Concussion Assessment and Treatment

What to Expect from the Concussion Assessment and Diagnosis Process

How is a concussion diagnosed? A concussion is diagnosed through a clinical assessment and medical evaluation. The essential components are as follows:

Clinical Assessment: The healthcare provider will conduct a thorough clinical assessment, including taking a detailed medical history and asking questions about any injury suffered and symptoms the individual may be experiencing, such as headache, dizziness, nausea, and mood changes.

Physical & Neurologic Examination: A physical examination is performed to assess the person’s neurological status. This includes checking for signs of injury, such as bruises, lacerations, or bleeding, as well as evaluating neurologic functions such as balance, coordination, reflexes, and sensory functions.

Concussion Assessment and Treatment Delray Brain ScienceCognitive Assessment: Cognitive tests are used to assess the individual’s memory, attention, and other cognitive functions. Concussions often produce cognitive deficits, both short-term and long-term. One commonly used tool for this purpose is the SCAT5 (Sport Concussion Assessment Tool).

Imaging Studies: In some cases, the healthcare provider may order imaging studies, such as a CT scan or MRI, to rule out more severe injuries like bleeding or structural damage to the brain. These imaging studies can help confirm the diagnosis and ensure that there are no additional complications.

Functional EEG Studies: Brain Network Analytic (BNA) studies can detect functional deficits in brain performance by assessing EEG results both at rest and while under varied specific cognitive task loads. This can be especially useful when compared to EEG results before sustaining a concussive injury.

Advanced Detection & Monitoring

With the recent advancements in functional EEG studies, the neurophysiologic changes produced by a concussion can now be readily detected. Brain Network Analytic (BNA) studies can detect functional deficits in brain performance by assessing EEG results both at rest and while under varied specific cognitive task loads. This can be especially useful when compared to EEG results before sustaining a concussive injury. Deficits in functioning can be both detected and quantified. Serial EEG studies can be used to monitor the recovery from a concussion, quantifying the improvements as the individual’s brain functions return as compared to both his baseline (if previously recorded) or the aggregate baseline formulated from compiling thousands of normal EEG readings. With this technology, more subtle deficits that could be missed on physical exams can still be detected. This same sensitivity also helps ensure a more complete recovery from a concussion before returning to a competitive sport or other intensive activity. The response to treatment is also clearly visible in these types of studies, helping to elucidate the optimal treatment path.

Concussion Treatment

The standard of care for the treatment of concussions involves a combination of physical and cognitive rest, symptom management, and monitoring to ensure a safe and smooth recovery. This process can be enhanced and accelerated with the use of advanced technologies such as Transcranial Magnetic Stimulation (TMS), Neurofeedback, and neurocognitive rehabilitation.

Transcranial Magnetic Stimulation (TMS) is a non-invasive medical procedure that uses electromagnetic fields to stimulate and modulate brain activity. While TMS has primarily been used for conditions like depression and certain neurological disorders, it has increasingly been used for concussion treatment. At the Delray Center for Brain Science, we use the most cutting-edge H-Coil Deep TMS technology developed by Brainsway.

Here are ways in which TMS may be used for concussion treatment:

Symptom Management: TMS is an effective treatment for post-concussion symptoms, such as headaches and mood disturbances. By targeting specific brain regions associated with these symptoms, TMS provides substantial symptomatic relief. As an example, TMS applied to the left dorsolateral prefrontal cortex and left medial prefrontal cortex is effective in treating symptoms of depression that can arise as a result of one or repeated concussions.

Cognitive Rehabilitation: TMS can be used to target brain areas associated with cognitive functions, such as attention and memory. TMS is used to enhance cognitive rehabilitation in individuals with concussions by stimulating the relevant brain regions and accelerating cognitive recovery.

Neuroplasticity Enhancement: One of the greatest attributes of TMS is the ability to induce and promote neuroplasticity. Neuroplasticity is the brain’s ability to adapt, create new brain connections, and reorganize itself. This is beneficial in the context of concussion recovery, as it helps the brain recover faster and more completely after such an injury.

Restore and Surpass Peak Brain Performance: In addition to treating deficits in cognitive functioning and disturbances in mood, TMS can also enhance brain performance. Enhancements in the speed of cognitive processing, coordination, emotional resilience, and speed of motoric activation have long been demonstrated in athletic competition. These benefits are evident in both injured and non-injured brains. TMS can accelerate the restoration of prior peak cognitive performance and has the potential to help surpass it, achieving an even higher level of peak performance. This has been demonstrated in athletes from several sports including professional football, professional hockey, professional cycling, professional motocross, and professional race car driving.

