Concussion Collaborative strongly promote a multidisciplinary approach to concussion management, which extends beyond the family doctor to include health care professionals with developed skills and expertise in concussions. Sheddon currently has 11 highly trained therapists qualified to assess and treat concussions, including, a sports medicine physician, chiropractor, athletic therapist and several physiotherapists. With such a large staff trained in concussions we offer flexible hours and days for assessments, baseline testing and treatment.

We are one of the top private clinics in Canada in volume of concussion baseline testing through Complete Concussion Managaement. In addition, we have successfully treated hundreds of sports-related concussions and have an extensive network of specialists, including a sports medicine physician, vestibular physiotherapists, chiropractors and athletic therapists. We offer the highest quality of concussion testing and management in the Mississauga and Oakville area. If you are interested in learning more about our baseline testing for individual athletes or teams, please contact us at 905-849-4576

Book Your Appointment

Questions? Contact us

concussion management baseline test Oakville Mississauga 5

SPECIAL EVENT: Concussion Baseline Testing

We are currently offering athletes of all levels and sports who have not completed their Concussion Baseline Testing a special rate of 70$, when completed during our group sessions on Saturday May 26, 2018 from 8am-2pm. For more information or to make an appointment, please contact melanie@sheddonphysio.com for available times.

Frequently Asked Questions:

  • The season has already started, are we too late for concussion baseline tests?
    • NO! Preseason is the ideal time for testing, but anytime during the year prior to a concussion is better than no baseline.
  • WIll the cost be covered through my insurance?
    • The cost of the baseline is covered under most Extended Health Plans since it is administered by a physiotherapist.
  • My child had a baseline done over a year ago, why should we do it again?
    • As young athletes mature, their baseline scores can change greatly from one year to the next. Therefore, it is recommended that athletes get a baseline at the beginning of each season.
  • My hockey team did the impact test preseason, isn’t that good enough?
    • No! Computerized neuropsychological tests, such as the ImPACT test are only assessing one aspect of concussions, neurocognitive function. In order to properly manage concussions a baseline test must be multidimensional, assessing the full spectrum of concussion outcomes (i.e., balance, reaction time, visual processing, physical capacity AND neurocognitive function). In order to know when an athlete has fully recovered, the different areas of the brain that could potentially be affected with a concussion must be assessed prior to and after a concussion.
  •  It’s not mandatory for my childs team.
    • Concussion baseline tests are becoming widely used in many sports at all levels. Although not mandatory (yet) in all high-risk sports, it is one of the most important and effective tools for concussion management. Without a baseline test there is no way to accurately know when an athlete has fully recovered from a concussion. Research has shown that concussion symptoms improve much sooner than brain recovery, which may put athletes at risk for returning to sport too quickly, especially if sport clearance is based solely on symptoms.
  •  Those dates don’t work for my child or team?
    • If you are part of a team or an individual who would like to participate in Concussion Baseline Testing but you cannot fit these dates into your schedule, please contact us and we will try to arrange for another date and time.

Please click here to learn about Concussion Baseline Testing and why it’s so important.

Book Your Appointment

Questions? Contact us

Concussion Baseline Testing: Kickstart your Fall/Winter Sport Season Right

September marks the start of a new season for athletes who participate in football, hockey, soccer and many other high impact sports. It’s also the perfect time of year to get your concussion baseline testing completed. The most recent International Consensus Statement on Concussion in Sport suggest “completing comprehensive baseline tests prior to the start of the season offers health care professionals valuable and objective information to help them make difficult return to play decisions. It also provides an additional educative opportunity to teach athletes about concussions.” Furthermore, the Ontario Neurotrauma Foundation, Ontario Psychological Association, The Canadian Academy of Sport and Exercise Medicine, and the Center for Disease and Control all support and recommend the use of baseline testing in high-risk athletes to help manage concussions and the return to play decision making.

Unfortunately, there is no single clinical test that can be done to know when an athlete has fully recovered from a concussion. Furthermore, research has shown that symptom resolution occurs much sooner than brain recovery, which may put athletes at risk for returning to sport too quickly, especially if sport clearance is based solely on symptoms. How are health practitioners, coaches and parents supposed to know when an athlete is ready to return to sport? In order to know when an athlete has fully recovered, the different areas of the brain that could potentially be affected with a concussion must be assessed, including: balance; strength; reaction time; neurocognitive performance; and visual processing.

