Concussion Management & Additional Services

Concussion Rehabilitation at KATC

What is a concussion?

A concussion is a common head injury, also known as a mild Traumatic Brain Injury (MTBI). It is an injury that results from a direct or indirect blow to the head, face or jaw causing an alteration of brain function, which can become evident through a variety of related symptoms. A concussion can also be sustained from a hard fall on the tailbone, or from a whiplash mechanism.

A sudden shifting of the brain inside the skull is what causes the damage to the brain during a concussion. This shifting can cause the brain to knock against the hard bone of the skull, resulting in bruising to the brain and damaging brain cells. A blow to the head can also cause a rotational injury to the brain; which results in a shearing of the brain nervous fibers, which can alter brain function.

Concussions can have a lasting impact on your day-to-day function. Some of the symptoms can include:

  • Headache 
  • Dizziness
  • Neck Pain
  • Nausea or Vomiting
  • Poor Concentration
  • Feeling “foggy”
  • Seeing “flashing lights”
  • Seeing “stars”
  • Blurred or Double Vision
  • Trouble focusing on objects or words
  • Ringing in the ears
  • Difficulty falling asleep
  • Confusion
  • Feeling “off” or not like oneself
  • Amnesia, poor memory
  • Balance issues
  • Poor Coordination
  • Irritability or emotional
  • Slow to follow directions
  • Decreased playing ability
  • Easily distracted
  • Vacant Stare
  • Drowsiness

The inability to be physically active or participate in organized sports can lead to depression, anxiety and even a loss of identity. These symptoms can continue for years if the appropriate treatment is not given.

Concussion Rehabilitation at KATC

Our Athletic Therapists are Certified Shift Concussion Management Practitioners. Shift uses the best available concussion research and management strategies to provide a multifaceted approach to complete management of concussions. We combines soft tissue and cranial sacral therapies with symptom based exercise prescription and whole body cryotherapy to aid in the quick, safe and effective return to work and or activity.

Part of what makes the Shift model for concussion rehabilitation so effective is the inclusion Impact testing. Impact is only FDA-cleared concussion assessment aid for ages 5-59. The testing protocols used provide objective data from many different areas of performance (cognitive, visual, vestibular, and neuromuscular) to develop individualized treatment strategy.

It is well established that concussions tend to go under reported in youth sports, and this stems, in part, from a lack of knowledge of both the signs and symptoms of a concussion and the proper recognition and management of the injury.

 Click HERE to learn more about the Shift Concussion Management Program.

Baseline Concussion Testing

Concussions can produce a wide array of symptoms, which poses a challenge for coaches, trainers, parents, and health professionals involved in the care of an injured athlete. The time-course for recovery also varies widely from athlete to athlete, making it impossible to employ a “cookie-cutter” approach to concussion rehabilitation and return-to-play timelines. Currently, there is no reliable diagnostic test or marker that can be used to identify a concussion when it’s occurred, or similarly, determine when a concussion has resolved.

For this reason, a growing emphasis has been placed on objective baseline testing protocols that can be used to track an athlete’s recovery and serve as a tangible measurement for return-to-play readiness. By measuring an athlete’s “normal” level of functioning, we are better able to gauge the level of impairment that may exist post-injury by performing comparative testing. At KATC we believe this requires a multifaceted approach and that no single test should be used in isolation.

  • Baseline concussion testing provides objective data that will be used in the diagnosis of any potential concussion.
  • Comprehensive baseline testing involves pre-season assessment of both cognitive function & physical performance
  • Cognitive evaluation of learning, memory, processing speed and accuracy along with physical assessment of balance


KATC provides physical & cognitive baseline testing for teams as well as individuals. For information on individual and team rates, please call 613-507-5282 or email This email address is being protected from spambots. You need JavaScript enabled to view it.


What to do if you’ve sustained 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; however if there has been a loss of consciousness, please report to the emergency department at the hospital. It is also important that the individual remain under close observation over the first few hours following their injury, and should not be left alone or allowed to drive.

When a concussion is suspected, we also recommend booking an initial assessment as early as possible to ensure the proper steps are taken towards a safe recovery from the concussion. Even if you have not had a baseline assessment at KATC, we will assess your injury and provide you with a management strategy to aid in your recovery.

What to expect at your Assessment

At KATC, we conduct a thorough post-injury evaluation in order to gain a complete picture of your injury and how it’s impacted you. During your assessment we will ask:

  • 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 impairments 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 
  • 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)

The above testing procedures may not all be completed on the first visit. The assessment methods used are tailored to the immediate needs of the individual and are completed each on a case-by-case basis.

