You are viewing the 1st of the 2 courses UPMC Physician Resources permits you to view without registering. To have full access to our FREE courses on our website, please register or log in now.

Doctors Cara Troutman-Enseki, Brian Hagen and Nathaniel Steinhafel discuss various topics related to targeted evaluation and active treatment and rehabilitation approaches for concussion.

Educational objectives:

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

  • Describe evidence supporting exertion therapy
  • Recognize normal concussion recovery
  • Recognize movement patterns for cervical clearing and red flags
  • Recognize cervical strengthening exercise concepts
  • Recognize mechanism of injury in relation to anatomy
  • Better assess ocular symptomology secondary to concussion
  • Identify convergence insufficiency using the near point method
  • Recognize vision therapy is a key component to treat ocular disorders following concussion

Reading Resources:

  1. Mucha A, Collins MW, Elbin RJ, et al. A Brief Vestibular/Ocular Motor Screening (VOMS) Assessment to Evaluate Concussions: Preliminary Findings. Am J Sports Med. 2014.
  2. Broglio SP, Collins MW, Williams RM, Mucha A, Kontos AP. Current and emerging rehabilitation for concussion: a review of the evidence. Clin Sports Med. 2015;34(2):213-231.
  3. Lau BC, Kontos AP, Collins MW, Mucha A, Lovell MR. Which On-field Signs/Symptoms Predict Protracted Recovery From Sport-Related Concussion Among High School Football Players? Am J Sports Med. 2011.
  4. The Convergence Insufficiency Treatment Trial Study Group. Randomized clinical trial of treatments for symptomatic convergence insufficiency in children. Arch Ophthalmol. 2008 Oct;126(10):1336-49.
  5. Ciuffreda KJ, Kapoor N, Rutner D, Suchoff IB, Han ME, Craig S. Occurrence of oculomotor dysfunctions in acquired brain injury: a retrospective analysis. Optometry. 2007; Apr;78(4):155-61.
  6. Ciuffreda KJ, Rutner D, Kapoor N, Suchoff IB, Craig S, Han ME. Vision therapy for oculomotor dysfunction in acquired brain injury: a retrospective analysis. Optometry. 2008; Jan;79(1):18-22
  7. Alvarez TL, Vicci VR, Alkan Y, Kim EH, Gohel S, Barrett AM, Chiaravalloti N, Biswal BB. Vision therapy in adults with convergence insufficiency: clinical and functional magnetic resonance imaging measures. Optom Vis Sci. 2010 Dec;87(12):E985-1002.


Drs. Troutman-Enseki and Hagen have reported no relevant relationships with any entities producing health care goods or services.

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

  • Consulatant: Speaker for ImPACT Technologies, Inc.

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 1.25 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 (0.125) continuing education units (CEU) which are equivalent to 1.25 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: 1/17/2017 | Last Modified On: 1/17/2017 | Expires: 1/17/2018

This course has been expired.