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Post-Concussion Program

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Program Focus

This outpatient program is
designed to aggressively address issues responsible
for persistent disability (beyond 1 week) after
concussion or "mild" brain injury resulting
from auto accident, fall, sports injury, or assault.
Complaints of persisting headache, neck pain,
impaired balance, disordered arousal/sleep, visual
disturbance or change in disposition or thinking are
the types of symptoms which commonly prompt referral.

Program Director

The director of the
post-concussion program is James
Whitlock, MD, a rehabilitative neurologist with
over 12 years of experience treating people with
minor brain injury.

Program Philosophy

While there has been an overall
tendency to "under-treat" persons with
concussive brain injury whose symptoms are it seems
often misunderstood, it is also possible to
"over-treat" such individuals. The degree
of variability in natural history of the
post-concussive symptomatology is extreme and
approach to each case truly requires differentiation
and customization. We seek to provide people with
appropriate diagnostic completeness, education,
support and links to community-based support, and
those interventions which we feel are most likely to
have the largest and earliest impact.
Interdisciplinary treatment is not required in every case. But in some it is essential to
recovery/improvement.

Interventions

The outpatient facilities and
staff of Northeast Rehab Hospital offer a very
comprehensive set of tools and expertise from which
to draw. Some of the more commonly used modalities
and resources within this program include:

  • Comprehensive neurobehavioral
    assessment
  • Individual Physical Therapy
    (Ultrasound, Massage, E Stim, vestibular
    exercise instruction)
  • Aquatic-based physical
    therapy
  • Transcutaneous Electrical
    Nerve Stimulation (TENS)
  • Instruction in body mechanics
  • Neuropsychological evaluation
    and counseling
  • Individual treatment by
    Speech/Language Pathologist for adaptation to
    disabling degrees of cognitive/mnemonic
    dysfunction
  • Individual Occupational
    Therapy for assistance with adapting to
    dysfunction which interferes with activities
    of daily living
  • Vocational Assesment and
    Advisement
  • Referral to local State
    Vocational Assistance programs
  • Individual Psychological counseling
    (Stress management training/help
    with coping)
  • Comprehensive neuro-ophthalmologic evaluation
  • Pharmacologic interventions,
    when indicated

Local access to excellent
neurodiagnostic resources (such as MRI, CT, EEG)
exists if such testing is required. In addition, the
program has access to specialists within the fields
of neuro-otology, sleep medicine and psychiatry.
While consults with these specialists are not
commonly required, the specialists who are used each
have above-average levels of experience with persons
who have sustained brain injury.