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Brain Concussion

The Chiromedic Center is now an official clinic of Complete Concussion Management ™ to provide prevention and adapted treatment for concussions
Dr. Francis Fontaine M.D. Dip. Méd. Sport. CCMF (MSE)
Dr. Francis Fontaine M.D. Dip. Méd. Sport. CCMF (MSE)Médecin généraliste, médecine sportive
Dr. Francis Fontaine M.D. Dip. Méd. Sport. CCMF (MSE)
Dr. Francis Fontaine M.D. Dip. Méd. Sport. CCMF (MSE)Médecin généraliste, médecine sportive
- Doctorat en Médecine (M.D.) de l’Université de Montréal
- Doctorat en Chiropratique (D.C.) de l’Université du Québec à Trois-Rivières
- Diplomé de l’Académie Canadienne de Médecine du sport et de l'Exercice
- Certification de compétence additionnelle en Médecine du Sport et de l’Exercice du Collège des Médecins de Familles du Canada
Expérience professionnelle
- Médecin au sein de l’équipe médicale du Canadiens de Montréal
- Directeur-Médical du Cirque du Soleil
- Médecin-Coordonateur de l’Équipe Nationale de Ski Acrobatique du Canada (Freestyle Canada)
- Médecin aux Jeux Olympiques de PyeongChang 2018
- Médecin aux Jeux Olympiques de Vancouver 2010
- Directeur Médical du Groupe Yvon Michel 2008-2018
- Formateur en Échographie Musculo-Squelettique à l’Université de Sherbrooke
- Tuteur en locomoteur pour le Collège des Médecins du Québec
- Témoin-Expert pour l’Association Canadienne de Protection Médicale (ACPM)
Association professionnelle
- Membre de l’Association Québécoise des Médecins du Sport et de l’Exercice
- Membre de l’Académie Canadienne des Médecins du Sport et de l'Exercice
- Membre de la Society for Tennis Medicine and Science

Dr Sébastien Labrecque, M.D.
Dr Sébastien Labrecque, M.D.Médecin généraliste, médecine sportive
Dr Sébastien Labrecque, M.D.
Dr Sébastien Labrecque, M.D.Médecin généraliste, médecine sportive
- Doctorat en médecine (M.D.C.M.) de l’université McGill
- Résidence en médecine familiale Université de Montréal
- Formation en échographie musculo-squelettique de l’université de Sherbrooke
- Formation en échographie musculo-squelettique de l’académie canadienne de médecine du sport et de l’exercice
- Formation en échographie musculo-squelettique de la société américaine pour la médecine du sport
- Formation en échographie musculo-squelettique de la société de radiologie du Québec
- Formation en Commotion cérébral université de Laval
- Formation en Commotion cérébral Fédération des médecins omnipraticien du Québec
- Formation commotion cérébral de l’associé québécoise de la médecine du sport et de l’exercices
- Médecin marathon des pompiers de Laval 2019
- Médecin Ironman 70.3 Tremblant 2015 (Participant 2016-2019)
- Médecin Prédateur de Laval 2014-2015
- Membre de l’association québécoise de la médecine du sport et de l’exercice
- Membre de l’académie canadienne de médecine du sport et de l’exercice
- Membre du collège américain de médecine sportive

Dre Marie-Christine Gougoux, D.C.
Dre Marie-Christine Gougoux, D.C.Chiropraticienne
Dre Marie-Christine Gougoux, D.C.
Dre Marie-Christine Gougoux, D.C.Chiropraticienne
- Dirigeante du Centre Chiromédic
- Titulaire d’un doctorat en chiropratique de l’Université du Québec à Trois-Rivières (mention d’excellence)
- Programme court de 2e cycle en chiropratique sportive
- Formation en Active Release Techniques
- Formation en technique Graston ®
- Formation en Mulligan
- Formation en Fascial Manipulation ©
- Formation en Fascial Distortion Model (FDM), traitement des fascias
- Kinesiotaping et Dynamic taping
- Premier répondant du sport
- Certifiée Complete Concussion Management Inc. (CCMI)
- Membre du CCSSQ (conseil chiropratique des sciences du sport du Qc)
- Membre de la Society for Tennis Medicine and Science (STMS)
- Lauréate de deux bourses d’excellence de la Fondation Chiropratique du Québec

