KEEPING YOU IN THE GAME Concussion prevention and management begins with education ADVANCE YOUR RECOVERY Don’t let concussion sideline you from your life

KEEPING YOU IN THE GAME

WHETHER YOUR GAME IS WORK, SCHOOL, OR PLAY

Concussion prevention and management begins with education

Schedule an educational seminar for your group today

ADVANCE YOUR RECOVERY

BOOK YOUR CONSULTATION APPOINTMENT TODAY

BRITISH COLUMBIA’S ONLY DEDICATED CONCUSSION CLINIC

In order to optimize concussion recovery in the shortest time periods, ADVANCE CONCUSSION has assembled an expert team of concussion rehabilitation professionals under one roof. By eliminating the need to attend multiple appointments in any number of different clinics, ADVANCE CONCUSSION has centralized the full spectrum of concussion rehabilitation services, even integrating multiple therapies within single appointments when possible. In this way, ADVANCE CONCUSSION helps you achieve your best recovery, sooner, with optimal communication and true continuity of care.

Concussion Management Services

ADVANCE CONCUSSION services includes education, prevention, baseline testing, consultation and rehabilitation. The clinic serves adolescents and adults, ages 15 and older, that have suffered a concussion or head injury from sports, motor vehicle accidents, falls or other head trauma.  In addition to intervention, ADVANCE CONCUSSION provides recommendations on return to play, school, and work guidelines as well as academic accommodations.

Baseline Testing, Evaluation & Treatment

Baseline testing is done according to Best Practice guidelines and includes ImPACT testing, as well as baseline visual and balance tests.  Post-injury, an initial evaluation is performed by our interdisciplinary team to determine the presence or degree of injury. The ADVANCE CONCUSSION team is made up of experts in the areas of:

  • Neuropsychology (Brain-Behavior Functioning)
  • Neuro-physiotherapy (Vestibular, Ocular-Motor, Cervical, and Musculo-Skeletal Function)
  • Case Management/Patient Navigation (Comprehensive, Streamlined, Continuity of Care)

Following the initial intake evaluation, an individualized treatment plan is developed, including referral to appropriate rehabilitation services. These may include any or all of the following therapies:

Cognitive

Given the known relationship between thinking or cognitive abilities and the brain, cognitive changes after a concussion is a well known and easily recognized symptom group associated with brain injury.  Changes in thinking can include slowed processing of information, attention and concentration difficulties, problems learning and remembering new information, trouble planning and organizing materials, difficulties with visual-spatial information, slower reaction times, and feeling cognitively “foggy.”  ADVANCE CONCUSSION neuropsychology experts perform cognitive or neuropsychology assessments and use the results of computerized cognitive testing to monitor resolution of cognitive symptoms over time.  Other neuropsychological testing in pencil/paper form can help ADVANCE CONCUSSION neuropsychology experts in the identification of specific persistent problems with brain function, should they occur.  If a baseline cognitive test has been performed, post-injury performance is compared with pre-injury testing to monitor recovery and help guide a safe return to play, school, or work for the individual patient.

Emotional

Changes in behavior and mood are well documented effects of concussion and can include impulsivity, defiance, low frustration tolerance, or changes in relationships and friendships.  Irritability, depression, anxiety and mood swings are also commonly experienced symptoms of concussion.  Physical or cognitive symptoms of concussion which persist for prolonged periods beyond the 2-3 weeks in which most concussions would be expected to resolve, can also result in depression, fear, and anxiety.  Managing a concussion in a child or loved one can be challenging for family members and partners, and the coping and strength of the support network for a concussion patient can impact their recovery as well.  ADVANCE CONCUSSION health psychology experts have a unique understanding of the impact of emotional functioning on recovery from conditions such as concussion and, therefore, assess and monitor the emotional and psychological functioning of concussion patients and their loved ones .  When needed, expert support services are provided, for patients and their families, to help with coping and adjustment to injury.

Vestibular

Balance problems, postural instability, and dizziness are common symptoms following concussion, affecting almost half of all those who suffer concussive injuries and have been reported to last for years post-concussion.  Vestibular rehabilitation at ADVANCE CONCUSSION  involves assessment and treatment of neurological, inner ear and other conditions arising from concussion which control the individual’s sense of balance and positioning, and has been successfully implemented by our vestibular rehabilitation experts using specific exercises or manipulations in the treatment of  balance and dizziness issues which do not resolve spontaneously or with rest alone.

