Cognitive / Concussion Assessment and Rehabilitation

Our Occupational Therapists are cognitive rehabilitation professionals who provide assessments and direct therapy to clients who have neurological or complex medical conditions and have experienced a change in cognitive function. We specialize in concussion care and post-concussion rehabilitation in collaboration with the client's health care team to facilitate a successful return to learn or work experience. Our cognitive rehabilitation OT's are a certified BrainFx 360 Evaluators and Cognitive Functional Capacity Evaluators. We are able to determine our client's cognitive functional capacity and identify workplace or school accommodations for use return to work or school coordination. 

Cognitive Assessments

Brain Fx 360 Cognitive Assessments   BrainFx PDF Brochure 

BrainFx 360 is a web and tablet-based assessment of Neurofunction TM. The client complete 62 multi-sensory, real-life and simulated activities on a tablet that measures performance on 30 cognitive skills. Because more complex cognitive skills are measured, it is designed to discern subtle dysfunction. When a baseline assessment has been completed, reports can be compared to understand the degree of change, providing a useful functional and clinical outcome measure. Designed for people (age 10 & Up) with concussion/mild TBI, stroke, mental illness, dementia, and other neurological disorders or conditions with cognitive effects.   

Cognitive Functional Capacity Evaluations (CogFCE)

Our Occupational Therapists (trained in CogFCE through Matheson Systems) conduct a comprehensive set of standardized and observation-based assessments, which determine both the physical and cognitive abilities of the client. The Cognitive portion of the FCE can be administered on its own (without the physical capacity portion) to outline only the cognitive capabilities of the client; however much is learned about cognition, throughout the physical testing. A Job Match CogFCE measures cognitive abilities of the individual that are matched to the cognitive demands of the target job and assist in determining if the job is appropriate and what accommodations may be required. 

Post-Concussion Stay at Work/Return to Work Therapy 

A treatment program which is designed for individuals who have experienced cognitive changes due to mild brain injury/concussion, or complex medical conditions to resume functional activities, and return to school or work. With a focus on increasing activity participation, cognitive tolerance, and symptom management, our cognitive rehabilitation OT's use Goal Management Training, Pacing Points, and cognitive compensatory strategies to optimize ability and cognitive-functional potential. Psychosocial barriers are identified and addressed using Cognitive Behavioural Therapy, Behavioural Activation, Motivational Interviewing, and Trauma Impact Reduction to prepare the client for a successful return to learn or work experience.

Cognitive Reconditioning (Clinic and Work/School-based Training)

Using the BrainFx 360 or CogFCE profile of the individual and simulating the cognitive demands of work or school, we customize work readiness training that assists the individual in improving cognitive tolerances through increasing exposure to computerized activities and functional work simulation tasks, matched to their target job/learning tasks. Cognitive Return to Learn/Work Conditioning is often prescribed alongside another rehabilitation programming such as physical work conditioning and vestibular therapy.

Job Demands Analysis 

A Job Demands Analysis is the assessment of the physical, cognitive, psychosocial aspects of a job, included in the essential and bona fide occupational requirements (BFOR) of the work. Our occupational therapists conduct Cognitive Demands Analysis, Physical Demands Analysis and full Job Demands Analysis, to be used in return to work planning and to determine appropriate employee accommodations, following injury, illness, or disability. Job Demands Analysis are an essential prerequisite for a Job-Specific Functional Capacity Evaluation.

Worksite Employee Accommodation Assessments 

This worksite assessment examines the job tasks, workstation, and relevant processes which will assist in identifying potential physical, cognitive or psychosocial accommodations that an employee may require. Interviews with the employee, supervisor, and human resources representative can be helpful in determining practical and reasonable accommodations such as the modification of work tasks, administrative policies or hours of work, environmental stimuli and other less obvious accommodations that may improve employee productivity and well-being.

Return to Work Coordination 

Our Occupational Therapists assist our clients in returning safely and timely back to work by proposing thoughtful return to work and graduated return to work plans, which identify the roles and responsibilities of all parties, outline targeted start and end dates, and measure effectiveness employee accommodations. We liaise with the employee and employer throughout the return to work process to monitor progress and adjust the plan as required. Our proven processes are built on open communication, collaboration and a guiding person-environment-occupation model of practice.


When to Make a Referral?

• When memory, attention, tinnitus, headaches, or other symptoms interfere with meaningful activity engagement.
• If you want to know the cognitive capacity of an individual in preparation for return to school, work or workforce entry.
• If return to work attempts have been unsuccessful due to reported symptoms or psychosocial issues.
• If reading and computer tasks are not tolerated well, or cognitive fatigue is reported on activity.
• If you suspect remedial or performance tolerance building is required for return to activity or work.