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A concussion is a mild traumatic brain injury, during which there has been a change in brain function. It is typically the result of an external force to the head, and/or body, which causes the head to move rapidly back and forth.  This sudden movement causes the brain to bounce or twist in the skull, stretching and damaging brain cells and thus creates chemical changes within the brain (CDC). A concussion may or may not be accompanied by a loss of consciousness. 


Because a concussion is a heterogeneous injury that is characterized by a myriad of symptoms, variable clinical presentations, and recovery trajectories, it is important that you see a professional who specializes in concussion care.

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At California Therapy Solutions, we specialize in providing individualized care for patients with concussion. We utilize the latest clinical evidence, guidelines for best practices for physical therapy, and evidence-based technologies to provide a unique, world class approach to your recovery. As no two concussions are alike, we will take the necessary steps to identify the source of your symptoms, understand how this injury has affected your lifestyle, and create a rehabilitation approach designed to resolve impaired function in order to get you back doing what you love. 



​In 2019, the first evidence-based guidelines for concussion were published, in order to highlight the prevalence of known impairments after an injury occurs. These subtypes consist of ​dysfunctions that can be effectively treated and resolved with physical therapy. They are:

  • Headache

  • Ocular-motor

  • Vestibular

  • Cognitive

  • Mood/Anxiety

Cervical injuries and sleep disturbances are also common with concussion, and often add complexity to the treatment and recovery timeline.  

Symptoms of a concussion can vary widely from individual to individual and alone often are not likely to help distinguish the involvement of one subtype versus another.

A history of multiple concussions, or prior conditions such as migraine, anxiety/depression, ADHD, or neck strain, may prolong the recovery from concussion. 

Gaining access to a medical provider as soon as possible after injury is often the best way to confirm a diagnosis and establish an effective treatment plan that can begin soon thereafter.


In partnership with the Stanford University Brain Performance Center, we utilize cutting edge technology to perform a comprehensive evaluation to help you determine if a concussive event has occurred. During these assessments, we collect objective data to further define diagnoses and are at the forefront of therapies to help you recover from a concussion. Our data also allows you to differentiate when it is safe and appropriate to return to normal activities and those related to work and sports.

At CTS, our comprehensive concussion evaluation includes the following:

Clinical Interview

Computerized Neurocognitive Testing

Ocular-motor Assessment

Vestibular and Balance Assessment

Symptom/ Mood Inventory

Cervical Assessment


The best way to determine how your brain is functioning is to gather information before an incident occurs. If we have this information we can determine when you have completely recovered from a concussion and this is extremely valuable in your rehabilitation and return to play. Because of this, baseline testing is performed at all schools when any child is performing a sport with high head injury potential, such as football, lacrosse, and soccer. Click here to watch a video of our baseline testing on the athletes of California United Strikers FC. 


If you are unlucky enough to suffer a concussion, we will see you to repeat the tests within 72 hours after your injury. This may occur even before you are able to see your family physician of specialist to receive a diagnosis. Your post-concussion results can then be compared to your pre-season baseline information and we will be able to determine your brain’s functioning after the impact. It is valuable information to guide us in the management of your concussion and will provide you with immediate steps that can be taken to ensure the safest and quickest path to return-to-play!

Concussion Screening

  including repeat 72-hour post incident test


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