A large number of high-performance athletes, particularly in rugby union, NRL and AFL sports, have been reported to suffer from post-concussion syndrome, which has been linked to CTE, (Chronic traumatic encephalopathy), in other words chronic brain inflammation. While the truth around these links is more complex than what is being reported, concussion is still a very serious injury that is poorly understood by large portions of the medical industry and the general public. 

First of all, what is a concussion?

It is a traumatic injury to the brain that occurs through sharp changes in momentum of the head, which causes movement of the brain within the skull. This movement causes a shearing/stretching force to be put through different neurons of the brain. There is a cascade of events that occur after this traumatic event. Cells required to produce energy for the neurons are displaced, creating an energy deficiency of the neurons in the brain, at the same time that there is inflammation in the cells of the brain that requires energy to recover. This energy imbalance creates fatigue in the neurons in the brain, and suddenly, simple tasks such as memory, concentration, balance, coordination etc, become much more difficult for the brain to complete effectively.

This energy imbalance is not a simple issue and requires a gradual return to safe exercise in order to be properly processed. The corresponding increase in blood from cardiovascular exercise is a key factor in accelerating the restoration of normal energy levels to the affected neurons, allowing the brain to get back to its normal function. Improper rehabilitation of a concussion can lead to Post Concussion Syndrome. Here at PEAK we are lucky to have Callum MacDiarmid, an expert in addressing symptoms that arise from previous concussion injuries, such as vertigo, dizziness, nausea, and chronic headaches. 

Where does baseline testing come in?

Every athlete has a different baseline level of neurological function prior to their concussion. Every brain is different, and some athletes have better functioning brain pathways than others. This means that when a health care professional goes to assess which part of the brain has suffered the injury, it can be a challenge to know whether the level of function that a certain pathway is showing after the concussion is good or bad relative to its pre-injury status. Having a baseline set of data on how a brain is functioning before the injury occurs allows practitioners to accurately compare the pre- and post-injury status of each individual pathway to determine which part of the brain has been affected. 

How to minimize long term effects?

The long-term effects of concussion often from a lack of rehabilitation to the affected neurological pathways leading to the presence of chronic symptoms. In other words, long term concussion symptoms are a result of injury to specific parts, rather than general inflammation of the whole brain. These pathways need to be rehabbed correctly in order to ensure full recovery and return to sport. Fortunately, at PEAK, we have experts in vestibular and visual rehabilitation who can put our athletes on the best path forward. The following contains details about our comprehensive vertigo rehabilitation options: Vertigo Treatment.

Protect What Matters Most Baseline concussion testing helps ensure faster, safer recovery if an injury occurs.

If you are concerned about the possibility of a concussion occurring to you or your children, a baseline test is a great way to ensure that if the injury does occur then the recovery and rehab strategies will be as precise as possible ensuring the best prognosis. 

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