Ocular-Motor

Visual dysfunction is common occurrence following brain injury and has been shown to affect up to 90% of all individuals.  Disturbances in vision can profoundly effect a person’s physical abilities and negatively impact daily functioning, causing issues with balance, spatial awareness, driving, and other safety hazards.  If not identified or treated in a timely and clinically appropriate manner, visual dysfunction can contribute to persistent headaches, difficulty with reading or attention and concentration difficulties, as well as other symptoms of concussion.  Therefore, screening and treatment of visual dysfunction is incorporated early in the ADVANCE CONCUSSION rehabilitation process to provide appropriate intervention during the optimal treatment window.  Ocular-Motor or Visual therapy involves assessment and treatment of the ways your eyes work together to do things like focus on a target, keep focus while moving your head, shift from one target to another, or track images across a visual field, and are carefully performed under the careful guidance by ADVANCE CONCUSSION visual rehabilitation experts to work within symptom tolerance levels.

Exertion Based Physiotherapy

Consistent with current research and proven models of successful post-concussion rehabilitation , a structured, individualized, graded exercise program is developed considering the particular sport, age and  concussion history of the individual patient. This involves progressively and gradually increasing physical activity or exertion under close supervision and guidance of ADVANCE CONCUSSION exertion specialists so that the concussion patient can tolerate more activity for longer periods of time without worsening symptoms. Sports or activity-specific challenges are added to these programs when appropriate.

Manual Physiotherapy

Neck injury, whiplash, and other cervical spine injuries commonly occur at the same time as a concussion but are often overlooked.  These injuries can result in symptoms that overlap with or are identical to symptoms of concussion.  Headaches, dizziness, nausea, balance problems, tinnitus, and ear or eye pain can be associated with cervical spine injury and neck pain.  Careful assessment of cervical function is performed by ADVANCE CONCUSSION physiotherapy experts and, when indicated, is treated in conjunction with other indicated areas of rehabilitation to maximize recovery outcomes.

Partnering with patients and their doctors in achieving successful recovery from concussion and traumatic brain injury.

Our Approach

At ADVANCE CONCUSSION, it's all about PARTNERSHIP:

  • PARTNERSHIP between the ADVANCE CONCUSSION team and You – to build out an individualized program to get you better.

Inter-Dis-Graph (2)

  • PARTNERSHIP between the ADVANCE CONCUSSION team, your doctor, your school, or your coach – to ensure continuity of care and a safe return to play, school, or work.

Injury-to-Recovery

Advance Concussion Leadership

Dr. Cirelle Rosenblatt, R. Psych.

With over 20 years of experience in health psychology and rehabilitation neuropsychology, ADVANCE CONCUSSION represents the realization of Dr. Rosenblatt’s vision to bring this high standard of comprehensive, inter-disciplinary rehabilitation delivered in leading Rehabilitation Medicine Hospitals in the States to the service of Concussion Rehabilitation in Vancouver.  Dr. Rosenblatt leveraged her experience in neuropsychological assessment and brain injury rehabilitation from her inpatient and outpatient inter-disciplinary stroke and brain-injury work in the New York area., building out the collaborative model to deliver the expert rehabilitation services she has assembled in ADVANCE CONCUSSION CLINIC.

Dr. Rosenblatt, who is also the founder and director of Vancouver Clinical Neuropsychology Services, completed her Ph.D. in Health Psychology with a specialization in Neuropsychology in a joint program between Yeshiva University’s Albert Einstein College of Medicine and the Ferkauf Graduate School of Psychology in New York City.  She moved to B.C. with her family in 2003.

Pauline Martin, BSc PT, MSc.

Pauline Martin is a Registered Physiotherapist with extensive experience working with individuals with neurological conditions and vestibular conditions.  She is the owner of NeuroMotion Physiotherapy Clinic (Vancouver and Victoria) which serves the needs of individuals with neurological injuries and  conditions.  Pauline’s collaboration with ADVANCE CONCUSSION realizes her long-standing hope and vision of being a part of a true inter-disciplinary team to optimize treatment and rehabilitation outcomes.  The wealth of specialized training and experience that Pauline brings to ADVANCE CONCUSSION has helped to establish the highest standards of vestibular, ocular-motor, and other areas of neurophysiotherapy to ADVANCE CONCUSSION patients.

Pauline received her Physiotherapy Degree from Queen Margaret College, Edinburgh and her Masters in Heath Sciences from the University of Edinburgh. She has two teenagers who compete in high level soccer and who love to ski.  She is a competitor herself and will compete in the Vancouver BMO half marathon and the Oliver half ironman.

ADVANCE CONCUSSION CLINIC’S No-Wait List Policy

Concussion care is all about timing—getting the right care at the earliest point possible. That’s why we at ADVANCE CONCUSSION take waiting so seriously. We are committed to building out capacity to keep wait-times short for optimal concussion care. IF YOU DON'T WAIT TO CALL, WE'LL MAKE SURE YOU DON'T WAIT FOR AN APPOINTMENT.*

PHYSICIANS: Download a Referral Form *Wait times are under two weeks.