Global Journal of Otolaryngology, Volume 5 Issue 1 – March 2017
DOI: 10.19080/GJO.2017.05.555653
Gans RE and Darren Kurtzer

Abstract
The gelatinous brain freely floating in the skull can have multiple impact points during head trauma. On the same side of the impact is the coup injury to the brain; on the opposite side of the impact is the contra-coup injury; and the vectors of force that travel through the entire brain can also cause tearing or shearing of neurons, leading to injury. The American Institute of Balance – Vestibular Cognitive Integration (AIB-VCI) recognizes research showing that creating too much cognitive demand, including during therapy sessions, can have devastating and long-lasting effects on the cognitive abilities of the patient, suggesting that adequate rest periods can be of utmost importance in terms of an efficacious rehabilitation strategy [1]. Thus, being able to independently adjust for cognitive and vestibular activities leads to a safe and effective means of cognitive and vestibular rehabilitation post-concussion.