Cognitive Rehab and Concussion Care

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 Work Conditioning (Clinic and Worksite-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 Work Conditioning is often prescribed alongside other rehabilitation programs such as physical work conditioning, vestibular therapy and direct mental health therapy. 

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.