Physical Therapy for TBI Treatment

A concussion is a form of traumatic brain injury (TBI) and is sometimes experienced after a blow, bump, or jolt to the head. While this type of head trauma is well-known to occur in contact-heavy sports such as football, concussions are also common injuries in car accidents or can be the result of striking one’s head during a fall.

Understanding what a concussion entails and recognizing its associated symptoms are important first steps in resolving this potentially very serious issue. If you’re struggling with the aftermath of serious head trauma, Cawley Physical Therapy’s concussion management therapy may be able to help.

What Happens During a Concussion? 

We’ve all heard about the dangers of serious head injuries, but what does it mean to have a concussion?

The human skull provides significant protection to the brain. However, even a bony skull cannot provide complete protection against hard blows to the head or the body. A significant blow or fall can cause a person’s brain to rapidly shift back and forth inside the skull. These internal bouncing and twisting movements can lead to chemical changes within the brain, along with the potential stretching or damage to brain cells.  

Concussion Symptoms

It’s very important to recognize the symptoms associated with a concussion since more serious cases require immediate treatment. Symptoms of a concussion include:

  • Confusion
  • Dizziness
  • Drowsiness
  • Impaired vision
  • Nausea and/or vomiting
  • Loss of memory
  • Headaches
  • Slurred speech
  • Behavior/personality changes
  • Increased sensitivity to light (including computer and phone screens)
  • Difficulty with motor coordination and balance
  • Loss of consciousness (in serious cases)

Sometimes symptoms may not appear for hours or even days after an injury. Anyone who says they “feel fine” after receiving a significant blow to the head should still be monitored for signs of a concussion. Conversely, those who experience symptoms right away may continue to experience a myriad of symptoms for hours, days, weeks, or even months after their injury.

Either way, it’s important for anyone who recently received a blow to the head to seek prompt medical attention if they begin to develop any of these symptoms.  

Classifying Concussions

To facilitate treatment, the American Academy of Neurology classifies concussions into three different tiers, ranging from mild to severe.

Grade I — A Grade I concussion is a concussion in its mildest form. A person who experiences a Grade I concussion won’t lose consciousness, although they may experience some mild symptoms like confusion after their injury. The symptoms associated with a Grade I concussion will typically resolve within 15 minutes after becoming injured.  

Grade II — A Grade II concussion is labeled as a moderate concussion. At this level, the injured person will still not experience any unconsciousness. However, their initial symptoms are more pronounced than those experienced in a Grade I concussion. In addition, a Grade II concussion means the injured person will experience symptoms beyond 15 minutes after the event of injury. 

Grade III — Any person who experiences any amount of unconsciousness after a blow to the head is considered to have a Grade III (serious) concussion. This form of severe concussion is considered to be a medical emergency, and the injured person should be transported to a hospital for immediate treatment.  

Physical Therapy Treatment for Concussions

As mentioned previously, some patients will experience symptoms for weeks or even months after experiencing a more severe form of a concussion. To facilitate healing, some patients are referred to a physical therapist for treatment of symptoms such as generalized pain, headaches, dizziness, difficulty with motor coordination and balance, and residual neck pain. 

Depending upon a patient’s residual symptoms, a physical therapist may employ various treatments and exercises designed to accomplish any or all of the following: restoration of equilibrium by improving your balance and motor coordination or treatment for generalized pain/headaches/dizziness/neck pain. Physical therapy treatments for concussion symptoms may include:

  • Vestibular rehabilitation  
  • Vestibular ocular (eye) reflex exercises 
  • Visual tracking exercises
  • Dynamic balance exercises
  • Generalized strengthening of key muscles
  • Assistance in returning to sports training (for athletes)

Find Relief at Cawley Physical Therapy

If you or someone you know is still experiencing symptoms from a concussion, we can help. Please call Cawley Physical Therapy & Rehab at 570-208-2787 today.