With this collaboration, the Chiromedic Center continues to be at the forefront of the diagnosis, management and treatment of concussions. To do this, we use a comprehensive approach consisting of precise steps, all based on the latest scientific evidence regarding concussions.

What is a brain concussion?

Concussions are one of the most common injuries in the sport. Studies show that 10% to 30% of athletes practicing a high-risk sport will have a concussion during the season. These statistics are certainly underestimated since research suggests that up to 50% of concussions are undiagnosed or simply reported.

A concussion can be defined as a disruption of neurological function following an impact to the head or any other part of the body. This causes a brain biochemical imbalance, a decrease in blood flow and a temporary energy deficit of brain cells. In other words, it is a type of brain trauma that can have significant consequences on the brain. Symptoms include, but are not limited to;

  • Headache
  • Visual trouble / blurred vision
  • Memory trouble
  • Concentration disorder
  • Hearing disorder
  • Changing behaviour
  • Tired
  • Irritability
  • Anxiety
  • Depression
  • Sleep disorder
  • Speech problem
  • Loss of consciousness
  • Dizziness

As a result, if you suffer from any of these symptoms as a result of a blow to the head or any other part of the body, you have probably suffered a concussion. You should benefit from personalized follow-up as quickly as possible.

When we suspect a concussion, the athlete must immediately be removed from any activity, assessed and put to complete rest to alleviate the energy deficit. Studies have shown that any activity, whether mental or physical, in the days following the concussion leads to delayed healing and should be avoided until the athlete no longer experiences any symptoms.

Note that any individual with any of the following symptoms should be taken to the hospital immediately for further investigation.

  • Severe headache
  • 2 or more episodes of vomiting
  • Panic Attack
  • Inconsistent talking
  • Repetition of the same questions
  • Increased confusion, irritability
  • Difficulty or inability to recognize people and places
  • Complaint of weakness or numbness in the arms or legs

The dangerousness of concussions

It is important to treat a concussion well because of the energy deficit in the brain that occurs as a result of the injury. When the brain is in this state of low energy, studies have established that the brain is excessively vulnerable to additional trauma. In other words, as small as the second impact is, it can lead to a second concussion that will cause severe brain damage. These can be permanent or even fatal. Therefore, it should be noted that concussion is not necessarily the problem since it can be treated and generally cured completely, it is the bad management of the concussion which is the real problem.

Indeed, it is important to know that the symptoms disappear before healing of the brain. The only way to determine the complete healing of the brain and determine that it is no longer in its "vulnerable period" is to compare the initial functions of the brain (basic test) with those of today in post -trauma. In other words, to determine that an athlete is fully recovered, we must first know how he was when he was healthy. Without this information, we can not be sure that an athlete is back to normal and we can not ensure that the return to sport is safe. It is therefore important to carry out a baseline assessment in pre-season. In the absence of a basic test, the clinician must perform more post-trauma tests to avoid any return to training too early.

How does the post-concussion rehabilitation program work?

First, each level of the program must be completed in conjunction with a certified CCMI professional such as Dr. Kym Fournelle D.C. But this does not imply that each stage must be produced in a clinical setting. On the contrary, many are supervised by the professional, but practiced at home. In addition, each step must be spaced at least 24 hours apart and the athlete must not experience any symptoms during these 24 hours. In other words, to evolve through the levels, the patient should not experience any symptoms for 24 hours before moving on to the next level. If symptoms occur at any level, the athlete must return to the previous level for a period of 24 hours and be symptom free at this level before they can retry the next level. Each level indicated by ** means that this level must absolutely be completed under the supervision of a certified CCMI professional.