Concussion Assessment and Treatment | Delray Brain Science

Neurofeedback has been explored as a treatment for post-concussion syndrome (PCS), a condition where symptoms persist after a concussion. While the exact mechanisms are not fully understood, neurofeedback may help individuals with concussions in the following ways:

Improved Regulation of Brain Function: Concussions disrupt normal brain function to a high degree and lead to various symptoms, including cognitive difficulties, mood dysregulation, and sleep disturbances. Neurofeedback helps individuals regulate their brain function, improving cognitive performance and emotional well-being.

Restoration of Normal Brainwave Patterns: A concussion significantly alters the brain’s electrical activity. Neurofeedback helps individuals restore more normal brainwave patterns, which in turn will reduce many of the cognitive and emotional symptoms associated with concussions.

Enhancing Cognitive Function: Neurofeedback helps individuals improve cognitive functions such as attention, memory, and processing speed, which are usually adversely affected by a concussive injury. By training the brain to function more efficiently, Neurofeedback accelerates the recovery of these cognitive processes.

Symptom Management: Neurofeedback brain training can be focused on addressing specific symptoms that an individual with a concussion may be experiencing, such as headaches, anxiety, or sleep disturbances. By targeting these symptoms directly, more rapid symptom relief can be achieved.

The following are the other key components of concussion treatment:

Physical and Cognitive Rest: The most important aspect of treating a concussion is rest, both physically and cognitively. This means avoiding physical activities that could risk re-injury, such as contact sports, and limiting cognitive activities, such as extended screen time, video games, computer work, and excessive reading, that may exacerbate symptoms. It’s important to get plenty of sleep and rest to allow the brain to heal.

Avoiding Re-Injury: It is especially important to avoid suffering another concussion while still recovering from a prior concussion. The threshold to suffer a new concussion is often lower when someone is not yet fully recovered. To prevent further concussions, individuals should follow guidelines for returning to sports and other high-risk activities. Protective equipment, such as helmets, should be worn as recommended.

Concussion Assessment and Treatment | Delray Brain ScienceSymptom Management: Over-the-counter pain relievers like acetaminophen can help manage headaches. However, it’s important to avoid non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and aspirin, as they can increase the risk of bleeding. Medications for nausea or dizziness may also be prescribed if necessary.

Hydration and Nutrition: Proper hydration and nutrition are necessary for an efficient recovery process. Adequate nutrition will optimize the body’s natural healing mechanisms.

Gradual Return to Activity: After an initial period of rest, individuals with concussions should follow a strategic but gradual return-to-activity plan. This process is typically divided into stages, with each stage allowing for a gradual increase in physical and cognitive activity. This plan should be created and supervised by a medical professional experienced in concussion management.

Physical Rehabilitation: Certain cases may require physical therapy or vestibular rehabilitation to address balance and coordination problems that can arise from a concussion.

Academic or Workplace Adjustments: For students and individuals in the workforce, it is often necessary to make temporary adjustments to accommodate cognitive deficits while recovering from a concussion. This could involve reduced coursework or modified work duties.

Emotional Support: Emotional and psychological support is very important. Concussions often lead to abrupt mood changes and emotional dysregulation. This can escalate into interpersonal conflict and further increase stress levels. This impedes efficient recovery from a concussion. A supportive and understanding environment is essential for containing and mitigating mood shifts, to try and improve emotional well-being during recovery.

What Are Concussions?

A concussion is a type of traumatic brain injury (TBI) that results from a blow, jolt, or impact to the head or body, causing the brain to move rapidly within the skull. This sudden movement can lead to chemical changes in the brain and, in some cases, damage to brain cells. Concussions are often associated with sports injuries, accidents, falls, or any situation involving forceful contact.

Common Signs and Symptoms of Concussions:

Headache: Persistent or throbbing headaches.
Dizziness or Balance Issues: Feeling unsteady or having difficulty maintaining balance.
Nausea and Vomiting: Upset stomach and vomiting may occur.
Fatigue: Experiencing excessive tiredness or lack of energy.
Memory Issues: Difficulty concentrating or remembering details.
Sensitivity to Light and Noise: Increased sensitivity to light and sound.
Changes in Sleep Patterns: Insomnia or increased need for sleep.

The Importance of Timely Assessment

Concussions are not always accompanied by visible external injuries, making their assessment crucial. At Delray Brain Science, our expert clinicians employ advanced diagnostic tools and techniques to conduct thorough evaluations. Timely assessment is key to understanding the extent of the injury and initiating appropriate interventions.

The Impact of Concussions on Brain Health

Even seemingly mild concussions can have a significant impact on cognitive function. Delray Brain Science specializes in unraveling the intricate ways concussions affect brain health. From cognitive assessments to neuroimaging, our comprehensive approach allows us to tailor treatment plans that address both immediate and long-term effects.

Advanced Neurotherapy for Concussion Recovery

Our neurotherapy interventions are designed to support individuals on the path to concussion recovery. By addressing cognitive challenges, emotional well-being, and overall brain health, Delray Brain Science provides a multidimensional approach to healing after a concussion.

