Concussion Center at Infocus Eyecare

We offer pre-season baseline concussion training and drug free concussion rehabilitation


More Information to come as the site is upgraded!!


BASELINE:  

The first and most important step in identifying a concussion is establishing a preseason baseline.  Right now, the most frequently applied baseline testing is the ImPACT Test.  This is an ever evolving computer based neuro-cognitive test.  In the ideal scenario, this is one method of identifying dysfunction consistent with a mTBI.  Some downsides of the ImPACT test are how it is administered.  It is administered in a group setting, often administered once during the athletes career (unless a concussion is suspected), and there is limited information and reliability for kids younger than 12 years of age.  Because of physical, emotional, and neurocognitive maturation of our young athletes, baseline testing should be done at least prior to every year if not every season.  That way if a concussion is suspected the post concussion findings can be compared to the pre-season performance levels.  The baseline will also provide a standard in which to gage improvement and recovery.  Some of the baseline testing done here examine basic eye movement/behavior, saccadic eye movements, vestibular-oculomotor testing, balance, eye-hand coordination, and foot speed.  New tests are being developed that will look at metabolic factors (i.e. a blood test) and sideline measurement tests that will further improve identifying the presence of a mTBI.  

REHABILITATION:  

This is a manageable and treatable injury but it takes active therapy to recover and we MUST move beyond the rest and recovery approach to treating concussions!  Strict rest has been demonstrated to prolong the recovery process and lead to more symptoms than active rehab.  The recovery process must offset the neurovascular damage and redirect neuronal repair via active rehabilitation and training.  The recovery protocol is unique to the individual but will often include glasses, therapeutic lens tints, vision therapy, vestibular-oculomotor therapy, exercise, nutrition counselling, and sleep counselling.