Concussion Rehabilitation: Best Practices

By Dr Ken Nakamura+

Concussion rehab: vestibular rehab and cervical rehab

Concussion rehabilitation was found in many studies to be helping people get back to sport in under eight weeks. 

After a concussion, the most frustrating things are neck pain, dizziness, headaches, balance problems and brain fog that just won’t stop. 

Every time you try to do more weights or go back to your sport the symptoms get worse.

Most concussions resolve within 7-10 days. If your concussion is going on longer than this, it’s time to take action. 

There is evidence from research that shows that rehabilitation of the balance centres and the neck can decrease the time to return to sport. [1].

Rehabilitation of balance is called vestibular rehabilitation or vestibular rehab, while neck rehabilitation is called cervical rehab.


Cervical and Vestibular Rehab for Concussion

  • Of those that were treated with vestibular rehab and cervical rehab 73% returned to sport within 8 weeks
  • Only 7% of those treated with other means returned to sport within 8 weeks. 
  • In other words, if you get cervical and vestibular rehab you are 95% more likely to return to sport within 8 weeks compared to those that got other treatment. 
  • Stretches, postural education rest and range of motion exercises alone weren’t good enough.

Keep in mind this study was done on 12-30-year-old people so if you are older have diabetes or other medical ailments you will likely take longer to get better. Your metabolism slows down and so your rate of healing decreases simply by ageing.

So, in conclusion, find a chiropractor that knows how to help your neck and work on the balance centres of your body. In other words, they should be well trained in vestibular and cervical rehab. 

Tell us what you think in the comments below and like us on Facebook. I will answer all questions in the comments section here at this downtown Toronto Chiropractic clinic


  1. Schneider KJ, Meeuwisse WH, Nettel-Aguirre A, et al., Cervicovestibular rehabilitation in sport-related concussion: A randomised controlled trial, British Journal of Sports Medicine 2014; 48(17): 1294–1298.

Picture Reference

  1. Photo by JR Korpa on Unsplash


Dr Ken Nakamura

Leave your thoughts to Concussion Rehabilitation: Best Practices

Leave a Reply

Your email address will not be published. Required fields are marked *

Related Posts

© 2020 Dr. Ken Nakamura Downtown Toronto Chiropractor |Sports All rights reserved. Reproduction is prohibited without explicit Permission of
Dr. Kenji Nakamura. Use of this web site constitutes acceptance of the Terms of Use and Privacy Policy. The material appearing on is for educational use only. It should not be used as a substitute for professional medical advice, diagnosis or treatment. BodiEmpowerment is a registered trademark.

Bodi Empowerment is an online health magazine. We are dedicated to empowering people, by guiding their step-by-step self-treatment, in areas of rehabilitation and nutrition. We are headquartered in the financial district of downtown, Toronto.