Leaps & Bounds: Performance Rehabilitation

Leaps & Bounds: Performance Rehabilitation Get expert physiotherapy and chiropractic care at Leaps & Bounds for pain relief & recovery!

At Leaps and Bounds: Performance Rehabilitation, our therapists use sophisticated diagnostic methods, including movement investigation, to help determine which of our physiotherapy, chiropractic, and massage therapy services you will benefit from most. Our attentive and thorough evaluations enable us to create effective treatment plans that empower you to take control of your pain relief, healing, and future injury prevention.

Always grateful for ."Thank you so much for sharing your incredible journey and kind words about our team with us, Rose...
08/21/2026

Always grateful for .

"Thank you so much for sharing your incredible journey and kind words about our team with us, Rose.

Recovering from a concussion after a traumatic car accident is no small feat, and we're honoured that you trusted Dr. Eng to be part of your recovery. Your determination, commitment to your rehabilitation, and resilience have been inspiring to watch.

Seeing you return to an active lifestyle, care for your family with confidence, and not only achieve your goal of running again but complete two half marathons is an amazing accomplishment. Stories like yours are exactly why we're so passionate about providing individualized concussion rehabilitation and helping our patients get back to the activities they love.

Congratulations again on everything you've achieved, and thank you for recommending Leaps and Bounds. We wish you continued success in all of your future running goals!"

Leaps and Bounds: Performance Rehabilitation
Oakville, ON

🧠 Earlier in this series, we discussed clinical signs of brain dysfunction — things that may be obvious following an inj...
08/19/2026

🧠 Earlier in this series, we discussed clinical signs of brain dysfunction — things that may be obvious following an injury, such as loss of consciousness, posturing, or uncoordinated movements.

🔎 But concussion doesn’t always look that obvious.

Sometimes, evidence of brain dysfunction only becomes apparent when we challenge specific systems during a clinical examination.

Remember the ACRM diagnostic criteria: following a plausible mechanism of injury, at least one clinical examination finding attributable to brain injury can provide evidence needed to diagnose a concussion.

A comprehensive concussion examination may uncover abnormalities in:

🧠 Cognition
Memory, attention, concentration, processing speed, or reaction time.

🩺 Neurological function
Cranial nerve, motor, sensory, reflex, or coordination testing.

⚖️ Balance & postural control
Standardized or more challenging balance and gait tasks.

🌀 Vestibular function
Gaze stability, motion sensitivity, or the integration of visual, vestibular, and sensory information.

👀 Oculomotor function
Eye movements, tracking, saccades, convergence, or other aspects of visual function.

Unlike the clinical signs we discussed in Part 2, many of these deficits aren’t obvious — you have to look for them. Someone may walk into the clinic, carry on a normal conversation, and even report feeling relatively well — yet abnormalities can emerge when these systems are appropriately assessed.

Symptoms (or lack thereof) tell us what the patient experiences. Clinical examination can reveal how their brain is functioning.

That’s why concussion assessment goes beyond asking: “How do you feel?”

We also need to ask: “What happens when we test you?”

But what about imaging, blood tests, and other diagnostic tools? Can they actually diagnose a concussion?

🧠 We’ll tackle that in Part 5.

Because concussion diagnosis is about identifying evidence of altered brain function — even when it isn’t obvious.

Leaps and Bounds: Performance Rehabilitation
Oakville, ON

Physiotherapy Chiropractic AthleticTherapy

🥕 Don’t forget to check out this FRESH event happening at Bronte Market Square! 🍅Visit Bronte Village for a Sunday fille...
08/14/2026

🥕 Don’t forget to check out this FRESH event happening at Bronte Market Square! 🍅

Visit Bronte Village for a Sunday filled with farm-fresh produce, tasty treats, unique local finds and exciting performances at the Bronte Farmers’ Market.

⏺️ Sunday, August 16, 2026
⏰ 10:00 a.m. – 2:00 p.m.
📍 2445 Lakeshore Road West, Oakville

🌐 For more information, visit the Town of Oakville website.

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Leaps and Bounds: Performance Rehabilitation
Oakville, ON

🦵Years ago, Leaps&Bounds PerformanceRehab posted about the importance of quadriceps strength after knee injury and intro...
08/11/2026

🦵Years ago, Leaps&Bounds PerformanceRehab posted about the importance of quadriceps strength after knee injury and introduced the quad index — the strength of the injured quadriceps compared with the uninjured side.

It remains an important measure today: Achieving ≥ 90% limb symmetry after ACL reconstruction, or other extended knee rehab, is commonly included as one component of return-to-sport testing.

☝️ But there’s an important limitation that often gets overlooked.

We tend to assume the “good” leg represents where the athlete was before their injury. But what if that leg has changed too?

A knee injury, or surgery, can sometimes mean months away from normal training and competition. During rehabilitation, strength in the uninvolved leg can change as well. Research has shown that this can make limb symmetry misleading: an athlete can improve their quad index not only because the injured leg got stronger, but also because the benchmark they’re comparing it to got weaker.

Think about it this way:
➡️ Before injury, the good leg produces 230 units of force.
➡️ Months later, it produces 200.
➡️ The recovering leg reaches 180.
✅ Quad Index = 90%

That looks great on paper. But the recovering leg is only 78% as strong as the good leg was before the injury.

So we need to be careful about using limb symmetry alone to determine whether an athlete is ready to return to sport. A 90% quad index can be useful information — but 90% symmetry doesn’t necessarily mean 90% recovered.

💪🏼 It’s also one reason we encourage athletes to continue training the “good” leg HARD throughout rehabilitation.

Don’t allow the target to come down to meet the recovering leg. Maintain — and when appropriate, continue building — the strength and physical capacity of the uninvolved side while you work to bring the injured side back up.

