How care works
From a missed injury to a monitored recovery
The pathway from first test to discharge: who does what at each step, what the 30-day review looks at, and what our report is and is not.
Where the system fails
The gap this model is built to close
Not a patient story — the structural failure, stated directly.
The common pattern after a mild traumatic brain injury is not a dramatic one. The mechanism is ordinary, often a low-speed collision or a fall. The emergency department correctly rules out the dangerous structural injuries, imaging comes back clean, and the patient is discharged with advice to rest. In one study of emergency department patients meeting CDC criteria for mild TBI, 56% did not receive the diagnosis.1
What follows is not measured by anyone. Symptoms that do persist — headache, disturbed sleep, difficulty concentrating, low mood — surface weeks later, at work and at home, with no objective record of when they began or whether they are improving. The next clinical contact is often months away.
Every individual course is different, and nothing here should be read as a prediction of what any one patient will experience. The point is narrower: the period in which measurement is most informative is usually the period in which no measurement happens.
The pathway
What happens instead
Symptom screen
The patient completes the Rivermead Post Concussion Symptoms Questionnaire, establishing a documented symptom baseline.
Same-day objective testing
Teleneurology provides same-day appointments across our partner clinic network. Ocular motor testing scores pursuits, saccades and fixations while the findings are still detectable.
Neurologist interpretation
A board-certified neurologist personally reviews the recorded traces and correlates oculomotor, vestibular and cognitive findings — no automated scoring. The interpreting clinician is named and dated on the report.
Enrollment in monitoring
Remote therapeutic monitoring begins, capturing HRV, sleep, stress, mood and vitals continuously rather than at appointments.
Care team review and escalation
Clinicians review incoming data to update the care plan. When thresholds are crossed, cases are flagged for specialist review or advanced therapy assessment.
What monitoring captures
Continuous signals, not recalled symptoms
Patients with depression are roughly three times less likely to stick with treatment and appointments. Monitoring collects the data anyway.
- Heart rate & heart-rate variability (HRV)
- Respiratory rate
- Sleep stages
- Stress — reported and computed
- Body temperature
- Weight & blood pressure
- Electrodermal activity
- Daily mood tracking
See the whole picture
Better care from home
Care team review
Why monitoring, not just diagnosis
A concussion rarely arrives alone
60%
Headache — reported acute post-traumatic headache at 2 weeks (963 of 1594 mild TBI patients)2
33–42%
Depression — period prevalence of major depressive disorder within the first year after TBI3
13.5%
PTSD — pooled prevalence after mild TBI (95% CI 11.7–15.3)4
8–10%
Anxiety — generalised anxiety disorder at 3–12 months after TBI5
Each of these is treatable, and each has an escalation path within the model — TMS for treatment-resistant depression, VNS for post-concussion recovery, and digital therapeutics for sleep and anxiety.
Scope
What our report is, and what it is not
Our report does not replace your doctor. We aim to inform and guide, with scientific literature backing our methodologies, and to advocate for patient recovery by providing access to real-time physiologic data and interpretation services.
NeuroGlympse works with technology partners for data collection while retaining independent responsibility for clinical interpretation. We are not affiliated with those partners beyond the contracted use of their systems, and our one affiliate relationship — a commission on the consumer nVNS device linked from our VNS page — is disclosed there, next to the link.
References
Every figure on this page traces to a source below, so the claims can be checked rather than taken on trust.
- 1.Powell JM, Ferraro JV, Dikmen SS, Temkin NR, Bell KR. Accuracy of mild traumatic brain injury diagnosis. Archives of Physical Medicine and Rehabilitation. 2008;89(8):1550–1555.
- 2.TRACK-TBI investigators. Prevalence of and risk factors for post-traumatic headache in civilian patients after mild traumatic brain injury. Mayo Clinic Proceedings.
- 3.Systematic review and meta-analysis. Predictors of major depression and post-traumatic stress disorder following traumatic brain injury. Journal of Neuropsychiatry and Clinical Neurosciences.
- 4.Systematic review and meta-analysis. Post-traumatic stress disorder after civilian traumatic brain injury: prevalence rates. Journal of Neurotrauma.
- 5.Longitudinal cohort study. Psychometric evaluation of anxiety, depression, and sleep quality after a mild traumatic brain injury. Behavioural Neurology.
- 6.DiMatteo MR, Lepper HS, Croghan TW. Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence. Archives of Internal Medicine. 2000;160(14):2101–2107.
- 7.Systematic review of 89 studies. The relationship between traumatic brain injury and disruptions in heart rate variability. Applied Psychophysiology and Biofeedback. 2024.
This page is educational and is not medical advice. Prevalence figures are presented as the source reports them, including confidence intervals and ranges; a single number would imply more precision than the evidence supports.
We recommend testing anyone with symptoms
Recovery timelines vary from person to person, and waiting to see whether symptoms settle is a bet on being one of the quick recoveries. Same-day appointments are available across our clinic network.