Management Strategies

Following a concussion, the “sitting in a dark room” approach is only effective for so long. Concussions, like other sports injuries, should be properly managed and rehabilitated. While complete physical and cognitive rest is the mainstay of concussion care, having a health professional guide you through this step-by-step may prove to be invaluable.
Recovering from a concussion can be a difficult and frustrating time. At KATC, we understand that individuals are affected differently and as such, require individualized care. Management strategies are used to limit the amount of impairment as well as expedite recovery as much as possible. These strategies may include any one or a combination of the following and are case-dependent:

  • Individualized resting strategies and home instruction
  • Specific recommendations around employment/academic demands
  • Manual therapy for associated complaints (neck pain, whiplash etc.)
  • Cranial Sacral therapy
  • Whole Body Cryotherapy
  • Visual motor rehabilitation
  • Vestibular therapy
  • Physical exertion testing and exercise plans for return-to-sport

Once symptom free, it is recommended that individuals undergo a step-wise process of physical exertion testing. Similar to weight training, individuals recovering from a concussion should not skip to 100% exertion from 0% in a short time frame. Physical exertion testing is important not only for physical re-conditioning, but to guard against symptom relapse and help prevent premature return-to-sport or return to activity/work.

Taping Course 

Contact This email address is being protected from spambots. You need JavaScript enabled to view it. for group rates or to be added to sign up list for the next course. The course runs two times per year at KATC or can be brought to your organization. 

In the course you will learn: 
• How to assess range of motion of joint that will be braced
• Prophylactic taping of: wrist, elbow, thumb, knee, ankle, shin, or shoulder
• Post taping testing to ensure adequate stabilization of joint

Registration includes:
• All taping supplies needed for the course (zinc oxide tape, tuff skin, pro wrap, heel & lace pads)
• A detailed taping manual
• A Certificate of Completion
• 10 hours of hands on taping instruction

DripDrop

Is an Oral Rehydration Solutions (ORS) that contains 3x the electrolytes and half the sugar of most sports drinks.

ORS’s were originally created by doctors more than 50 years ago to treat deadly dehydration in developing countries. DripDrop combines a precise, proven ratio of salts, sugars and other ingredients with a great taste to help you stay hydrated.

To learn more about DripDrop and see how it compares to other ORS's or Sports Drink click HERE.

 

Essential Oils

What is Aromatherapy?

Is the use of an aroma from a plant or product (aka essential oil), usually given off via diffusion, for its pharmacological activity. The diffuser sends the aroma from essential oils into the air and into the nasal cavity of the lungs where they can act upon the body. 

Benefits include:

  • relaxation
  • strengthening of the immune system
  • Improves symptoms of menopause
  • Antiseptic and antifungal
  • Anti-inflammatory
  • Sedation

What are Essential oils?

An Essential Oil is a concentrated liquid extracted from a plant by distillation, often by using steam. An oil is "essential" in the sense that it contains the "essence of" the plant's fragrance—the characteristic fragrance of the plant from which it is derived. Each Essential oil has a unique pharmacological activity and provides the user with different benefits.

Common Essential Oils & their benefits: 

Frankincense
- Arthritis, asthma, brain injury, respiratory aid, concussions, depression, coughs, immune system support, inflammation, wound care, ulcers, headaches, wrinkles
Lavender
- Skin care, antifungal, antiseptic, wound care, insect stings, burns, headaches, insomnia, stress, depression, diaper rash, itching, insect repellent, post-partum depression, vertigo
Peppermint
- Antioxidant, asthma, brain injury, chronic fatigue, cold sores, congestion, constipation, fever, flu, heartburn, migraines, hot flashes, IBS, itching, jet lag, motion sickness, muscle aches, sinusitis, varicose veins, vomiting
Eucalyptus
- Asthma, bronchitis, congestion, disinfectant, ear inflammation, fever, flu, hypoglycemia, kidney stones, pain, respiratory viruses, shingles, sinusitis
Tea Tree (Melaleuca)
- Acne, allergies, athlete’s foot, bacterial infections, canker sores, cold sores, common cold, eczema, earache, hives, inflammation, mumps, pink eye, rashes, ring worm, shingles, sore throat, warts

Single oils and blends available. The favourite among our clients so far is our blend for a restful night sleep!


Self Myofascial Release Tools 

  • Every structure (muscles, organs, nerves, blood vessels, etc.) in our body is  surrounded by a layer of fascia.
  • Overuse, lack or movement, or poor hydration can cause the fascia to adhere to these structures. The result is pain or limited  movement. 
  • Proper use of the foam roller can  relieve these adhesions & restore painfree movement

*Various sizes, textures, and colours available.

Click here to learn about the effectiveness of SMR.

Bracing & Post Operative Devices

Custom braces are made from rigid carbon fiber materials for increased support and are typically prescribed by a physician.

Custom braces are effective in:

  • ACL and PCL rehab, pre and post – operative
  • Osteoarthritis of the knee, elbow and wrist
  • Preventative bracing for cycling and motocross
  • Post surgical knee, wrist and elbow

Off the shelf bracing options are offered for:

  • Tennis elbow
  • Knee sprains (MCL, ACL, PCL, LCL)
  • Patellar tendonitis/osis
  • Patellofemoral tracking problems
  • Ankle sprains
  • Wrist supports
  • Air cast/walking boots

Post-Operative Devices:

  • CryoCuff (cryo cooling unit)
  • Range of Motion Braces

 Myolibria Supplements

 
Click HERE to learn more about the founder of Myolibria, Dr. Richard Henry.

Myolibria supplements available at KATC:

  • Magnesium Balance
  • Vitamin D-K2 Balance
  • Mitochondria Balance

Contact This email address is being protected from spambots. You need JavaScript enabled to view it. for questions.