08/06/2026
Many concussion assessments rely heavily on symptom reporting.
“Does this make you dizzy?”
“Does your headache increase?”
“Do you feel more foggy?”
These questions are important—but they don’t necessarily tell us why the symptoms are occurring.
Two people can have identical VOMS scores but completely different underlying problems:
• Vestibular dysfunction
• Oculomotor dysfunction
• Cervicogenic dizziness
• Autonomic dysfunction (including POTS)
This is why objective and quantitative assessment is becoming increasingly important in modern concussion rehabilitation.
Technologies and assessments such as:
👁️ Video oculography (VOG)
👁️ Eye tracking
👁️ Dynamic visual acuity
👁️ Convergence & accommodation testing
❤️ Exercise tolerance testing
❤️ Autonomic assessment
🦴 Cervical sensorimotor evaluation
⚖️ Force Plate Balance Assessment
can help identify the specific physiological systems involved and guide a more individualized rehabilitation plan.
The goal isn’t simply to ask:
“How do you feel?”
It’s to understand:
“How is your nervous system functioning?”
The future of concussion management is moving toward precision rehabilitation—matching the right treatment to the right underlying dysfunction.
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