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Doctors Alicia Trbovich and Anthony Kontos review topics on the consequences of continuing to play following a concussion and the emerging finding on evidence behind patient-centered concussion care.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Implement early treatment and management strategies for patients who continue to play with concussion, which will result in improved recovery outcomes.
  • Educate patients and youth sport stakeholders on the consequences of continuing to play through a concussion, which will improve recovery outcomes in youth sport athletes.
  • Discuss the importance of removal from play as a contributing risk factor for prolonged recovery with patients, which will encourage patients not to continue to play with concussion and seek medical treatment immediately following injury.
  • Describe the role that preexisting sleep problems play in outcomes following concussion
  • Identify family history as a risk factor for migraine post concussion.
  • Describe neurocognitive impairments and recovery outcomes in patients with convergence insufficiency following concussion
  • Describe the role of risk factors and profiles in conceptualizing concussion clinical research.
  • Analyze emerging evidence for risk factors and clinical profiles in relation to patient care.
  • Examine new evidence that rest may not be the best treatment strategy for all patients.

Reading Resources:

  1. Asken, B. M., McCrea, M. A., Clugston, J. R., Snyder, A. R., Houck, Z. M., & Bauer, R. M. (2016). "Playing Through It": Delayed Reporting and Removal From Athletic Activity After Concussion Predicts Prolonged Recovery. J Athl Train, 51(4), 329-335. doi: 10.4085/1062-6050-51.5.02
  2. Kontos, A. P., Elbin, R. J., Lau, B., Simensky, S., Freund, B., French, J., & Collins, M. W. (2013). Posttraumatic migraine as a predictor of recovery and cognitive impairment after sport-related concussion. American Journal of Sports Medicine, 41(7), 1497-1504. doi: 10.1177/0363546513488751
  3. McCrory, P., Meeuwisse, W. H., Aubry, M., Cantu, B., Dvorak, J., Echemendia, R. J., . . . Turner, M. (2013). Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012. British Journal of Sports Medicine, 47(5), 250-258. doi: 10.1136/bjsports-2013-092313
  4. Sufrinko, Alicia, et al. "The effect of preinjury sleep difficulties on neurocognitive impairment and symptoms after sport-related concussion." The American journal of sports medicine (2015): 0363546514566193.
  5. Pearce, Kelly L., et al. "Near point of convergence after a sport-related concussion measurement reliability and relationship to neurocognitive impairment and symptoms." The American journal of sports medicine 43.12 (2015): 3055-3061.
  6. Blume, Heidi K. "Headaches after concussion in pediatrics: a review." Current pain and headache reports 19.9 (2015): 1-11.
  7. Mucha A, Collins MW, Elbin RJ, Furman JM, Troutman-Enseki C, DeWolf RM, Marchetti G, Kontos AP. A brief vestibular and ocular motor screening (VOMS) assessment to evaluate preliminary concussion: Preliminary findings. Am J Sports Med; 2014; 42(1), 2479-86.
  8. Pearce KL, Sufrinko AS, Lau BC, Henry LC, Collins MW, Kontos AP. Relationship of near point of convergence to cognitive impairment and symptoms following sport-related concussion. Am J Sports Med; 2015; 43(12), 3055-61.
  9. Root JM, Zuckerbraun N, Brent D, Kontos AP, Hickey R. History of somatization is associated with prolonged recovery from concussion. Peds; 2016; Epub ahead of print.


Dr. Sufrinko has reported no relevant relationships with any entities producing health care goods or services.

Dr. Kontos has financial interests with the following any entity or entities producing health care goods or services as indicated below:

  • Grant/Research Support: GE-NFL, ElMindA Ltd, Abbott Labs

All presenters disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above.  No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.05) continuing education units (CEU) which are equivalent to .5 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 12/16/2016 | Last Modified On: 9/16/2018 | Expires: 9/16/2018

This course has been expired.