Balance Exercises For Concussion. Are They Helpful?

By Dr Ken Nakamura+

The British Medical Journal of Sports Medicine in 2017 [1] found that the majority of people with concussions symptoms are better in seven to ten days.

See Step by Step Return To Sport

However, some of you may have symptoms of vertigo, dizziness, and balance problems that last much longer. Your chiropractor may recommend vestibular rehabilitation therapy (VRT) for your post-concussion symptoms.

Vestibular Rehabilitation Therapy (VRT) is helpful for Concussion Symptoms
Vestibular Rehabilitation Therapy (VRT) is helpful for Concussion Symptoms

Luckily, vestibular rehabilitation therapy (VTR) has strong research evidence to prove that VTR is effective for decreasing dizziness, balance, and balance problems after a concussion.[2]

Vestibular Rehabilitation Therapy and Return to Work

Furthermore, according to five studies patients who completed the study were 10.27 times more likely to return to sport or work or sport within 3 months. [4,5,6,7,8,]

The unfortunate thing was there was no clear pattern to which exercises were effective, and what frequency and intensity to do the exercises, among any of the studies.

So, I am not going to go over the exercises in this article but go over them in the next article. The take away for his article is that VRT is effective for those people with symptoms that last longer than 10 days and want to return to work or sport.

Picture Credit

  1. Photo by Ben Hershey on Unsplash
  2. Photo by Ben Hershey on Unsplash

Research

  1. Murray DA, Meldrum D & Lennon O, Can vestibular rehabilitation exercises help patients with concussion? A systematic review of efficacy, prescription and progression patterns. British Journal of Sports Medicine 2017; 51: 442-451.
  2. Hillier S, McDonnell M. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Wiley Online Library, 2011.
  3. Schneider K, Meeuwisse W, Nettel-Aguirre A, et al. Cervico-vestibular physiotherapy in the treatment of individuals with persistent symptoms following sport-related concussion: a randomized controlled trial. Brain Inj 2014; 28: 796.
  4. Schneider K, Meeuwisse W, Nettel-Aguirre A, et al. Cervico-vestibular physiotherapy in the treatment of individuals with persistent symptoms following sport-related concussion: a randomized controlled trial. Brain Inj 2014; 28: 796
  5. Hoffer ME, Gottshall KR, Moore R, et al. Characterizing and treating dizziness after mild head trauma. Otol Neurotol 2004; 25: 135–8.
  6. Faltus J. Rehabilitation strategies addressing neurocognitive and balance gait deficits following a concussion in a female snowboard athlete: a case report. Int J Sports Phys Ther 2014; 9: 232–41.
  7. Gottshall K, Gray N, Drake AI. A unique collaboration of female medical providers within the United States Armed Forces: rehabilitation of a marine with post-concussive vestibulopathy. Work 2005; 24: 381–6.
  8. Rabago CA, Wilken JM. Application of a mild traumatic brain injury rehabilitation program in a virtual realty environment: a case study. J Neurol Phys Ther 2011; 35: 185–93.


Author

Dr Ken Nakamura

Who is Dr. Ken? I’m a father, spouse, chiropractor, and I love what I do! I created Bodi Empowerment to bring you and everyone-else safe and effective methods for self-treatment by basing my articles on research to everything I can. Still many parts will be based on 18 years of experience, seminars, and collaboration with other health experts; which means you will get opinions as well. Sometimes my articles won’t agree with what is currently accepted, but I am not here to please everyone. I’m here to empower you through the knowledge that I give you. Dr. Ken works at Rebalance Sports Medicine in downtown, Toronto.

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