143
GODid you know that balance can be affected in about 70% of concussions 🤕
@goldcoastconcussion
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234
MYThis is your sign to start playing like a child again- but for the good of your physical health! 💪
Looking to learn more about Vestibular and Concussion evaluation and skills?
Visit amsitraining.com for more information or to register for a class today 🔗
#concussionmanagement #physicaltherapy #continuededucation #vestibular
@my_rehab_pros
6.6K
ALGaze stabilization exercises are a cornerstone of vestibular rehabilitation — especially after concussion. The goal is to keep your vision clear and focused while your head is moving, which requires your vestibulo-ocular reflex (VOR) to be firing on all cylinders 🎯
But once a patient has nailed this on flat, stable ground, that doesn’t mean the work is done. In the real world, we don’t always walk on perfectly even surfaces. We step off curbs, navigate uneven terrain, and move through environments that constantly challenge our balance 🌍
That’s where progression comes in 📈
By adding an unstable surface like a Bosu ball, we’re asking the brain to do more with the same exercise. Now the vestibular system isn’t just stabilizing your gaze — it’s also integrating somatosensory information to keep you upright. The brain has to process more, prioritize faster, and coordinate multiple systems at once 🤯
That’s exactly the kind of multisensory demand that people with post-concussion dizziness struggle with in everyday life.
You don’t need an entirely new exercise every time a patient progresses. Just think about how you’re manipulating the environment around the task ⬇️
🔄 Change the surface
🧩 Add a dual task
👁️ Alter visual complexity
⚡ Modify head movement speed
If you’re a clinician working with post-concussion vestibular dysfunction, think about how you’re layering your progressions. The exercise is just one variable — the context is what makes it functional.
Want to learn more? Check out The Dizzy Brain Course — link in bio! 🔗
#VestibularRehab #GazeStabilization #ConcussionRecovery #DizzyBrain #PostConcussion
@allinyourheadpt
638
THHas anyone ever assessed your vestibular system… or just your knee?
If you can’t stay stacked on one leg, lose balance easily, or feel unstable when speed increases…
that’s not always a strength or mobility issue.
Poor stacking is often a vestibular issue.
The semicircular canals (SSC) are part of your vestibular system.
They detect head rotation, speed, acceleration, and deceleration, and help stabilize your vision.
In this progression, we challenge the SSC with rapid head movements during single-leg balance.
Level 1: Eyes open
→ Vision helps while the vestibular system starts organizing movement.
Level 2: Eyes closed
→ Vision removed. The brain must rely on vestibular + proprioceptive input to stay stacked.
Why this matters 👇
When the semicircular canals aren’t doing their job:
→ delayed postural responses
→ loss of stacking
→ force leaks into the knee
Train the system that organizes movement, not just the muscles that react to it.
Please.. Stop blaming your knees!
#kneepain #vestibular #revelstoke #appliedneurology #athletictherapy
@thepainwizard
1.8K
KOI like to create chaos in Concussion rehab but also with athletes recovering from MSK injuries as well 🧠⚡️
When we add dual-task or cognitive load (decision-making, reacting, divided attention) to balance, cutting or landing… ankle control often drops.
In chronic ankle instability (CAI), research shows:
👉 Larger balance errors under dual task
👉 Slower peroneal activation
👉 Greater sway during gait
👉 Bigger “dual-task cost” compared to healthy controls
(Burcal et al., 2019; Abdallat et al., 2020)
Sport is never single-task.
⚽ Scan + cut
🏀 Catch + land
🏉 React + absorb contact
If rehab is quiet and predictable, we’re underdosing reality.
The encouraging part? It’s trainable.
A 6-week balance + cognitive program in CAI improved:
✔️ Proprioception
✔️ Peroneus longus onset timing
✔️ Dynamic balance
✔️ Cortical efficiency
More than balance training alone (Chai et al., 2024).
So modern ankle rehab should progress:
1️⃣ Single-task control
2️⃣ Add light cognitive load
3️⃣ Add reactive visual cues
4️⃣ Unanticipated cutting & landing
5️⃣ Fatigue + divided attention testing
Train the ankle.
Train the brain.
Train the system under pressure.
👉🏼Follow for concussion and sports medicine insights.
📍London
#AnkleRehab #basketball #SportsMedicine #Physiotherapy #concussionrehab
@kosta.ikonomou
313.7K
DRStill using a BOSU ball for proprioception?
That’s not rebuilding control — that’s just balancing on a balloon.
🧠 Real proprioception isn’t about how long you can stand still on an unstable surface.
It’s about how well your body can react, stabilize, and redirect force in real-world movement.
Here’s what actually improves joint proprioception after injury:
✅ Dynamic single-leg loading
✅ Rotational control under speed
✅ Visual-motor reaction work
✅ Fatigue-based coordination drills
Proprioception is neuromuscular timing under chaos — not just standing on wobbly plastic.
💥 Train your system like it’s made for sport, not a balance contest.
#ACLrehab #ProprioceptionTraining #BOSUball #SportsRehab #KneeStability BulletproofKnees MovementControl ReturnToPlay RealRehab
@dreamchaserr.__
188
ATFeeling Dizzy, Off-Balance, or Not Quite Yourself After a Concussion?
