By Heather Forst, Occupational Therapist - Clinical Educator

A concussion is a mild traumatic brain injury. It occurs when someone sustains a hit to the head or a force to the body. The force causes the brain and head to move quickly back and forth, disrupting the balance of chemicals in the brain. Although concussions require proper care and time to heal, most people recover fully.

Symptoms of a concussion can include headache, vision changes, dizziness, nausea, difficulty concentrating or sleep changes. You don’t have to be “knocked out” to sustain a concussion. A health care Progressing From Concussion to Classroom With Occupational Therapyprovider diagnoses the condition. Because children and teens might encounter challenges returning to the classroom, your provider might refer your child to occupational therapy to help with a successful return to school.

An occupational therapist will complete an evaluation, looking at your child’s:

  • Vision and how any vision changes could affect school performance or daily activities
  • Eye-hand coordination skills
  • Memory, organizational skills, and attention as they relate to independent actions at school, at home, and in the community
  • Sensitivity to light, sound, touch, or movement

Gillette’s Children's Specialty Healthcare's team of occupational therapists have developed a process to help your child recover from a concussion. Depending on your child’s age, he/she may progress through up to four stages, with a focus on the following areas:

  • Vision
  • Mind-Body Awareness (general coping strategies for headaches, stress, or other symptoms)
  • Cognition (as it relates to everyday function)
  • Daily Activities (following a daily routine at home/school, completing chores, managing time for homework, keeping track of homework, etc.). 
  • Your child’s occupational therapist (OT) may ask your permission to coordinate with your child’s school if your child is having issues with vision or if a deficit is noted on your child’s vision screening. Your OT might suggest school/classroom accommodations to help your child be successful at school while  brain and vision functions continue to recover.

Our therapists have a wide variety of tools to help your child heal.  We might offer standardized tests to help identify cognitive skills that are challenging for your child. We also use our clinical expertise while watching your child do things like cook, make Play-Doh, or go to a café. Such activities let us observe skills including time management, task initiation, emotional control and persistence. We can use technology (such as your child’s smart phone or iPad) paired with various applications to help develop memory, planning, or organization skills. Adding those activities to your child’s therapy sessions helps them carry over the skills successfully outside of therapy.

Click here to learn more about occupational therapy at Gillette.    

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