Complete Concussion Management (CCMI™)

Complete Concussion Management is a network of trained multidisciplinary healthcare practitioners that collaborate with physicians to co-manage concussion injuries, helping patients and athletes safely return to learn, work and play.


✓ What is a Concussion
✓ Concussion Symptoms
✓ Warning Signs to Watch Out For (Red Flags)
✓ So, You Had a Concussion. Athletic Injury? Now What?
✓ Your Road to Recovery
✓ Tips for Dealing with Concussion Symptoms
✓ Return to Activity Protocol (RTL / RTP)
✓ Persistent Symptoms (or PCS)
✓ Concussion Treatment & Rehabilitation

 

Historically, patients with concussions were told to rest, rest, rest. And when that didn’t work, they were told to rest some more.

The research on concussions is evolving at an exponential rate and we are realizing that prolonged rest not only doesn’t work; it can actually make you worse.

Sadly, many healthcare practitioners are not keeping up with the explosion in concussion research and are still telling their patients that the only treatment for concussion is rest. If you have fallen victim to this, you don’t need more rest; you need a second opinion.

WE ARE HERE TO HELP!

While it is true that during the early stages following injury, rest is still absolutely necessary, that timeline seems to be getting shorter, with longer duration rest creating worse outcomes for patients. So, if you have been resting for more than a week or two, and are still having significant symptoms, it’s time to switch it up. More rest is likely contributing to your ongoing symptoms.

The CCMI concussion baseline test is a comprehensive, multimodal series of physical and cognitive tests. Other organizations may use a single test or a small group of tests whereas we use a variety of tests, which offer more objective insights, data, and improved accuracy and reliability.

What is multimodal baseline testing?

Not all baseline tests are the same. Complete Concussion Management’s multimodal baseline test includes nine assessments that measure medical history and symptom score, concentration and auditory memory, visual tracking and processing speed, reaction time, balance and proprioception, motor strength, and neurocognitive testing. A series of physical and cognitive tests that measures healthy brain function before a sports season starts. As symptoms of concussion will often disappear days to weeks before the brain has fully recovered, having baseline information may provide healthcare practitioners with valuable information on brain recovery that may help to inform safer return to learn, work and play decisions.

There are varying views on the potential benefits of baseline testing for athletes that may differ by organization and/or country. Although not required for all athletes, several leading sports and public health organizations recommend and/or recognize the benefits of baseline testing for high-risk athletes, including the NCAACenters for Disease Control and Prevention and the Canadian Academy of Sport and Exercise Medicine. Similar sentiment is included in the international Consensus Statement on Concussion in Sport, which is recognized as the most current evidence to provide guidelines on the prevention, recognition, assessment, and management of sport-related concussion.

Lastly, a joint statement issued in September 2017 by Sport Physiotherapy Canada and the Canadian Physiotherapy Association reads: “Baseline testing is one tool that can be used to understand concussion, provided that the practitioners and consumers of these tests understand the limitations. What is clear, however, is the evidence related to a multi-facetted approach to assessment, diagnosis and management of concussion.”

We will continue to follow the growing scientific evidence for multimodal baseline testing to support the management, treatment and rehabilitation of concussion injuries, and revise our program accordingly. Currently, these practices are recommended in sports where athletes are at higher risk for concussion such as hockey, football, soccer, rugby, gymnastics and cycling, among others.