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Composite 2 · Recovery
Post-concussion symptoms, beyond the expected window.
A composite illustration of how we structure care for patients with persistent post-concussion symptoms. qEEG to map persistent dysregulation, vestibular and ocular-motor work, autonomic biofeedback, alongside the treating sports physician or GP.
AHPRA-registered clinician-led
Clinical-grade qEEG hardware
Co-care with your GP & psychologist
Geelong · Camperdown · Australia-wide
Composite case study. Anonymised, illustrative, built from many similar presentations. Not a single patient. No clinical outcome claims. Individual responses vary.
The presentation
Where the patient typically arrives.
An adult or older adolescent had a knock several months ago — sport, fall, accident, sometimes a domestic incident. The acute symptoms cleared on the timeline you’d expect (within days to a few weeks). They were assessed at the time, imaging was unremarkable, and they returned to ordinary life.
But something didn’t come back fully. They feel persistently foggy. Reading concentration has dropped. They’re tired far out of proportion to their actual load. Light or sound sensitivity has crept in. Quick head movements provoke a small wave of dizziness. Their treating clinician has run out of obvious next moves.
By the time they reach us, they’re often frustrated, second-guessing themselves, and quietly worried it’s “just in their head.”
What the qEEG often shows
Persistent dysregulation that doesn’t appear on structural imaging.
In persistent post-concussion presentations, the qEEG often shows distinctive patterns — localised slow-wave activity around the impact site, sometimes asymmetry in alpha or beta, frequently signs of network-level dysregulation across attention and sensorimotor networks. Vestibular-ocular screening (drawn from established concussion-rehabilitation protocols) identifies trainable dysfunctions that often don’t come up in standard return-to-play clearance.
The MRI is unremarkable because MRI shows structure. The qEEG and the vestibular-ocular workup show function — which is what hasn’t come back.
How the plan is structured
Functional rehabilitation, not symptom-management.
- Functional Neurological Exercises (FNE) lead. Vestibular, ocular-motor, balance, dual-task, and cerebellar work — calibrated to the screening findings, dosed daily as home practice with weekly progressions in clinic. This is the modality with the strongest RCT evidence in post-concussion recovery.
- swLORETA neurofeedback toward the dysregulated regions. Where the qEEG shows persistent localised dysregulation, the neurofeedback protocol is built off that picture — not off a generic post-concussion template.
- HRV biofeedback for autonomic recovery. Most concussion presentations have a sustained autonomic-arousal component. Resonant breathing trains the system back toward regulated baseline.
- Coordination with the treating team. If the patient has a sports physician, GP, or rehab provider, we report in. We do not provide return-to-play clearance — that decision sits with the treating doctor.
Why measurement matters here
The follow-up qEEG is the proof point.
Post-concussion patients are often gaslit by their own subjective experience. “Am I imagining this fog?” “Should I be over it by now?” “Is my employer right that I’m fine?”
The Week 1 qEEG gives them an objective baseline. The Week 12 follow-up qEEG gives them a side-by-side comparison. Whether the picture has moved or not, the data is real and visible. That’s often the most useful single output of the program — not just for the clinical team, but for the patient’s own sense of what’s actually happening.
Who this composite fits
Who tends to benefit from this work.
- Patients with persistent post-concussion symptoms beyond the expected recovery window (typically 6–12 weeks).
- Athletes between concussion and return-to-play decisions, where the treating doctor wants more information.
- Patients with multiple historical concussions wanting a current functional picture of where they are.
More on this work: Concussion & post-concussion symptoms · Functional Neurological Exercises · qEEG brain mapping.
Scope & safety
We work alongside — not in place of — primary medical and psychological care. We do not diagnose neurological or psychiatric conditions from EEG, and we do not prescribe or alter medication. If you or someone you know is in crisis, call 000 or Lifeline 13 11 14.