Wellness
Lee Sidebottom
September 1, 2025
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The Overlooked Side of Recovery

Every athlete and clinician knows that concussion recovery is complex. Symptoms may fade, balance can return, and physical conditioning often looks normal — yet many athletes remain at risk.

The return-to-play (RTP) and return-to-training phases are especially critical. These moments carry high stakes, as athletes who aren’t fully ready face a much greater chance of reinjury. What often goes unnoticed are the cognitive and motor skill deficits that persist long after the visible signs of recovery.

This is where concussion rehabilitation overlaps with peak performance training. To truly protect athletes and prepare them for success, both domains need to be addressed together.

Beyond Physical Clearance

Traditionally, RTP decisions are based on physical markers: symptom checklists, balance tests, and conditioning drills. But concussions affect more than just the body — they impact attention, reaction speed, decision-making, and motor control.

Research now shows that athletes may look physically ready while still having lingering weaknesses in the brain systems that govern coordination and split-second responses. These deficits can:

  • Slow down reaction times
  • Reduce situational awareness
  • Disrupt coordination between vision and motor skills
  • Increase susceptibility to further injury

This means that the very phase athletes most look forward to — stepping back onto the field — may also be when they are most vulnerable.

The Role of Cognitive Training in Rehab

To reduce this vulnerability, more clinicians are integrating cognitive training and performance testing alongside traditional rehab. This approach:

  • Creates benchmarks for safe progression (both personal baselines and normative data can be used).
  • Identifies subtle cognitive or motor deficits that might otherwise go unnoticed.
  • Builds resilience by training the brain under conditions that mirror real-world complexity.

For athletes, this doesn’t just speed recovery — it also improves their long-term performance capacity.

What the Research Says

New evidence shows that perceptual-cognitive training can transfer directly to motor function benefits. For example, recent studies on aging populations have demonstrated improvements in motor skills following targeted brain training, highlighting its value in rehabilitation and daily functioning.

Professor Faubert, Director of the Faubert Lab at the University of Montreal

Preliminary research findings also indicate that this type of training can be used to assess and strengthen areas of persistent weakness after injury, offering an early warning for reinjury risks. As one study led by Professor Jocelyn Faubert, an esteemed neuroscientist and the inventor of NeuroTracker, points out:

“Athletes can potentially use cognitive training to limit their risk of sustaining an injury. By targeting the brain systems that control attention, decision-making, and coordination, we can reduce hidden vulnerabilities that might otherwise lead to setbacks.”

NeuroTracker: A Bridge Between Rehab and Performance

Shift Concussion Management integrating rehab and performance dual-task NeuroTracker training

NeuroTracker is one of the most widely studied tools for this purpose, with over 120 peer-reviewed publications. It has been successfully applied in:

  • Rehabilitation contexts, helping athletes rebuild both cognitive and motor control after injury.
  • Return-to-play protocols, where objective baselines and normative data support safer clearance decisions.
  • High-performance training, giving athletes a cognitive edge once they’re back in competition.

What makes NeuroTracker stand out is its ability to scale from the clinic to the field — including remote training options that allow athletes to continue progressing at home.

As NeuroTracker champion Dr. Aakash Shah puts it, the value lies in combining clinical care with high-level performance gains:

“When we strengthen both visual and cognitive skills, we’re not just rehabilitating — we’re future-proofing athletes.”

Why Concussion Recovery and Peak Performance Go Hand in Hand

Concussion rehabilitation is not just about healing; it’s about building resilience. By integrating cognitive and motor skill training into RTP protocols, clinics and performance centers can:

  • Protect athletes during the highest-risk phases of recovery
  • Improve the accuracy of clearance decisions
  • Unlock performance potential beyond pre-injury levels

This convergence of rehab and performance is why the most forward-thinking clinics — and the most successful athletes — are embracing brain-first approaches to recovery.

Frequently Asked Questions

Q: Isn’t concussion recovery mostly about rest and physical therapy?
A: Rest is essential in the early stages, but research shows that lingering cognitive deficits can persist well after physical symptoms fade. Addressing these directly is critical for safe recovery.

Q: How does NeuroTracker fit into return-to-play decisions?
A: NeuroTracker can provide objective benchmarks — either from an athlete’s own pre-injury baseline or from normative references — to help clinicians assess readiness with greater confidence.

Q: Can cognitive training really affect motor skills?
A: Yes. Studies show improvements in coordination, decision speed, and motor control following perceptual-cognitive training. This is why it’s gaining traction in both rehab and performance contexts.

Q: Is this relevant only for professional athletes?
A: Not at all. From youth sports to active adults, cognitive training is being used to support safer recoveries and build stronger long-term resilience.

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