Cobblestone Medicine and Rehab – Concussion/mTBI Program



At Cobblestone Medicine and Rehab we use collaberative rehabilitation care using the latest evidence and research to get the individual back to their NORMAL life as soon as possible.



  • Proper Pacing and detailed concussion education
  • Impact Concussion testing (Baseline and post injury testing will be completed on the first visit and usually 2-4 weeks thereafter)
  • Our extensive concussion trained multidisciplinary rehab team includes physiotherapy, sports chiropractic, acupuncture, Bioflex laser therapist, counselling, kinesiologists, personal training and family medicine physicians [/one_half]
  • Visual/ocular rehab, Vestibular rehab, balance rehab, strength/stretching exercises, gait analysis, postural analysis and heart rate/BP analysis
  • Proper return to learn techniques following evidence based methods
  • Proper return to play/sport following evidenced based methods
  • Final Sign off with our clinic family medicine physician and/or referral back to patients family physician


Current recommendations are for a stepwise return to play program. In order to resume activity, the athlete must be symptom free and off any pain control or headache medications. The athlete should be carrying a full academic load without any significant accommodations. Finally, the athlete must have clearance from an appropriate health care provider. The program described below is a guideline for returning concussed athletes when they are symptom free. Athletes with multiple concussions and athletes with prolonged symptoms often require a very different return to activity program and should be managed by a physician that has experience in treating concussion. The following program allows for one step per 24 hours. The program allows for a gradual increase in heart rate/physical exertion, coordination, and then allows contact. If symptoms return, the athlete should stop activity, notify their healthcare provider before progressing to the next level. When returning, the athlete must start with the step last completed successfully.

Stage 1 – Complete cognitive and physical rest

Stage 2 – Light aerobic exercise

Stage 3 – Increase sport specific exercise

Stage 4 – Non contact practise

Stage 5 – Full contact practise

Stage 6 – Return to Full Activity