Pacing and planning
Work with your occupational therapist on a manageable balance of activities and breaks. Planning around your priorities can make it easier to use your energy throughout the day.
Concussion Rehabilitation
Providing personalized cutting edge concussion rehabilitation, using a collaborative approach to support recovery in all aspects of life: physical, cognitive, emotional, and daily activities that matter most.
Support for everyday recovery
Symptom management
Explore how daily activities, environments and routines relate to symptoms, and discuss practical adjustments with your therapist. Your plan is individual and can change as your needs change.
Daily activities and participation
Bring attention to the physical, cognitive and emotional demands of the things that matter to you, whether at home, at work, at school or in the community.
Concussion rehabilitation focus & clinical approach
Symptom management & physiological recovery
Sub symptom threshold aerobic training
Utilizing controlled, evidence based exercise protocols (such as the Buffalo Concussion Treadmill Test framework) to safely elevate heart rate without triggering or exacerbating symptoms, promoting autonomic nervous system regulation and cerebral blood flow recovery.
Autonomic & exertion monitoring
Guiding clients on tracking heart rate, exertion levels, and symptom onset to build physical endurance safely over time.
Headache & cervicogenic symptom management
Educating clients on posture, ergonomic positioning, and gentle movement routines to reduce tension related headaches and physical strain following injury.
Sleep hygiene & circadian regulation
Implementing evidence based sleep routines, stimulus control, and activity timing to manage sleep disturbance, insomnia, and post concussion fatigue.
Targeted relaxation & autonomic down regulation
Integrating breathing techniques, progressive muscle relaxation, and mindfulness strategies to manage heightened autonomic arousal, anxiety, and symptom flares.
Cognitive ergonomics, pacing & activity grading
Pacing & energy conservation
Implementing structured strategies (e.g., Pacing, Planning, and Prioritizing) to help clients navigate fatigue, brain fog, and cognitive strain.
Time & barrier management
Developing individualized scheduling systems, structured rest breaks, and environmental adaptations to help clients maintain daily routines and navigate functional barriers.
Comprehensive occupational therapy supports in concussion care
Graduated return to sport, return to learn & return to work
Collaborating with medical teams, athletic departments, schools, and employers to establish tailored, multi stage protocols for a safe return to physical activity, academics, and employment.
Visual & vestibular screening/adaptations
Identifying visual fatigue or movement sensitivity and introducing practical environmental modifications (e.g., screen filters, lighting adjustments, task restructuring) alongside targeted strategies or specialist referrals.
Sensory processing & environmental modulation
Assessing sensory sensitivities (light, noise, busy environments) and designing practical modifications for home, workplace, school, or athletic settings.
Emotional self regulation & coping strategies
Supporting clients through the psychological impact of persistent post concussion symptoms by building grounding techniques, stress management strategies, and self advocacy skills.
Pacing in practice
A plan around your day
Pacing can include breaking a task into smaller parts, planning breaks and spreading demanding activities across the week. Your occupational therapist can help you consider what fits your daily life and recovery plan.
Recommendations are tailored to your symptoms and care team’s guidance; there is no single timetable that suits everyone.
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All initial consultations and service quotes are provided at no cost.
Please contact us for detailed rates.