Who is this program for?

The 10-step program is for anyone who has had a concussion. Whether it's a car accident, a sports accident or a fall, whether it's 2 days or 10 months ago, the program can help you regain your normal physical and cognitive abilities. Thus, it is effective for both high performance athletes and road accident victims. Each stage of treatment is adapted to your condition, your age and your needs.

In addition, the program has a preventive component. Indeed, we can take you in hand even before you have a concussion. This is possible with what is called basic evaluation. It is mainly dedicated to anyone (more often sports) at risk of having a concussion during the season. The basic assessment determines your skills in normal times and allows a better comparison of your condition when you suffer a concussion. Because of this, the basic evaluation greatly helps your healing in a concussion.

For details of these steps, please click here (french only).

What is a basic assessment / basic test?

The basic assessment consists of 9 different tests that have all been demonstrated for validity as a concussion test in many scientific research. The baseline test measures the functionality of each area of ​​the brain when the patient is not injured. Thus, when an impact occurs and a concussion is suspected, the baseline test may be repeated a second time and the results given may be compared to the healthy state. This allows for a more accurate diagnosis, to indicate the level of healing of the brain and finally to determine the safe time for the individual to resume physical activity. Studies have shown that a single test on the computer is not enough. So be alert, any clinic offering a basic assessment that involves only ONE test (often an online test or SCAT3) is not enough to make accurate decisions. Using this type of test is certainly inexpensive, but it puts the athlete at risk. Because of this, the basic test is the most important thing to do at the beginning of the season of each sport, and this on an annual basis.

  • CCMI baseline assessments are partially or completely covered by private health care benefits!
  • Assistance program for low-income families during basic assessment. Members must absolutely apply and be accepted into the assistance program to receive a $ 30 rebate by CCMI.

Why as a sports association should you implement a concussion prevention or treatment program with us?

The Chiromedic Center is proud to follow the top athletes in their health program. That's why we care about the follow-up of concussions to avoid the consequences they cause and allow a return to the game faster and safer. That's why Groupe Yvon Michel (GYM) trusts us and gives us the cerebral security of their professional boxers in their hands.

  1. Maintain integrity in sport by providing appropriate concussion management to virtually eliminate risk.
  2. Remove responsibility from your association, coaches and volunteers to put it in the hands of a certified health professional.
  3. Protect the brains of young athletes and potentially save lives.
  4. Be a pioneer in your sport, for your members and your community. In the past, sports have improved safety by reducing risk and adding helmet, mouthguard and other types of protection. It's time to do the same for concussions.

What is Complete Concussion Management™ (CCMI)?

Complete Concussion Management ™ is a concussion research company that educates healthcare professionals on concussion management and treatment protocols. It is based on the latest medical research to provide the best quality of treatment and follow-up for the athlete.

Certified Complete Concussion Management ™ clinicians are continually informed about new developments in concussion research and treatment. This ensures safe and responsive management and healing, which limits the risk of further injury or permanent brain damage. In addition, CCMI clinics offer basic (see below) uniform assessments, return to school guides, back to play and return to work.

Aside from certified clinicians, CCMI offers basic first aid trainings for coaches so they are able to properly recognize concussions. In addition, those who have received the course get access to the mobile application for smartphones. This application allows you to ask the right questions in the field and report the injuries quickly to the clinic. During the follow-up, the application is also used to demonstrate the progress of athletes suffering from concussion. The coaches can see where each athlete is.

Finally, each CCMI clinic is connected to a secure electronic health system that stores all the information related to your concussion. Thus, you can access your file at any CCMI clinic across Canada. This means that the basic test performed in one city can serve as a comparison for a possible concussion occurrence in another city.

Book an appointment now

If pain persists and you need help, our multidisciplinary team will be able to get you back on track quickly.