Have you sustained a Concussion ?

  • Consult a Medical Physician or Sports Doctor as soon as possible for a medical evaluation.
  • Contact a SHIFT Concussion Certified Practitioner 905.848.3010
  • Most concussion injuries do not require emergency care. However, It is important that the athlete remain under close observation.

Sidney Crosby - Concussion. 2011 NHL Winter Classic CBC's Hockey Night In Canada. January 1st 2011 - Washington Capitals vs Pittsburgh Penguins

See our FAQ's page for a full list of concussion signs and symptoms.

When to go to the hospital

Emergency evaluation is warranted in situations of deteriorating health status such as

  • Increasing confusion and difficulty recognizing people or places.
  • Worsening headache, nausea, vomiting and excessive drowsiness or lethargy.

Upon medical evaluation, we recommend booking an initial assessment with a SHIFT Concussion Certified practitioner. Even if you do not have an imPACT baseline assessment, we will assess your injury and provide you with a management strategy to aid in your recovery.

Assessments and subsequent therapy/visits are covered under most extended healthcare benefits (eg. Osteopathy, Athletic Therapy, Physiotherapy). For inquiries about appointments and fees, please contact us at (905) 848-3010 or appt_reminder@SportsTherapyCAiRE.com

Concussion Assessment - What to expect

We conduct a thorough post-injury evaluation in order to gain a complete picture of your injury.

  • Describe the mechanism of injury
  • History of signs and symptoms
  • 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
  • Neurological cranial nerve 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 method is tailored to the immediate needs of the athlete and each Healthcare Provider uses his/her discretion on a case-by-case basis.

Treatment 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.

At SPORTS THERAPY C.A.i.R.E. we understand that each person is affected differently and therefore requires individualized care. Recovering strategies include any combination of the following and are case-dependent

  • Individualized resting strategies and home instruction
  • Specific recommendations with employment / academic demands
  • Osteopathic Manual Therapy for associated complaints (cranial therapy, headaches, neck pain, whiplash etc.)
  • Visual motor rehabilitation
  • Vestibular therapy
  • Physical exertion testing and exercise protocols for return-to-sport

Once symptom free, a graduated process of physical exertion testing is prescribed. Recovery from a concussion should be gradual with specific return-to-play-work-school exertion protocols. Physical exertion testing is important not only for physical re-conditioning, but also to prevent symptom relapse and premature return-to-sport. Our Team of Concussion Athletic injury Rehab Exercise practitioners will guide you through this process.