Concussions are no longer a “wait it out” diagnosis. In recent years, research has shifted the concussion conversation away from passive rest and toward active, targeted rehabilitation — and physiotherapy is taking center stage in this evolution, offering one of the best ways to treat concussions.
From the sideline to the clinic, physiotherapists are now playing a vital role in early diagnosis, structured recovery, and safe return to play. Here’s what the latest science tells us about how physiotherapy helps the brain bounce back.
1. Active Recovery Beats Rest
Gone are the days of prescribing dark rooms and doing nothing for weeks. Modern evidence supports a graded return to activity — starting within days of injury.
Recent studies (Siahaan et al., 2024; Farì et al., 2024) have shown that early, controlled aerobic exercise paired with physiotherapy significantly reduces recovery time, particularly in children and athletes.
Key takeaway: A walk on the treadmill or guided movement might be safer — and smarter — than staying in bed.
2. Dizziness and Balance? Think Vestibular Therapy
One of the most lingering symptoms of concussion is imbalance or vertigo. Physiotherapists are trained to assess and retrain the vestibular system, which governs our balance and spatial orientation.
Farì et al. (2024) emphasized the power of vestibular rehab, including head movements, eye tracking, and balance retraining.
Key takeaway: Dizziness isn’t “in your head” — it’s a treatable neurological issue, especially with skilled vestibular physio.
3. Don’t Forget the Neck
Concussions often come with cervical spine dysfunction, especially in contact sports or whiplash injuries.
Galea et al. (2024) provided evidence that manual treatment for a concussion, stretching, and postural correction of the neck can ease persistent headaches and improve range of motion.
Key takeaway: Treat the concussion as the neck and the brain together — they’re both part of the concussion picture.
4. Education and Pacing = Prevention of Setbacks
Physiotherapists are more than movement experts — they are educators and recovery strategists.
Chua et al. (2024) found that patients highly valued personalized pacing plans, advice on symptom triggers, and gradual return-to-life guidance.
Key takeaway: Knowing your limits (and having a physio who monitors them) can stop one concussion from turning into chronic symptoms.
5. Team-Based Care Is the Future
Concussions aren’t one-size-fits-all — and neither should the treatment be.
Mills et al. (2024) and Pruc et al. (2024) documented how multidisciplinary rehab teams, with physiotherapists, neurologists, and psychologists, yield faster and more complete recoveries.
Key takeaway: A connected team = a connected brain. Holistic care works better.
6. Sport-Specific Return-to-Play Matters
Getting back in the game safely is a key concern for athletes. Physiotherapists now guide return-to-play protocols through sport-specific drills and dual-task exercises.
Farì et al. (2024) and McKeever et al. (2025) recommend step-wise protocols that include motor control, reaction tasks, and psychological readiness checks.
Key takeaway: You’re not cleared just because you “feel fine.” Proper return-to-play must be evidence-based.
Final Thoughts: The New Normal of Concussion Recovery
Physiotherapy has carved out a crucial role in concussion care — no longer as an optional add-on but as a core part of treatment.
Whether you’re an athlete, parent, healthcare provider, or just someone who wants to know more, the message is clear:
“Treat the brain — but don’t forget the body.”
Concussion recovery is complex, but with the right tools and team, full recovery is not just possible — it’s expected.
