ReAttach Therapy for Persistent Post-Concussion Syndrome: An Occupational Therapy Research Protocol (2025)

Abstract

Persistent post-concussion syndrome (PCS) affects 30–50% of patients following mild traumatic brain injury (mTBI), causing significant functional impairment. Autonomic nervous system dysregulation is increasingly recognized as a key maintaining factor. ReAttach therapy, targeting autonomic regulation through bilateral stimulation and co-regulation, may address this neurophysiological component. This protocol describes a case series study evaluating an occupational therapy intervention combining ReAttach therapy with psychoeducation and activity-focused interventions for persistent post-concussion symptoms. Ten adults with symptoms persisting beyond six weeks post-mTBI will receive four to six individual sessions. Outcome measures include the Rivermead Post-Concussion Symptoms Questionnaire (RPQ-13), Perceived Stress Scale (PSS-10), Canadian Occupational Performance Measure (COPM), and Activity Balance Scale, assessed at baseline, post-treatment, and 4- and 12-week follow-up. The combination of neurophysiological and occupation-focused outcomes demonstrates the value of an occupational therapy perspective in post-concussion rehabilitation. Results will be presented at the Global ReAttach Summit 2026 and published in peer-reviewed journals. In general, the study focusses To describe clinical outcomes of patients with persistent post-concussion syndrome (PPCS) receiving occupational therapy integrated with ReAttach therapy.