These different test results need be compared to pre-injury values in order to know when an athlete has returned to their normal pre-concussion baseline values. As such, the best way to ensure that you return to sport safely following a concussion is to get baseline tested before a concussion even occurs. At Sheddon Physiotherapy and Sports Clinic we offer the most comprehensive concussion baseline testing of any sports medicine clinic in the Mississauga and Oakville area.

Why choose us for baseline testing?

Most clinics will tell you that they provide concussion baseline testing, but that doesn’t mean they do it properly. Traditional baseline programs focus solely on computerized neuropsychological tests, such as the ImPACT test. Although vital for assessing neurocognitive function, research has shown that neuropsychological tests should not be used in isolation, since they only address one aspect of concussion. In order to properly manage concussions a baseline test must be multidimensional, assessing the full spectrum of concussion outcomes (i.e., balance, reaction time, visual processing, physical capacity). All of the therapists at Sheddon Physiotherapy and Sports Clinic have undergone extensive training with the Complete Concussion Management program in order to be educated with the most recent research-proven concussion management strategies.

We are one of the top private clinics in Canada in volume of concussion baseline testing through Complete Concussion Managaement. In addition, we have successfully treated hundreds of sports-related concussions and have an extensive network of specialists, including a sports medicine physician, vestibular physiotherapists, chiropractors and athletic therapists. We offer the highest quality of concussion testing and management in the Mississauga and Oakville area. If you are interested in learning more about our baseline testing for individual athletes or teams, please contact us at 905-849-4576

Book Your Appointment

Questions? Contact us

concussion management Sheddon Physioyherapy Sports Clinic Oakville Mississauga

SPSC Concussion Management: Ahead of the Game

Every four years a panel of concussion experts and researchers meet from around the world to present and summarize recent research regarding concussion in sport. The group also provides recommendations to help guide clinical practice regarding all aspects of concussions, including treatment, return to play protocol and prevention that can be used by all health care professionals treating injured athletes. The most recent consensus statement was released this month and it supports everything Sheddon Physiotherapy and Complete Concussion Management have been doing for years. Below you will find the major highlights from the recent consensus and how it fits in with everything we have already been doing at SPSC.

Assessment of Concussion

Consensus Statement

The initial examination should consist of a thorough history, evaluation of mental status, cognition, oculomotor function, gross sensorimotor, coordination, gait, vestibular function and balance.

SPSC

The therapists at SPSC have been treating concussion patients for years and have noticed that no two people will experience a concussion in the same way. As such, we use a multi-faceted approach when assessing concussions, including:

  • detailed neurological exam;
  • cognitive function;
  • oculomotor function;
  • vestibular function;
  • cervical spine biomechanical assessment;
  • coordination, balance and gait evaluation

Rest

Consensus Statement

In the past, athletes were encouraged to completely rest (dark room, no physical or cognitive activities) until symptom free. However, there is insufficient evidence that complete rest promotes recovery. The current recommendation is an acute period of rest (2-3 days) followed by gradually becoming more active, both cognitively and physically (not by returning to sport, but rather by doing activities such as cycling, walking, etc.) , all while making sure to stay below symptom aggravation.

SPSC

The therapists at SPSC assess cognitive and physical symptom-exacerbation thresholds early on in treatment. Patients are then strongly encouraged to progressively become more active, yet staying within the pre-determined thresholds. Patients are monitored closely and progressed according to their symptoms, eventually resulting in a full return to school, work and eventually sport.

Rehabilitation

Consensus statement

Treatment should be individualized and target specific dysfunctions identified on assessment. Evidence supports the use of:

  1. An active rehabilitation program involving sub-symptom-threshold aerobic exercise;
  2. A targeted physical therapy programme for patients with cervical spine and vestibular dysfunction.

SPSC

At SPSC, concussed patients are thoroughly assessed in order to determine which systems are causing the concussion symptoms. From the assessment, patients will be given a treatment approach and exercise program tailored to their individual needs. Treatment involves interventions supported by research, such as cervical, visual or vestibular rehabilitation. Furthermore, athletes are assessed early on to determine symptom aggravation during aerobic exercise. From this assessment, an individualized exercise program will be given that stays below symptom exacerbation.

Recovery

Consensus statement

Research has shown that symptom resolution generally occurs prior to cognitive recovery. As such, symptom resolution CANNOT be used as the sole basis for a return to play decision. A range of different assessment tools must be used.

