Guelph Clinic
Guelph, ON N1L 1C9|Mon-Fri 9am-5pm
At Shift Concussion Management, we deliver comprehensive, evidence-based care that addresses the multiple trajectories of concussion recovery. Our interdisciplinary team uses proven rehabilitation strategies - combined with clinical expertise and patient-centred care - to help you regain function, reduce symptoms, and return safely to the activities that matter most.
Effective recovery starts with understanding your symptoms and learning how to manage them. Our clinicians provide clear, personalized guidance on:
These tools empower patients to take an active role in their progress and reduce uncertainty throughout the rehabilitation process.
For dizziness, imbalance, motion sensitivity, visual-vestibular symptoms, and difficulty with busy environments
Concussion often affects the vestibular system - the network responsible for balance, stability, and coordinating head and eye movements. Our functional vestibular therapy program includes:
These methods target common symptoms such as dizziness, blurred vision, nausea, difficulty with screens or reading, and challenges navigating visually busy spaces.
For exercise intolerance, autonomic dysfunction, fatigue, brain fog, and persistent symptoms
Research now strongly supports the role of controlled aerobic exercise in concussion recovery. Our team uses structured, sub-symptom threshold exercise testing to determine safe starting points and build individualized programs that:
Programs are progressed gradually and monitored closely to ensure symptom stability.
For unsteadiness, poor coordination, visual motion sensitivity, and mobility limitations
Balance and sensorimotor deficits are common following concussion, particularly when the visual, vestibular, and proprioceptive systems are not communicating effectively. Treatment may include:
These interventions help restore stability, improve confidence with movement, and reduce the risk of re-injury.
For neck pain, headaches, shoulder/upper back tension, musculoskeletal injury, and symptoms influenced by cervical dysfunction
Concussions rarely occur in isolation - most injuries also involve the neck or surrounding structures. These orthopaedic issues can drive symptoms like headaches, dizziness, eye strain, and difficulty concentrating. Our team provides:
Addressing these physical contributors is essential for reducing symptoms and supporting complete, durable recovery.
For cognitive function, emotional wellbeing, school/work demands, and daily performance
Our occupational therapists specialize in the cognitive and functional challenges that often accompany concussion. OT services may include:
For athletes preparing to safely resume training and competition
Before returning to sport, athletes must demonstrate that they can tolerate the physical, cognitive, and sensory demands of their game without triggering symptoms. Our Exertion Assessment provides a controlled, clinic-based environment to replicate the challenges of sport and ensure readiness for full participation. This assessment may include:
Throughout testing, we closely monitor symptoms, heart rate, and performance to ensure the athlete tolerates increased intensity without setbacks. This process provides a safe, objective, and evidence-based pathway toward return to practice and competition - reducing the risk of reinjury and supporting long-term performance.
Although concussion rehabilitation is our specialty, our clinicians are also trained to manage a wide range of musculoskeletal conditions. We regularly treat:
This whole-body approach ensures that all relevant contributors to your symptoms are addressed—whether they stem from concussion, orthopaedic injury, or both.