Because ultimately, our goal isn’t just to create two equally strong legs. Our goal is to rebuild an athlete who is strong enough to tolerate the demands of their sport.

Symmetry matters. But so does absolute strength.

Drop your thoughts or questions below 👇🏼

StrengthTraining

Always grateful for ."Thank you so much for sharing your experience—this truly means a lot to our team. Recovering from...
08/10/2026

Always grateful for .

"Thank you so much for sharing your experience—this truly means a lot to our team. Recovering from post-concussion symptoms, especially when they evolve over time, can be incredibly challenging and uncertain, and we’re so glad you found your way to Carolina.

Your words about feeling heard and validated are especially meaningful. That moment of recognition can make such a difference when symptoms feel overwhelming or unclear. Carolina takes great pride in not only providing thoughtful, evidence-based care, but also in supporting patients through every stage of recovery.

We’re also really glad to hear how helpful the collaboration between your care providers and the addition of vision therapy was in your progress. A team-based approach is often key in more complex cases like yours.

Most importantly, it’s wonderful to hear how far you’ve come last year. Regaining your quality of life is exactly what we strive for, and we’re so grateful you trusted us to be part of that journey.

Wishing you continued progress and all the best moving forward!"

Leaps and Bounds: Performance Rehabilitation
Oakville, ON

📣 What symptoms suggest someone may have sustained a concussion?In Part 1, we reviewed the ACRM diagnostic criteria for ...
08/07/2026

📣 What symptoms suggest someone may have sustained a concussion?

In Part 1, we reviewed the ACRM diagnostic criteria for concussion.

Remember: a concussion diagnosis requires a mechanism of injury plus evidence of brain dysfunction. One way this can be established is through the presence of at least two acute symptoms following the injury.

Unlike clinical signs, symptoms are subjective—they're what the injured person experiences and reports.

Common acute symptoms include:
🤕 Physical symptoms (slide 2)
🧠 Cognitive symptoms (slide 3)
😟 Emotional and 😴 Sleep-related symptoms (slide 4)

These symptoms are important because they reflect how the brain is functioning after an injury. However, symptoms are subjective and can vary greatly between individuals. Some athletes may minimize or fail to recognize their symptoms, while others may not develop them until hours after the injury.

That's why concussion diagnosis should never rely on symptoms alone—they are just one piece of the diagnostic puzzle.

➡️ Part 4: Clinical examination findings
➡️ Part 5: Laboratory and diagnostic findings

A concussion isn't diagnosed by one symptom—it's diagnosed by evaluating the complete clinical picture.

If you're liking this series, tell us by clicking a ❤️, leaving us a 🗯️, or sharing ↗️.

Leaps and Bounds: Performance Rehabilitation
Oakville, ON

🧊 Frozen shoulder can make reaching, dressing, sleeping, and everyday movement frustratingly difficult, but you don't ha...
08/04/2026

🧊 Frozen shoulder can make reaching, dressing, sleeping, and everyday movement frustratingly difficult, but you don't have to navigate recovery alone. Our latest newsletter explores how a multidisciplinary approach can help address the different factors contributing to frozen shoulder and support recovery through coordinated care.

By combining the expertise of different healthcare professionals with personalized treatment, patients can work toward reducing pain, improving mobility, restoring function, and returning to the activities they enjoy. Read the full article to learn more about how multidisciplinary care can help with frozen shoulder treatment! 💙

https://leapsboundsrehab.ca/newsletter/understanding-frozen-shoulder-treatment-how-multidisciplinary-care-can-help/?utm_source=newsletter&utm_medium=social

🇨🇦 Happy Canada Day from all of us at Leaps & Bounds Performance Rehabilitation!🇨🇦Today, we're celebrating everything th...
07/01/2026

🇨🇦 Happy Canada Day from all of us at Leaps & Bounds Performance Rehabilitation!🇨🇦

Today, we're celebrating everything that makes Canada special — our communities, our diversity, and our shared love of staying active.

Whether you're spending the day at the cottage, out on the trails, at the soccer field (or cheering on your favourite team at the FIFA World Cup), by the lake, or simply enjoying time with family and friends, we hope you have a safe, active, and memorable Canada Day.

We're grateful to be part of the Oakville community and to have the privilege of helping athletes, dancers, weekend warriors, and active families recover from injury, improve performance, and keep doing what they love.

Wishing everyone a fun, healthy, and safe Canada Day!

🍁 Go Canada Go! Allez Les Rouges! 🍁

Recover Faster. Perform Better. Stay in the Game
📍 Leaps & Bounds: Performance Rehabilitation
📍 Oakville, Ontario

☀️ Summer is the perfect time to tackle those nagging movement limitations that may be holding you back. Our latest news...
06/11/2026

☀️ Summer is the perfect time to tackle those nagging movement limitations that may be holding you back. Our latest newsletter explains how improving mobility, flexibility, and movement patterns now can help you perform better, prevent injuries, and stay active all year long. Whether you're enjoying outdoor activities, sports, or everyday adventures, addressing restrictions early can make a lasting difference. Read the full article and take the first step toward moving with greater confidence and ease! 🌿

https://leapsboundsrehab.ca/newsletter/address-movement-limitations-this-summer-to-perform-better-all-year-round/?utm_source=newsletter&utm_medium=social

Address

2015 Kingsridge Drive #3
Oakville, ON
L6M4Y7

Opening Hours

Monday 9am - 8pm
Tuesday 7:30am - 8pm
Wednesday 9am - 8pm
Thursday 7:30am - 8pm
Friday 9am - 7pm
Saturday 8am - 2pm

Telephone

+19058475227

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