Concussions in wheelchair users – are you prepared to properly assess?

The mainstream professional literature has an abundance of published research on balance and posture assessment and rehabilitation following a concussion. A quick search of PubMed yields some 300 thousand plus articles! However, when you add the term “wheelchair” to a similar search, the yield becomes less than a half dozen. Do individuals in wheelchairs experience concussions? Of course they do! In 2014 Wessels et al published a study in the Archives of Physical Medicine and Rehabilitation whereby they tracked 263 Read More

Concussion Management: Does marijuana play a role?

Recently more and more questions have arisen regarding the use of marijuana as a rehabilitation intervention following a concussion.  For example, some patients may ask if marijuana can help rid symptoms of headaches, inability to sleep, or anxiety.   Other patients might say they are regular legal users of marijuana, and wonder if they should increase their intake medicinally, or if they should refrain from their normal daily usage while recovering from a concussion. These are all extremely relevant questions that Read More

Sport Concussion…Return to Learn!

In our last case, we presented Janice Williams, an 18-year-old high school senior field hockey player who was accidentally hit in the head with an opposing player’s elbow. We reviewed the assessment process and findings, developed a problem list, identified treatment goals and objectives, and a plan of care with specific rehabilitation considerations. The Berlin Guidelines published 2017 that we discussed also recommends a graduated return to school guide for those individuals who have sustained a sport-concussion and are students. The 4-stage process is as follows: Stage 1 – Daily activities at home that do not give symptoms Stage 2 – School activities Stage 3 – Return to school part-time Stage 4 – Return to school full-time Depending upon the Read More

Sport Concussion…Return to Sport!

The Center for Disease Control (CDC) in the United States reports that between 2001 to 2012, the rate of emergency department (ED) visits for sports and recreation-related injuries with a diagnosis of concussion or traumatic brain injury (TBI), alone or in combination with other injuries, more than doubled among children (age 19 or younger). In fact, in 2012 alone, an estimated 329,290 children (age 19 or younger) were treated in U.S. EDs for sports and recreation-related injuries that included a diagnosis of concussion or TBI. While no two concussions are exactly alike, the majority will respond favorably within 7-10 days after the initial injury. In 2017, a consensus statement on concussion in sport was published by leading International experts. The Read More

AIB Goes Global

AIB continues to have a presence as a global thought leader in the realm of vestibular and balance sciences. Dr. Gans has made 11 international trips thus far in 2018, ranging from India, to London, to the Middle East and South America! Stay tuned as AIB partners with the world’s most important experts in creating Centers of Specialty Care and Excellence and Certification Workshops. Whats Next in 2018? Marrakesh, Morocco – November 2108 Advanced Arab Academy of Audiovestibuology