How the Brain Rewires After a TBI (And How to Speed It Up)

concussion protocols fundamentals of neurology physical therapy education physiotherapist education tbi Mar 27, 2025

What If “Rest and Wait” Is the Worst Thing You Can Do After a Concussion?

 

A concussion isn’t just about being knocked out cold. It doesn’t always show up on a scan. And for 20% of people, the symptoms don’t just go away—they linger for months or even years.

 

Neuroplasticity: The Brain’s Secret Weapon

Most people believe that once brain cells are damaged, they’re gone for good. But that’s not entirely true.

The brain has a remarkable ability to rewire itself after injury. This process—called neuroplasticity—allows the nervous system to adapt, rebuild, and form new pathways. But here’s the thing:

Neuroplasticity isn’t automatic—it has to be stimulated.

 

How the Brain Rewires Itself After a Concussion

  1.  New Neural Pathways Form – When an area of the brain is damaged, nearby regions can take over its function—if the right kind of stimulation is provided.
  2.  Sensory Input Guides the Healing Process – The brain uses sensory information (visual, vestibular, tactile, etc.) to reorganize itself.
  3.  Repetition Strengthens Neural Connections – The more a movement, thought, or behavior is activated, the stronger that neural pathway becomes.

 


 

The Right (and Wrong) Way to Encourage Neuroplasticity

What doesn’t work:

  • Repeating dysfunctional movement patterns
  • Overloading the brain too soon
  • Avoiding activity altogether

What does work:

  • Visual and vestibular exercises to rebuild eye-brain coordination
  • Breathwork and nervous system training to lower threat levels
  • Progressive movement drills to re-establish proper neural activation

 


 

Speeding Up Brain Recovery: What Science Tells Us

New research shows that targeted neurological drills can enhance plasticity in the injured brain. These include:

  •  Peripheral vision training – Improves spatial awareness and reduces overstimulation
  •  Cognitive-motor integration – Combines movement with mental tasks to create stronger pathways
  •  Gaze stabilization drills – Helps restore control of eye movements and reduce dizziness

 


 

The Future of TBI Recovery

Recovery from a concussion isn’t just about rest or “waiting it out.” With the right inputs, the brain can heal more efficiently and effectively.

The key is knowing how neuroplasticity works—and how to activate it using evidence-based strategies.

 

Want to go deeper?

Learn the fundamentals of neuro-based rehab at Next Level Neuro’s Fundamentals Course.

Or join our Mentorship Program to apply these strategies in real-world practice.

The brain can heal. It just needs the right approach

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