A concussion doesn’t just cause headaches—it can also affect your balance, coordination, vision, and reaction time. Many people notice symptoms like:
• Feeling unsteady when walking
• Dizziness when turning your head
• Difficulty focusing or reading
• Slower reaction time during sports or workouts
At Athletes Choice Physical Therapy, we use targeted balance and vestibular rehab to help retrain the brain and body after a concussion.
Your treatment may include:
✔ Balance and stability training
✔ Vision and head movement exercises
✔ Reaction time drills
✔ Gradual return-to-sport progressions
The goal is simple: get you safely back to the activities you love with confidence.
If you or your athlete is dealing with lingering concussion symptoms, physical therapy can help speed recovery and reduce the risk of re-injury.
📍 Athletes Choice Physical Therapy
📞 Call or message us to schedule an evaluation. 251-236-4099
@athletes_choice_pt
22.8K
DRCorrective exercise is neither corrective… nor is it exercise.
It’s often just adult tummy time with a new sales pitch.
And it trained the industry to do one thing really well:
Find “asymmetry” and call it pathology.
Most asymmetries are NORMAL.
Dominance. Sport bias. Anatomy. Life.
Michael Phelps would get roasted on a posture screen… while having proportions that were literally an advantage in the pool.
Usain Bolt talked about his scoliosis… and still became the fastest human alive.
Asymmetry only matters when it changes capacity and raises risk in specific populations:
Ankle DF asymmetry ≥6.5° linked to higher injury odds in Army Rangers. (Teyhen et al., CORR, 2015)
Pitchers: >5° total motion deficit linked to higher shoulder/elbow injury risk. (Wilk et al., AJSM, 2011; 2014)
SEBT anterior reach >4 cm difference predicted higher LE injury risk in HS basketball. (Plisky et al., JOSPT, 2006)
Scapular dyskinesis associated with future shoulder pain risk (SR/MA). (Hickey et al., BJSM, 2018)
Notice the populations here- high level performers with high level requirements. Not someone just getting off the couch or wanting to lose 5lbs.
If your “correctives” never load the system… you’re not changing the system.
Gravity doesn’t care about your floor routine.
The best corrective is usually training the ACTUAL movement and customizing the set up.
That’s it
Don’t sell symmetry and call it training.
Just train.
#fitness #strength #correctiveexercise #coach #strength
@drjustinfarnsworth
10.5K
CHIsometric tests may look simple, but without close monitoring, the data can be very misleading.
When using isometric tests a good setup is essential, but it isn’t always sufficient to guarantee data quality. You also need to inspect the force–time curve.
With isometric tests, fixation can easily be “almost” secure. But subtle movement that aren’t always obvious during the test can introduce jerk and artefact into the force trace. See the example in the video.
These artefacts can inflate peak force and have an even bigger effect on rapid force measures (e.g. 100–150 ms). This can make your data nothing more than a random number.
Definitely not something you want if you’re using tests to inform rehab or return to play post injury.
That’s why monitoring force–time data is essential.
If the force trace isn’t clean. Adjust the setup. Improve fixation. Repeat the test.
Clean traces give us more meaningful data we can be confident with.
#sportsrehab #sportsmedicine #returntoplay
@chrisbramah
9.3K
THIf your patients struggle to perform step ups and lateral step downs correctly try these cues!
Have them tuck their shirt in and perform step ups and step downs in front of a mirror 👀.
The goal is to not let your waist band tilt down.✌🏽
An easy way for patients to get visual feedback and better understanding on how to perform the movement correctly!
@theperformancedoc
255
DYDon’t leave your recovery to guesswork. 🧠✨
Just like you wouldn’t clear an ACL injury without objective data, your brain deserves the same standard of care. Baseline testing captures your unique "normal"—the vital data we need to get you back in the game safely and effectively.
Without a baseline, we’re just guessing. With it, we’re protecting your future performance.
🔗 Tap the link in our bio to book your session.
📞 For inquiries, send us a message or call (02) 9744 6880
#baselinetesting #concussioncare #sportsmed #protectthebrain #athletehealth
@dynamicphysiotherapy
3.0K
DR🧠⚡ Reactive Training with BlazePods ⚡🧠
This return-to-sport exercise targets much more than just movement—especially for athletes progressing after a concussion.
🔹 Coordination – Helps synchronize the brain and body so movements are smooth, controlled, and efficient.
🔹 Vestibular System – Challenges balance and spatial awareness, which are commonly affected after a concussion.
🔹 Cognitive Function – Forces the brain to process information quickly, make decisions, and react under pressure.
🔹 Endurance – Trains the athlete to maintain performance and focus even as fatigue sets in.
🔹 Speed & Reaction Time – Improves how fast the athlete can perceive a stimulus and respond accurately.
🔹 Perturbation Tolerance – Builds resilience to unexpected disturbances, preparing the body for real-game scenarios.
🔹 Agility – Enhances quick direction changes while maintaining control and stability.
Reactive training like this bridges the gap between rehab and real sport demands—training the brain and body together, not in isolation.
👇 Want to train like this?
Grab your own BlazePods through the link in my bio.
#physicaltherapy #physicaltherapist #concussion #blazepod #returntosport
@dr.rick_dpt
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