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  • Therapy Services
  • Support Services
    • Concussion/Traumatic Brain Injury (TBI)

      Basketball

      Our multidisciplinary team helps children and their parents through every step of recovery, from managing neurological symptoms to school and social issues. Specialists on the team include:

      • Certified brain injury specialists
      • Educational consultants
      • Neuropsychologists
      • Registered nurses
      • Rehabilitation therapists
      • Social workers
      • Sports medicine physicians

      The team also includes certified consultants for ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing). ImPACT is the most widely used and scientifically validated computerized concussion evaluation system for assessing the injury, tracking recovery and affirming a safe return to play. CHoR is an ImPACT-certified center.

      What is a Concussion?

      Any jolt or blow to the head that causes bruising, bleeding, swelling or shearing may result in a traumatic brain injury/concussion. The blow could occur in a fall, car accident, athletic activity or assault. The specialists in traumatic brain injury at Children's Hospital of Richmond at VCU care for children who have been seen in the hospital, emergency department or physician's office for a brain injury.

      Signs and Symptoms

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      If you believe your child has a traumatic brain injury or concussion, call your child's doctor immediately. Some common symptoms include:

      Physical symptoms



      • Dizziness
      • Balance trouble
      • Headache
      • Nausea
      • Numbness/tingling
      • Sensitivity to light
      • Sensitivity to noise
      • Visual problems
      • Vomiting


      Cognitive symptoms



      • Change in school performance
      • Difficulty concentrating
      • Difficulty remembering
      • Feeling confused about recent events
      • Feeling foggy
      • Feeling dazed/stunned
      • Forgetfulness
      • Repeating questions
      • Slow response time


      Emotional symptoms



      • Irritability
      • Increased emotions
      • Loss of interest in favorite activities
      • Sadness
      • Nervousness


      Sleep/energy symptoms



      • Drowsiness
      • Fatigue
      • Sleeping more than usual
      • Trouble falling asleep or staying asleep

      In infants and toddlers, you may notice:

      • Changes in play or loss of interest in favorite activities
      • Excessive crying (more than usual/child can't be consoled)
      • Listlessness (child feels floppy in your arms)
      • Loss of new skills such as walking or toilet training
      • Refusal to eat or nurse
      • Swelling of scalp or soft spot

      More Information

      Concussion Cheat Sheet
      Concussion fact sheet for parents
      Concussion fact sheet for school professionals
      Brain Injury Association(800) 444-6433
      Brain injury Association of Virginia(804) 355-5748
      ImPACT

      Appointments and Location

      804-628-4878

      Children's Pavilion

      Before coming to your appointment, please print and complete the ImPACT Baseline Worksheet.

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      Call 1.804.828.2467.

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