
Concussion Lab
Did you know? A concussion is a mild traumatic brain injury (mTBI). Despite the term "mild" they are serious injuries and need to be taken seriously! Up to 30% of people who suffer a concussion will experience prolonged symptoms.
The ENR Concussion Lab is a program designed to address the many acute or chronic symptoms that can occur following a concussion. Individuals will undergo a comprehensive, multidisciplinary assessment by a team of brain injury specialists. Each participant will then receive an individualized plan for return to sport and/or school activities that addresses their specific needs.
Your goals are our goals! We want to get you back to doing whatever it is that you did before the injury. Whether that is a return to sport (football, soccer, baseball), participation in recreation (surfing, running), or the ability to sit and study without pain, we will make these goals a part of your treatment plan.
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Ages: 14-24 years-old
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Hours: After school from 4PM-6PM Tuesdays & Thursdays
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Length of the program: 1 week of assessment followed by 6-8 weeks of treatment
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Cost: $250 per day for two hours of individualized treatment with multidisciplinary team
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Private pay - no insurance accepted at this time
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Components of the program:
Neuropsychology
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Neuropsychological screening to evaluate for potential areas of cognitive decline associated with the injury. School accommodation recommendations from a neuropsychologist.
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Cognitive rehabilitation program to improve attention, memory, and executive functioning skills with daily home computer exercises that will be monitored by the neuropsychologist weekly.
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Compensatory strategy training to understand how to manage post-concussive symptoms in school and at home.
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Psychological counseling using cognitive behavioral therapy (CBT) for depression, anxiety and post-traumatic stress as well as psychoeducation about concussions
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Biofeedback for managing stress and anxiety associated with the injury
Physical Therapy
Physical therapy screening and treatment to address common areas of concern associated with concussion. These include:
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Cervical spine evaluation - Because the neck is attached to the head, it is very common to injure the neck during a concussive injury.
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Vestibular assessment - Deficits of the vestibular system (located in the inner ear) are often a cause of symptoms such as dizziness, impaired balance, and even some vision changes.
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Cardiovascular assessment - High level activities that increase the heart rate (such as running, cycling, etc.) can often make concussion symptoms worse.
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Pain - Headache and neck pain are two of the most common areas to have discomfort following a concussion.
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Balance - The primary senses responsible for balance are vision, vestibular, and proprioception, and all of them can be affected by a concussion.
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Sports/Activity Specific assessments
Occupational Therapy
Occupational Therapy screening and treatment to address deficits common following a concussion. Some areas include:
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Vision and visual perceptual skills - changes in these skills are very common following a concussive injury and impact participation in school, sports, and work.
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Organization - your ability to plan out a task and follow through with that plan. This can be anything from your approach to studying to your ability to cook yourself a quick meal.
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Activity tolerance - how long can you participate in meaningful activities without overwhelming symptoms.
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Ability to participate in daily activities that are important to you. These can include hobbies, sports, homework/studying, chores, cooking, and social engagements.
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Speech Therapy
Speech Therapy screening and treatment for common symptoms following a concussion. These include:
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Changes in speech clarity or rate of speech
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Word retrieval and the ability to organize/express thoughts in speech and/or writing
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Auditory processing and recall of verbal information
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Reading comprehension and recall of written information
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Social communication skills
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Associated changes in cognitive-communicative functions including attention, memory, verbal reasoning, problem-solving, and executive functioning.
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Treatment may include the following:
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Education on concussion-related neurological changes and associated changes in skills and behavior.
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Training in compensatory strategies, and establishing proactive plans for implementing appropriate strategies into home, community, and school settings.
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Assertive communication and self-advocacy skill training.
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Implementing appropriate environmental modifications during communication tasks in order to maximize strengths and minimize symptom exacerbation.
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Modifying communication modalities and implementing assistive technology. For example, if vision is affected, increasing use of auditory input such as speech-to-text functions. Alternately, if auditory processing is challenging, increasing access to written / visual supports.
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