Post Concussion

The symptoms one suffers is dependent on their pre-existing health, number and type of head injuries.  We see those suffering from Sports related concussion, vehicle and work related injuries.

  • Some may develop dizziness, migraines, vertigo, confusion, brain fog, fatigue, and more.
  • Through the Vestibulo-ocular reflex (VOR), the vestibular system and cerebellum control the ‘stability’ of eye movement to allow for clear vision during head movement.
  • If the VOR is compromised following a concussion, you may also suffer from disequilibrium, blurry vision, double vision and more.

The vestibular system is not about shaking your head…. it’s about stabilizing images ‘as’, you have a head movement

Videonystagmography (VNG) testing is required in order to prescribe appropriate and accurate vestibular exercises.

The PCS program consists of a 1.5 hour initial evaluation and includes the following:

  • Full neurological and Vestibular exam
  • Balance & Gait assessment
  • Cognitive test 
  • Videonystagmography (VNG) testing
  • Computerized Balance Testing
  • Dysautonomia symptoms – Autonomic Testing and measurements of Vagus and heart rate variability (Tilt Table testing)


  • PONS stimulation
  • Vagus Nerve Stimulation
  • Trigeminal Nerve stimulation
  • Vestibular Rehab
  • Neuro Sensorimotor Therapy
  • Cognitive Rehab (Improve mental fatigue, brain fog)
  • Balance and Gait training
  • Interactive Metronome

A Patient with Post Concussion receiving Optokinetic stimulation (mimics environment while performing a visual vestibular task, stabilized targets to inhibit unwanted eye movements) paired with Vagus stimulation and balance.

The Neuro Sensorimotor Integrator mimics a real world environmental stimulus however, some may begin on a smaller visual field.

A Post Concussion patient on the Neuro Sensorimotor performing an eye-hand coordination while stabilizing her balance.

PCS patient watching OPK stimulation. She needs to be able to stabilize her gaze with a moving background.

Patient with PCS performing balance targeting training based on the findings from her computerized balance test.