SPSC

At SPSC we are vigilant with our return to play decision-making, given the high risk associated with returning to sport too quickly. All athletes are assessed thoroughly for full recovery of the brain, as well as different systems that can be injured with a concussion (cervical, vestibular, visual, etc.). Athletes are also put through a final exercise test to ensure they are fully ready to return to full contact symptom free.

Baseline Testing

Consensus Statement

Completing comprehensive baseline tests prior to the start of the season offers health care professionals valuable and objective information to help them make difficult return to play decisions. It also provides an additional educative opportunity to teach athletes about concussions.

SPSC

At Sheddon Physiotherapy and Sports Clinic we offer the most comprehensive concussion baseline testing of any sports medicine clinic in the Mississauga and Oakville area. Most clinics will tell you that they provide concussion baseline testing, but that doesn’t mean they do it properly. Traditional baseline programs focus solely on computerized neuropsychological tests, such as the ImPACT test. Although vital for assessing neurocognitive function, research has shown that neuropsychological tests should not be used in isolation, since they only address one aspect of concussion. In order to properly manage concussions, a baseline test must be multidimensional, assessing the full spectrum of concussion outcomes (i.e., balance, reaction time, visual processing, physical capacity). These different test results will be compared to post-injury values in order to know when an athlete has returned to their normal pre-concussion baseline values. As such, the best way to ensure that you return to sport safely following a concussion is to get baseline tested before a concussion even occurs.

All of the therapists at Sheddon Physiotherapy and Sports Clinic have undergone extensive training with the Complete Concussion Management program in order to be educated with the most recent research-proven concussion management strategies. In addition, we have successfully treated hundreds of sports-related concussions and have an extensive network of specialists, including a sports medicine physician, vestibular physiotherapists, chiropractors and athletic therapists. We offer the highest quality of concussion testing and management in the Mississauga and Oakville area. If you are interested in learning more, please contact us at 905-849-4576

Book Your Appointment

Questions? Contact us

Oakville Soccer Club 2017 Concussion Baseline Testing Invite

Dear OSC Parents, Players, Staff,

Concussions make up roughly 22% of all soccer-related injuries. One of the biggest concerns following a concussion is the possibility that an athlete returns to sport before the brain has fully healed; sustaining a second compounding concussion has the potential to significantly delay healing and/or cause irreversible brain damage.

Research has shown that symptom resolution occurs much sooner than brain recovery, which may put athletes at risk for returning to sport too quickly–especially if sport clearance is based solely on symptoms.

How are health practitioners, coaches, and parents supposed to know when an athlete is ready to return to sport? In order to know when an athlete has fully recovered, the different areas of the brain that could potentially be affected with a concussion must be assessed, including:

  • Balance;
  • Strength;
  • Reaction time;
  • Neurocognitive performance;
  • Visual processing.

These different test results need to be compared to pre-injury values in order to know when an athlete has returned to their normal pre-concussion baseline values. As such, the best way to ensure that you return to sport safely following a concussion is to get baseline tested before a concussion even occurs.

At Sheddon Physiotherapy and Sports Clinic we offer the most comprehensive concussion baseline testing of any sports medicine clinic in the Oakville and Mississauga area.

If you have further questions regarding concussions, concussion baseline testing, or would like to book an individual or team baseline, please call us at (905) 849-7856.

Frequently Asked Questions

Q: The season has already started, are we too late for concussion baseline tests?A: NO! Preseason is ideal, but anytime during the year is better than no baseline.

Q: Will the cost be covered through my insurance?
A: The cost of the baseline is covered under most Extended Health Plans since it’s administered by a physiotherapist.

Q: My child had a baseline done over a year ago, why should we do it again?
A: 
As young athletes mature, their baseline scores can change greatly from one year to the next. Therefore, it is recommended that athletes get a baseline at the beginning of each season.

Q: Isn’t the ImPACT test enough?
A: No! Computerized neuropsychological tests, such as the ImPACT test are only assessing one aspect of concussions, neurocognitive function. In order to properly manage concussions, a baseline test must be multidimensional, assessing the full spectrum of concussion outcomes (i.e., balance, reaction time, visual processing, physical capacity AND neurocognitive function). In order to know when an athlete has fully recovered, the different areas of the brain that could potentially be affected with a concussion must be assessed prior to and after a concussion.

If you have further questions regarding concussions, concussion baseline testing, or would like you book an individual or team baseline, please call us at (905) 849-7856.

Book Your Appointment

Questions? Contact us