Concussion evaluation and treatment program

Concussion protocol

Concussion Evaluation Protocol

Cappino is a Sports Medicine Clinic Accredited with a Concussion Protocol. CAMP is a multi-disciplinary concussion

Concussion Clinic Montreal

sport team concept, selective focus on nearest man

management organization that implements a unique return to LEARN system before a traditional return to PLAY system. It protects individuals of all ages and levels from the cognitive consequences of concussions. It is based on the reACT Program, developed by Ronny Varga (Physiotherapist) and Dr. Scott Delaney (Head Physician for the Montreal Alouettes).

The foundation of CAMP is based on a thorough physical and cognitive evaluation which thereby classifies athletes with a specific level of impairment. This information enables the therapist to determine the level of learning that the athlete or student-athlete is able to properly manage (ie: if taking time off school is needed, if a reduced course load should be implemented, rest periods during the school day etc.) and when return to PLAY should be incorporated. CAMP’s return to PLAY system has a sports specific protocol in place that enables the athlete to return to sport symptom free:

  • The Concussion Attestation Program prevents, identifies and appropriately reacts to potential concussions
  • With Baseline Testing, the resulting data is valuable in determining the athletes pre-injury (ie: normal) level of cognitive and at times, physical functioning allowing for meaningful comparison following a post-concussion assessment using similar tests, thus allowing better concussion management and safe return to play or work
  • Multi-disciplinary post-injury management program that emphasizes the importance of return to LEARN before PLAY, following a concussion

Cappino is the first clinic to incorporate the NeuroTracker in our Concussion Protocol. The NeuroTracker measures and improves cognitive performance in sports and everyday activities. Extremely useful in baseline testing, assessing concussions and concussion recovery, it only takes 3-5 minutes and improvement rates for athletes are dramatic due to isolate cognitive stimulation and rapid brain development through neuroplasticity.

Learn more about Neurotracker

Government Legislation

We continue to actively align our Concussion diagnosis and management approach with the most recent government reports and legislation. This is important and we want to lead the front in establishing and continuously refining a protocol that is innovative and sets our sports partners apart from the rest in concussion rehabilitation.

Concussion Evaluation Protocol

From a cognitive perspective, clients are evaluated on their memory recall and emotional impact. Physically, cervical (neck) and thoracic (upper body) range of motion and strength are assessed to establish any deficits in motion and strength that might have occurred as a result of the head trauma. These findings are documented as they will need to be addressed from a treatment perspective. The individual nerves of the spine are assessed in order to determine their strength, sensation and reflex activity. The client’s visual system is also tested to see how their eyes are tracking both moving and stationary objects as well as their response to light stimuli. Following this, balance and hand & eye coordination are examined.

Based on the results of the cognitive, physical and neurological evaluations, as well as the client’s subjective symptoms ratings scale numbers, the patient is given a specific Cappino Concussion Scale (CCS) number which then determines their potential level for returning to learn and to play.


Based on the Cappino Concussion Evaluation (CCE), the client is rated on a scale from 0-6 whereby 0 means that they are able to initiate play and 6 signifies that they are severely incapacitated by their concussion

  • Score between 4-6 considered to display “high symptoms”
  • Score between 2-3 considered to display “moderate symptoms”
  • Score 1 considered to display “low symptoms”
  • Score 0 considered symptom free

Based on this assessment, detailed guidelines are put in place, detailing activities that are permitted and what should be avoided (in school, during everyday activities and on the field).


Once the client has returned physically, neurologically and cognitively back to their baseline status and has been declared “asymptomatic”, they are permitted to begin one of two Return to Play Protocols (RTP):

  • The choice of the specific protocol to follow is based upon the length of time it took before the client’s symptoms resolved.