Rehab & Recovery · Program 17

Post-Concussion Reconditioning

Concussion recovery often stalls because the neck, injured by the same forces that shook the brain, keeps feeding symptoms long after the brain has settled. This program reconditions that neglected neck with strictly sub-symptom progressions, starting from supported entry drills and finishing at full multiplanar strength. It is built for people cleared by their clinician to begin graded physical reconditioning.

Focus · Concussion recovery (cleared)Frequency · 3x per weekSession · 8-12 min
Post-Concussion Reconditioning cover art
The goal

Recondition the neck after concussion with sub-symptom progressions that rebuild strength, motion tolerance, and head control.

Who it is for
  • Recovering from concussion and cleared for graded exercise
  • Lingering neck stiffness, headaches, or fatigue with head movement
  • Wanting a structured, symptom-guided return to physical capacity

Sub-Symptom Reintroduction

Begin loading the neck below the threshold that stirs any symptom. Supported positions and tiny doses let the system win every session.

01

Nod Yes / No (supine)

1 set of 6 gentle nods each directionNone

Supine nodding reactivates the deep flexors and reintroduces gentle head motion with the brain spared any postural demand.

How To
1Lying on your back, nod your chin gently toward your chest and return, then turn your head slowly side to side.
2Keep the movement small, slow and pain free.
Coaching Cues
Keep the movement small
Move only as far as feels comfortable
The chin glides and never jams
Stop if you feel dizzy
Muscles Activated
Deep neck flexorsSuboccipitals
02

Wall Isometric Press

2 sets of 5 second presses each directionWall

Wall presses rebuild neck strength isometrically, producing zero head movement and therefore zero provocation for a recovering brain.

How To
1Place your forehead, then each side of your head, lightly against a wall or a folded towel.
2Press gently for the prescribed time, keeping your neck long and your jaw relaxed.
Coaching Cues
Press lightly
this is not a maximum effort
Keep your neck long
Relax your jaw and shoulders
Ease off if symptoms increase
Muscles Activated
Deep neck flexors/extensorsSCM
03

Protraction / Retraction

2 sets of 6 repsFront & Back

Slow, small glides restore basic sagittal motion at an intensity chosen to stay under the symptom ceiling, not near it.

How To
1Glide your head straight forward, reaching your chin outward, then glide it straight back as though making a double chin.
2Keep your eyes and chin level the entire time and move smoothly along a horizontal path.
Coaching Cues
Slide your head along an invisible shelf
Make a double chin
then get rid of it
No nodding
keep your eyes level throughout
Think forward and back
not up and down
Muscles Activated
SCMAnterior scaleneDeep neck flexorsSemispinalis cervicis

Advance whenAdvance when entry drills stay symptom-free during sessions and for the following 24 hours.

Graded Exposure

Expand movement variety and duration in careful steps. Each symptom-free session raises the ceiling for the next.

01

360 Spin (light tension)

1 slow rotation each directionFront

An ultra-light full circle reintroduces multidirectional load gradually, expanding tolerance without sudden vestibular demand.

How To
1Stand tall with your shoulders stacked over your hips and fix your eyes on a point straight ahead.
2Rotate your body in place, hips, torso and feet, while your head stays completely still.
3Move slowly through a full clockwise turn, then reverse and complete a full counterclockwise turn.
Coaching Cues
Head still
body turns
Move like a tank turret with your upper body rotating under a fixed head
Do not let your nose drift from its anchor point
Feel the resistance wrap around you as you rotate
Muscles Activated
SCMSplenius capitis/cervicisSemispinalis capitisMultifidus
02

Look Left, Look Right

2 sets of 4 reps each sideAny direction

Controlled turns rebuild rotation tolerance, the movement concussion patients most often restrict and most need for daily life and driving.

How To
1Stand tall with your chest up and your chin level.
2Turn your head slowly to one side as far as you can go comfortably, hold for a moment, then return to center and repeat to the other side.
3Only your head moves.
Coaching Cues
Chin stays level as you rotate
Eyes lead the movement
Do not tilt your head
it is a turn and not a lean
Move with control and not momentum
Muscles Activated
SCMSplenius capitis/cervicisLongissimus capitis
03

Isometric Hold

3 sets of 15 second holdsFront

Neutral bracing strengthens head support so the neck stops fatiguing into the tension headaches that mimic concussion symptoms.

How To
1Set your head in the working position and hold it there against the band.
2Keep your chin level, breathe normally, and resist any drift for the full time prescribed.
Coaching Cues
Brace your neck without clenching your jaw
Keep breathing through the hold
Nothing moves but your ribs
End the set when your position starts to drift
Muscles Activated
Deep neck flexors/extensorsSCMSplenius

Advance whenAdvance after two weeks of full sessions with no headache, fog, or fatigue response.

Control Under Load

Train genuine strength and combined planes now that tolerance is established. The neck starts absorbing the forces it will meet in full activity.

01

360 Spin (slow tempo)

2 slow rotations each directionFront

Sustained slow circles build the endurance a reconditioning neck needs before it can support full days of normal activity.

