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1515 Gordon St, Suite 205, Guelph, ON N1L 1C9
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Shift Concussion Management

The Gold Standard in Concussion Recovery and Clinician Education.

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Guelph Clinic

Guelph, ON N1L 1C9|Mon-Fri 9am-5pm

Our Services

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.

Concussion Education & Home Management Strategies

Effective recovery starts with understanding your symptoms and learning how to manage them. Our clinicians provide clear, personalized guidance on:

  • Activity pacing and energy management
  • Symptom triggers and exposure strategies
  • Sleep, nutrition, stress, and lifestyle factors
  • Daily structure and routines
  • Strategies for balancing symptom exacerbation with rehabilitation needs

These tools empower patients to take an active role in their progress and reduce uncertainty throughout the rehabilitation process.

Vestibular Rehabilitation Therapy

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:

  • Gaze stabilization training
  • Habituation exercises for motion or visual sensitivity
  • Balance and postural stability work
  • Head and body movement retraining
  • Visual-vestibular integration exercises

These methods target common symptoms such as dizziness, blurred vision, nausea, difficulty with screens or reading, and challenges navigating visually busy spaces.

Aerobic Exercise Programming

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:

  • Improve exercise tolerance and autonomic regulation
  • Reduce headaches, fatigue, and cognitive fog
  • Support mood, sleep, and overall recovery
  • Promote a safe return to sport, school, and daily activities

Programs are progressed gradually and monitored closely to ensure symptom stability.

Balance & Sensorimotor Training

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:

  • Dynamic balance training
  • Dual-task and movement coordination drills
  • Proprioceptive and postural control exercises
  • Visual-motor and reaction-time training

These interventions help restore stability, improve confidence with movement, and reduce the risk of re-injury.

Orthopaedic Assessment, Manual Therapy & Corrective Exercise

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:

  • Manual therapy for soft tissue and joint restrictions
  • Cervical spine and upper back mobility work
  • Postural correction and strength programming
  • Targeted stretching and stabilization exercises
  • Whole-body movement assessment related to sport or daily function

Addressing these physical contributors is essential for reducing symptoms and supporting complete, durable recovery.

Occupational Therapy

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:

  • Cognitive screening and functional assessment
  • Strategies for attention, memory, and information processing
  • Mental-emotional health support within scope
  • Return-to-school and return-to-work planning
  • Pacing, scheduling, and daily routine optimization
  • Environmental and task modifications to reduce symptom load
  • Strategies and tools to work with ADHD and its influence on concussion recovery
  • Sensory regulation, stress management techniques, and adaptation to routines

Exertion Assessment for Return to Sport

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:

  • Sport-specific movement drills (agility, cutting, change of direction, reaction-time tasks)
  • Progressive cardiovascular load to elevate heart rate to sport-relevant zones
  • Cognitive and dual-task challenges such as decision-making, tracking, pattern recognition, or sport-relevant cues
  • Motor coordination and visually demanding tasks to simulate real-game pressures
  • Balance and dynamic movement challenges based on positional demands

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.

Not Just a Concussion Clinic: Orthopaedic & Sport Injury Care

Although concussion rehabilitation is our specialty, our clinicians are also trained to manage a wide range of musculoskeletal conditions. We regularly treat:

  • Sports injuries (sprains, strains, tendon issues)
  • Neck and back pain
  • Headaches and migraines influenced by cervical mechanics
  • Shoulder, knee, and hip injuries
  • Postural and movement-related pain
  • Chronic or recurrent musculoskeletal dysfunction

This whole-body approach ensures that all relevant contributors to your symptoms are addressed—whether they stem from concussion, orthopaedic injury, or both.