The field of post-concussive care is actively evolving, as is evidenced by ongoing media presence, emerging medical evidence, and rule changes in sports, to name a few examples. What was a passive “rest is best” treatment approach has evolved into a much more active and engaged recovery process following the initial rest phase. Recent evidence suggests that rest beyond 2 days prolonged symptomatic recovery.1 That being said, understanding individualized treatment approach, symptom thresholds, and concussion clinical profiles is essential to safe and effective treatment in the post-concussive population.
While determining accurate clinical trajectories may be challenging, it is critical that a multidisciplinary approach to assessment and treatment is utilized. Various specialists are able to assess various physiologic, medical, and mechanical systems to identify impairments associated with the post-concussion sequelae. At Good Shepherd Rehabilitation Network, concussion team members include physiatrists, physical therapists, occupational therapists, vision therapists, speech therapists, neuro psychologists, and a neuro optometrist.