How To
1Stand tall with your shoulders stacked over your hips and fix your eyes on a point straight ahead.
2Rotate your body in place, hips, torso and feet, while your head stays completely still.
3Move slowly through a full clockwise turn, then reverse and complete a full counterclockwise turn.
Coaching Cues
Head still
body turns
Move like a tank turret with your upper body rotating under a fixed head
Do not let your nose drift from its anchor point
Feel the resistance wrap around you as you rotate
Muscles Activated
SCMSplenius capitis/cervicisSemispinalis capitisMultifidus
02

Diagonals (shallow range)

2 sets of 4 reps each diagonalFront or Back

Shallow diagonals introduce the combined flexion-rotation patterns of real movement at a depth the recovering system can certify safe.

How To
1Start by looking down toward one armpit.
2Trace a diagonal path upward with your eyes and nose until you are looking above the opposite shoulder, then return along the same path.
3Finish your reps on one side before switching to the opposite diagonal.
Coaching Cues
Draw an X in your field of view with your nose
Follow a diagonal line with your eyes
Use full range but keep it smooth
Feel your neck twist and lengthen
Muscles Activated
SCMSplenius capitisScalenesSuboccipitals
03

Isometric Hold (in rotation)

3 sets of 15 second holds each sideFront

Rotational isometrics rebuild the bracing strength that helps the neck damp future impacts before they reach the head.

How To
1Set your head in the working position and hold it there against the band.
2Keep your chin level, breathe normally, and resist any drift for the full time prescribed.
Coaching Cues
Brace your neck without clenching your jaw
Keep breathing through the hold
Nothing moves but your ribs
End the set when your position starts to drift
Muscles Activated
SCMSplenius capitis/cervicisLongissimus capitis

Advance whenAdvance when loaded multiplanar work completes cleanly with energy left over and no next-day payback.

Full Reconditioning

Close the gap to unrestricted activity with full-range, sensory-challenged work. The neck returns to duty stronger than before the injury.

01

360 Spin (eyes closed)

1 rotation each directionFront

Eyes-closed rotation retrains the cervical position sense concussion disrupts, restoring clean sensory input the balance system depends on.

How To
1Stand tall with your shoulders stacked over your hips and fix your eyes on a point straight ahead.
2Rotate your body in place, hips, torso and feet, while your head stays completely still.
3Move slowly through a full clockwise turn, then reverse and complete a full counterclockwise turn.
Coaching Cues
Head still
body turns
Move like a tank turret with your upper body rotating under a fixed head
Do not let your nose drift from its anchor point
Feel the resistance wrap around you as you rotate
Muscles Activated
SCMSplenius capitis/cervicisSemispinalis capitisMultifidus
02

Diagonals (full range)

2 sets of 6 reps each diagonalFront or Back

Full-range diagonals demonstrate complete multiplanar tolerance, the practical benchmark for finishing reconditioning.

How To
1Start by looking down toward one armpit.
2Trace a diagonal path upward with your eyes and nose until you are looking above the opposite shoulder, then return along the same path.
3Finish your reps on one side before switching to the opposite diagonal.
Coaching Cues
Draw an X in your field of view with your nose
Follow a diagonal line with your eyes
Use full range but keep it smooth
Feel your neck twist and lengthen
Muscles Activated
SCMSplenius capitisScalenesSuboccipitals
03

Look Left, Look Right (tempo)

2 sets of 6 reps each sideAny direction

Rotation across varied speeds prepares the neck for the quick, unplanned head movements of normal life and sport.

How To
1Stand tall with your chest up and your chin level.
2Turn your head slowly to one side as far as you can go comfortably, hold for a moment, then return to center and repeat to the other side.
3Only your head moves.
Coaching Cues
Chin stays level as you rotate
Eyes lead the movement
Do not tilt your head
it is a turn and not a lean
Move with control and not momentum
Muscles Activated
SCMSplenius capitis/cervicisLongissimus capitis
Get the gear

Train this program with the Iron Neck 3.0 Pro

The 360 degree resistance head unit this program is built around, with the anchor and bands you need to train every direction from day one.

Iron Neck 3.0 Pro
Iron Neck 3.0 Pro $599.00
Set your resistance

Light, medium, or heavy?

We call for an effort level instead of a specific weight, because the right resistance depends on you, the movement, and where you are in your training. For the sets and reps listed on each exercise, pick the resistance that makes the last few reps feel like the level shown.

Light

You finish the set with several clean reps still in the tank. The work stays easy and fully controlled from the first rep to the last.

Medium

You could manage a few more reps at the end, but not many. The final reps take real effort while your form holds.

Heavy

You reach the last prescribed rep with little or nothing left. Completing every rep with good form is genuinely hard.

These are starting points, not rules. Everyone is built differently, so adjust to fit you: size down if your form breaks before the final rep or a movement aggravates a symptom, and only size up once every rep feels smooth and pain free. When you are unsure, choose the lighter option.