Are we looking at concussion rehab entirely wrong? In this episode, Dan Ramsden (Head of Performance at Hull KR and Consultant Physiotherapist) explores how the concussion recovery Framework challenges conventional thinking by exposing the hidden flaws in standard return-to-play protocols. The discussion also explains why the concussion recovery framework offers a broader perspective, revealing how common metrics might be failing athletes. From the truth about neck strength testing to the unexpected link between head injuries and lower-limb trauma, this deep dive shifts the paradigm on how we treat and evaluate brain injuries in elite sports.
Concussion Recovery Framework
Concussions affect more than just the brain. A complete recovery requires evaluating the neck, balance system, heart rate response, and movement quality before an athlete safely returns to play. Understanding these factors helps coaches and healthcare professionals make better decisions that reduce the risk of future injuries.
Look Beyond Neck Strength
Many people believe that stronger neck muscles automatically reduce concussion risk. However, current evidence does not show a direct connection between peak neck strength and concussion incidents. Instead, clinicians should compare an athlete’s post-concussion neck strength with their baseline values while also performing the cervical flexion rotation test to identify pain or movement restrictions. Therefore, recovery should focus on function rather than strength alone.
Assess Dizziness Carefully
Dizziness after a concussion is not always caused by the brain injury itself. In some cases, Benign Paroxysmal Positional Vertigo can produce similar symptoms. Fortunately, the Dix Hallpike test can identify this condition, while the Epley maneuver often provides immediate relief. As a result, proper assessment ensures athletes receive the right treatment instead of unnecessary rehabilitation.
Monitor Exercise Progress
Concussions may temporarily disrupt heart rate regulation. Consequently, relying only on target heart rate during rehabilitation can produce misleading results. A standardized cycling workload often provides a more consistent way to measure exercise intensity and safely progress recovery. This approach allows clinicians to evaluate physical tolerance more accurately.
Return to Sport Safely
Returning to competition requires athletes to process movement, balance, vision, decision making, and environmental distractions simultaneously. However, incomplete recovery can reduce coordination and movement efficiency, increasing the likelihood of injuries such as ACL tears. Therefore, return to play decisions should consider the entire body’s performance rather than symptoms alone. A comprehensive concussion framework ultimately improves athlete safety and long-term performance.
🔑Highlights from the episode:
– Is neck strength testing actually failing to predict concussions?
– The rapid maneuver that instantly stops player dizziness
– The hidden danger of prescribed heart rates post-concussion
– The swivel chair trick that isolates the cause of dizziness
– Is a previous concussion the real reason behind ACL tears?
🎥 Watch full episode on YouTube
🔗 https://www.youtube.com/@preparelikeapro
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