The Delray Brain Science Concussion Treatment

Expert Clinicians: Our team of experienced clinicians brings a wealth of expertise to concussion assessment and neurotherapy, ensuring the highest standard of care.

Cutting-Edge Technology: Delray Brain Science utilizes state-of-the-art technology, including neuroimaging and advanced diagnostic tools, to provide accurate assessments and personalized treatment plans.

Comprehensive Care: We understand that brain health is multifaceted. Our holistic approach encompasses neurotherapy, lifestyle interventions, and support services to guide individuals toward optimal cognitive well-being.

More About Concussion Assessments

Personalized Discussion

The journey begins with an initial consultation where our experienced clinicians take the time to understand your unique concerns, symptoms, and any relevant medical history. This personalized discussion allows us to tailor the assessment to your specific needs.

Thorough Cognitive Assessment

Our team conducts thorough cognitive assessments to evaluate various aspects of brain function, including memory, attention, and executive functions. This step helps us understand the cognitive impact of the concussion and guides the development of targeted interventions.

Neuroimaging: Advanced Diagnostic Tools

Delray Brain Science utilizes state-of-the-art neuroimaging techniques to provide a detailed picture of brain function. This may include quantitative electroencephalography (qEEG) and other advanced diagnostic tools to capture the intricate neural patterns and identify potential irregularities.

Symptom Inventory

To ensure a comprehensive understanding of your experience, we conduct a detailed symptom inventory. This step involves discussing your symptoms, their frequency, and any factors that exacerbate or alleviate them. This information is crucial for tailoring your treatment plan.

Physical Component

Concussions can affect physical well-being, including balance and vestibular function. Our clinicians may conduct assessments to evaluate any changes in these areas, providing a holistic perspective on the impact of the concussion.

Transparent Results Presentation & Diagnosis

Following the assessment, our team collaboratively discusses the results with you. We present the findings in an understandable manner, ensuring transparency and fostering open communication. This discussion is an opportunity for you to actively participate in your concussion care plan.

Personalized Treatment Planning

Based on the assessment results, we create a personalized treatment plan that addresses the specific cognitive, emotional, and physical aspects of your concussion. Our neurotherapy interventions are designed to support your recovery and optimize overall brain health.

Education and Guidance

At Delray Brain Science, we believe in empowering individuals with knowledge. Throughout the assessment process, we provide education and guidance on concussion recovery, ensuring you have the tools and understanding needed to actively participate in your healing journey.

Ongoing Progress Tracking

Concussion recovery is dynamic, and our team emphasizes ongoing progress tracking. Regular assessments allow us to measure the effectiveness of interventions, make data-driven adjustments, and ensure optimal outcomes for your cognitive and emotional well-being.

Concussion FAQs

What are the common signs of a concussion?

Common signs include headaches, dizziness, nausea, fatigue, memory issues, sensitivity to light and noise, and changes in sleep patterns. However, symptoms may vary, and it’s crucial to seek professional assessment if a concussion is suspected.

How is a concussion diagnosed?

At Delray Brain Science, our clinicians use a combination of clinical assessments, cognitive evaluations, and advanced neuroimaging techniques to diagnose concussions accurately. Timely and thorough evaluation is essential for an effective treatment plan.

When should I seek medical attention for a suspected concussion?

If you experience symptoms such as persistent headaches, dizziness, or changes in cognitive function after a head injury, seeking medical attention promptly is crucial. Early intervention enhances the chances of successful concussion recovery.

How long does it take to recover from a concussion?

Recovery time varies for each individual and depends on factors such as the severity of the concussion, age, and overall health. Delray Brain Science provides personalized neurotherapy interventions to support a comprehensive and efficient recovery.

What is neurotherapy, and how can it help with concussion recovery?

Neurotherapy is an approach that focuses on optimizing brain function through various interventions. At Delray Brain Science, our neurotherapy treatments are tailored to address cognitive challenges, emotional well-being, and overall brain health to support concussion recovery.

Can a concussion impact mental health?

Yes, concussions can impact mental health, leading to symptoms such as anxiety, depression, and changes in mood. Our comprehensive approach at Delray Brain Science takes into account the cognitive and emotional aspects of concussion recovery.

Are there long-term effects of concussions?

In some cases, concussions can lead to persistent symptoms, known as post-concussion syndrome. Delray Brain Science is equipped to assess and address long-term effects, providing support and interventions for sustained recovery.

How does Delray Brain Science differ in concussion care?

Delray Brain Science stands out in its commitment to comprehensive concussion care. We combine expert clinical assessments, cutting-edge technology, and personalized neurotherapy interventions to address the multifaceted aspects of concussion recovery.

How can I schedule a consultation for concussion assessment?

If you suspect a concussion or are experiencing symptoms, reach out to Delray Brain Science for a consultation. Our experienced clinicians will conduct a thorough assessment to understand your unique needs and guide you on the path to recovery.