StabilityLAB

Posturographic sensory ratios provide evidence for neuroplasticity after computerized vestibular rehabilitation therapy in a single group interventional trial

Eytan A. David, MD, FRCSC, Navid Shahnaz, PhD

BLOGS

What is Post-Concussion Syndrome?

Published on

August 15, 2024

Related treatments

Post-Concussion Syndrome is a complex disorder in which concussion symptoms persist for weeks, months, or even longer after the initial injury. It’s estimated that about 10-20% of people who suffer from concussions will experience PCS. The condition can be frustrating and debilitating, affecting daily activities and overall well-being.

Understanding Concussions

Before diving into Post-Concussion Syndrome, it’s essential to understand what a concussion is. A concussion is a type of traumatic brain injury (TBI) caused by a blow to the head or a violent shaking of the head and body. This injury disrupts the normal function of the brain, leading to various physical, cognitive, and emotional symptoms such as headaches, dizziness, confusion, and memory problems. Most concussions are mild, and patients recover fully with proper rest and care.

Symptoms of Post-Concussion Syndrome

The symptoms of PCS can vary widely among individuals and may include:

  • Headaches: Persistent headaches are one of the most common symptoms. They can resemble tension-type headaches or migraines.
  • Dizziness and Balance Problems: Individuals may experience ongoing dizziness or issues with balance.
  • Cognitive Difficulties: Problems with concentration, memory, and thinking can persist, making it difficult to perform everyday tasks.
  • Sleep Disturbances: Insomnia or excessive sleepiness can occur, disrupting normal sleep patterns.
  • Emotional and Behavioral Changes: Anxiety, depression, irritability, and mood swings are common in PCS sufferers.
  • Sensitivity to Light and Noise: Increased sensitivity to light and sound can make environments like bright rooms or noisy places uncomfortable.

Causes and Risk Factors

The exact cause of PCS is not fully understood, but several factors may contribute to its development:

  • Severity of Initial Concussion: While PCS can occur after any concussion, more severe injuries may increase the risk.
  • Previous Concussions: Individuals who have had multiple concussions are more likely to develop PCS.
  • Age and Gender: Some studies suggest that women and older adults may be more susceptible to PCS.
  • Pre-existing Conditions: Those with a history of migraines, depression, anxiety, or other psychological conditions may be at higher risk.

Diagnosing Post-Concussion Syndrome

Diagnosing PCS involves a comprehensive evaluation by a healthcare professional, typically a neurologist or a specialist in concussion management. The process includes:

  • Medical History and Symptom Review: Discussing the patient’s medical history, including the concussion event and current symptoms.
  • Neurological Examination: Assessing cognitive function, balance, coordination, and sensory responses.
  • Imaging Tests: While MRI and CT scans may not show PCS, they can rule out other serious conditions that might cause similar symptoms.

Treatment and Management

There is no one-size-fits-all treatment for PCS, but several approaches can help manage and alleviate symptoms:

  • Rest and Gradual Return to Activities: Ensuring adequate rest and gradually increasing physical and cognitive activities as symptoms allow.
  • Medication: Pain relievers, antidepressants, or anti-anxiety medications may be prescribed to manage specific symptoms.
  • Therapy: Cognitive-behavioral therapy (CBT) can help with emotional and behavioral symptoms. Physical therapy may address balance and dizziness issues.
  • Lifestyle Adjustments: Reducing stress, maintaining a regular sleep schedule, and avoiding activities that exacerbate symptoms can be beneficial.

Dealing with Post-Concussion Syndrome

Concussions can cause significant symptoms like headaches, dizziness, and nausea. StabilityLAB offers computerized vestibular retraining therapy (CVRT) to help individuals regain balance and improve their quality of life. Studies show durable improvement in using CVRT

StabilityLAB, in collaboration with leading experts in Neurotology, is pioneering efforts to advance treatment for Post-Concussion Syndrome (PCS). By leveraging cutting-edge research in vestibular rehabilitation and hearing loss, StabilityLAB ensures that patients with PCS receive the highest standard of care. The focus remains on driving scientific progress and delivering effective solutions for balance and hearing disorders.

Research by David and Shahnaz shows CVRT improves patient-reported disability, stability, and posturographic measures (Mount Sinai Newsroom, 2014), highlighting its value in concussion management.

For more detailed information on the research by Dr. Eytan David and Navid Shahnaz regarding the effectiveness of computerized vestibular retraining therapy (CVRT) in improving disability measures and posturography for Post-Concussion Syndrome, you can view this publication.

Dealing with PCS at StabilityLAB

StabilityLAB is at the forefront of addressing balance and hearing disorders, particularly in those suffering from Post-Concussion Syndrome (PCS). Through advanced vestibular rehabilitation techniques and specialized care, the team ensures effective treatment options. StabilityLAB’s commitment to scientific excellence and innovation offers hope to individuals dealing with the challenges of PCS. By focusing on research and practical solutions, StabilityLAB is making significant strides in improving the quality of life for those affected by balance and hearing issues.

Request an appointment

Please complete a short appointment form and we will reply to answer your questions and confirm a consultation appointment.

Request an appointment

Clinically proven treatment for vertigo, dizziness, concussions, and falls — powered by an advanced data-driven therapy.