Upper Canada Sports Medicine

Upper Canada Sports Medicine

Concussion Clinic Call 905-853-4220

Concussions have unfortunately become more prevalent in today’s sporting society.

Upper Canada Sports Medicines therapists specialize in post concussion testing using� the SCAT Sport Concussion Assessment Tool version 5�(SCAT 5) and IMPACT, an online screening tool supervised by Dr.�Micheal Czarnota, a clinical neurologist. Dr. Czarnota is the Concussion Consultant for the Ontario Hockey League, Western Hockey League and nearly 20 minor professional hockey teams from the SPHL to the AHL.

Concussion awareness is improving and proper management is being accepted more and more often as a necessary part of any contact sport. according to Dr. Czarnota.

We strongly urge all athletes involved in collision sports to have baseline testing so that post concussion testing has a strong relevance to the individual and changes in cognitive ability can be noted.

. �A concussion is defined as a disturbance in the function of the brain caused by a direct or indirect force to the head. It can involve many symptoms such as headache, neck pain, balance problems or dizziness, nausea or vomiting, vision problems, ringing in the ears, confusion, difficulty concentrating and difficulty remembering among other symptoms. Not all concussions involve memory problems or loss of consciousness.

Upper Canada Sports Medicine has signed an agreement with the providers of the Impact Concussion software in Canada to do baseline and post concussion testing.

�There is a cost for this online testing and not all teams may have the resources to have their players tested. Fortunately, there is a tool that was created by a coalition of Neurosurgeons from around the sporting world.� Dr. Karen Johnston, a Canadian neurosurgeon was one of the key doctors involved in the creation of the Sport Concussion Assessment Tool (SCAT) and the subsequent SCAT II released in 2008.

� They recognized Athletic Therapists and Sport Physiotherapists as being qualified to administer their creation. Guidelines for referral to a supervising physician were also created.� The Sport Concussion Assessment Tool (SCAT II) can be used as a baseline test as well as a follow-up tool after a suspected concussion has occurred.


Our Athletic Therapists can help resolve secondary problems resulting from a concussion injury such as whiplash.  Cranial Sacral treatments can be used when necessary, and referral to Osteopathic treatments can be made if required. With our on staff doctor’s supervision, we create structured return to play guidelines, and have the ability to quickly refer patients to additional specialists depending on clients specific needs. It is essential to properly treat concussions upon onset to minimize post concussion syndrome and future complications




If your child exhibits any of the below signs after a game, he or she may have a concussion that was not recognized.

Frequently observed signs of concussion:

  • Headache
  • Athlete appears dazed 
  • Vacant facial expression 
  • Confusion about assignment 
  • Athlete forgets plays 
  • Disorientation to game, score, opposing team 
  • Inappropriate emotional reaction (laughing, crying) 
  • Athlete displays incoordination or clumsiness 
  • Athlete is slow to answer questions 
  • Loss of consciousness (even for seconds) 
  • Any change in typical behavior or personality 
  • Nausea 
  • Balance problems or dizziness 
  • Double or fuzzy vision 
  • Sensitivity to light or noise 
  • Feeling slowed down 
  • Feeling “foggy” or “not sharp” 
  • Change in sleep pattern 
  • Concentration or memory problems 
  • Irritability 
  • Sadness 
  • Feeling more emotional 

Symptoms may worsen with exertion. Athletes should not return to play until symptom-free.


There are numerous organizations that have a great deal of information to learn about concussions.

  • www.hockeycanada.ca – the 2008 Concussion Awareness Seminar has some great personal experience videos that can be watched on your computer
  • www.thinkfirst.ca – This is the group created by Dr. Tom Pashby who was truly a pioneer in the recognition and management of concussions.
  • www.sportconcussions.com – Dr. Czarnota, the doctor that interprets Impact testing results.
  • http://www.biac-aclc.ca – Brain Injury Association of Canada
  • http://www.sportconcussions.com – Consensus statement on concussion in sport- The 3rd International Conference on concussion in sport.  Zurich November 2008. The SCAT II is part of this article. 
  • Authors are Dr.’s- P. McCrory, W. Meeuwisse (University of Calgary), K. Johnston (Toronto Rehabilitation Institute) J. Dvorak, M. Aubry (Ottawa Sport Medicine Centre), M. Molloy, R. Cantu (Emerson Hospital, Concord, Massachusetts, USA)
  • http://www.sportslegacy.org – Dr. Robert Cantu, Chief of Neurosurgery Service. Click on the “Coaches Clinics” on there web site for some interesting videos and information



Call us at 905.853.4220

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  • Rogers Centre
  • Toronto FC
  • Toronto Argonauts
  • Town of Newmarket, Ontario