Concussion research has proven that the most effective method to rehabilitate a mTBI is with thoughtful and specific neuraxis rehab strategies performed after a short period of rest (7-10 days). No two mTBIs are the alike, it is for this reason that our concussion rehabilitation program relies on an in-depth neurologic exam to identify components of the neuraxis requiring attention and which components can be used therapeutically to generate plasticity.
In order to accurately asses the severity of the mTBI, thorough testing is required in the following domains:
Blood Brain Barrier Integrity
Autonomic Stability/ Tone
Reflexive Muscle Activation
Motor Sequencing & Reaction Time
Psychological/ Limbic Constituents
Brain-Gut Axis Evaluation
THERAPY & EVALUATION TOOLS
Oxygen Saturation is a reliable and recognized method used to evaluate the autonomic nervous system. It is performed through a fingertip monitor emitting an infrared light.
The Focus Builder App was created by NeurdSolutions, consisting of a team of Board Certified Chiropractic Neurologists, dedicated to provide a means for doctors and patients to have access to the latest brain rehabilitative techniques. Click here for more information.
Repetitive Peripheral Somatosensory Stimulus (RPSS)
RPSS is a non-invasive treatment modality which involves application of a mild electric impulse to the skin. RPSS has a wide array of uses, in our rehabilitation program it is commonly used to directly treat conditions such as vertigo or migraines/ headaches.
Transcutaneous Vagus Nerve Stimulation (TVNS)
TVNS involves application of mild electrical impulse to the outer ear in order to stimulate the Vagus nerve. TVNS has been shown to successfully treat conditions such as cluster headaches, migraines, epilepsy, trigeminal pain, mTBI, irritable bowel disease and many others.
Neuro-muscular Electric Stimulation (NMES)
NMES is a modality used in identifying the neurologic origin of all physiologic symptoms rather than the symptoms alone.
Motion Guidance is a visual bio-feedback tool created by Tal Blair and Eric Dinkins. Click here for more information.
Interactive Metronome is a research-based treatment tool designed for children and adults in regards to attention, memory and coordination.
There are a number of variables that determine the induction of plasticity, the most commonly neglected variables of stimulation are specificity, repetition and intensity. The Ottawa Performance Care Concussion Program is specifically designed with these variables in mind.
Ottawa Performance Care doctors take pride in both, their abilities to properly evaluate and effectively diagnose conditions, this component of treatment is often overlooked/ neglected. The variables of repetition and intensity can only be addressed when a thorough examination and proper diagnosis have been made.
Once we have the necessary information we can create an appropriate treatment strategy designed specifically for your case with the variables of specificity, repetition and intensity in mind.