The Concussion Health Summit Sponsor Showcase: Concussions and Sub-Concussive Head Injuries – Is it Time for a Dosimeter?
While there is a growing concern of the short term and long term effects of sports-related concussion, little attention has been given to sub-concussive impacts. Sub-concussive impacts are identified as blows below the threshold to cause or elicit any signs or symptoms of a concussions (Shultz et al, 2012). More recently, a handful of studies have shown that sub-concussive blows result in physiological changes of the brain although the athlete does not exhibit any symptoms or change in performance (Dashnaw et al, 2012). The greatest concern is the long term accumulative effect of repeat concussive blows, especially in relation to accelerated age-related cognitive decline that may occur later in life.
As part of our Summit Sponsor Showcase and as one of the case study winners to present at the upcoming Concussion Health Summit, John Ralston, PhD and CEO of IMPAXX shares the following blog, Concussions and Sub-Concussive Head Injuries – Is it Time for a Dosimeter?, on combining sensor and imaging informatics to monitor and assess cumulative sub-concussive head impact injury risks.
Concussions and Sub-Concussive Head Injuries – Is it Time for a Dosimeter?
The direct medical costs for sports and recreational concussions in the US exceed $100 billion each year, including emergency room visits, hospitalizations, and health insurance billings. Yet concussions are now known to represent just the tip of the iceberg. A significant body of research published since 2010 has revealed that physiological changes in the brain resulting from the accumulation of many small direct or indirect head impacts, none of which on their own trigger any concussion symptoms, can also lead to neurological injuries and long-term degenerative neural disorders [1-10].
Because of this evidence, concussions are beginning to be viewed not as a single distinct class of injury, but as one segment of a wide and continuous spectrum of cumulative head impact injuries that all trigger some level of axonal damage, often referred to as diffuse axonal injury (DAI) . This spectrum of injuries is characterized by highly heterogeneous and multifactorial disorders, complex and diverse pathological changes that may continue for months or years, and some epidemiological support showing associations with other classical chronic neurodegenerative disorders . The incidence and costs of sub-concussive impact injuries may ultimately dwarf the above costs of reported concussions. Although all 50 states have now introduced youth head injury safety laws, and stricter head injury safety guidelines have been introduced by the NCAA, the current standard of care is still to wait until an athlete demonstrates observable concussion symptoms before they are removed from play, even though such symptoms may take several days to fully present, and even though the far greater number of sub-concussive head impacts may be causing even greater risks to athletes’ physical and academic performance.
Wearable sensors are routinely used in many recreational, medical, industrial, and military applications as injury prevention dosimeters. These devices monitor and limit exposures below tissue/organ damage thresholds from environmental hazards such as ultraviolet light, loud noises, high temperatures, toxic chemicals, biological agents, ionizing radiation, and X-rays. A variety of personal monitoring devices are also used to protect athletes from the damaging consequences of conditions such as dehydration, physical exhaustion, high blood pressure, low blood oxygen, and elevated/irregular heart rate. Could a dosimeter be designed to help monitor and protect against head impact injuries?
Silicon-Valley-based IMPAXX Solutions, Inc., has recently demonstrated a promising new class of wearable head impact dosimeter  that leverages advanced sensor and imaging informatics to deliver the injury screening capabilities of an MRI machine in a sensor that is worn behind the ear as a small adhesive patch (Fig. 1). The IMPAXX dosimeter combines an innovative wearable sensor design and recently demonstrated neuro-mechanical biomarker to monitor the onset and accumulation of both transient and persistent physiological changes in the brain resulting from repetitive sub-concussive head impacts. The device is designed to generate an alert when the accumulated impact dose exceeds preset neural damage thresholds. Alerts are delivered via a companion mobile app and cloud-based data platform, equipping coaches, trainers, and other authorized personnel with a more comprehensive injury prevention and management solution that enables:
Figure 1. A suitably designed wearable sensor can monitor the onset and accumulation of physiological changes in the brain resulting from sub-concussive head impacts.
The underlying discovery emerged from a recent collaboration between IMPAXX and the UC Santa Barbara (UCSB) Brain Imaging Center, in which members of the UCSB NCAA Division I women's soccer team (along with a group of age-matched controls) were monitored for the effects of cumulative head impacts throughout a 3-month soccer season and a 3-month post-season washout period. Data from prototype skin-affixed wearable sensors were used to quantify the number and severity of head impacts. In parallel, high-resolution diffusion spectrum MRI (DSI) brain image acquisition and per-voxel analysis techniques developed at the UCSB Brain Imaging Center were used to quantify corresponding physiological changes in the brain. The results revealed that the cumulative impact power transferred from the external environment to the brain is a promising neuro-mechanical biomarker that can be derived directly from a suitably designed wearable sensor, and utilized to monitor the onset and accumulation of both transient and persistent physiological changes in the brain resulting from sub-concussive head impacts [9,10].
Impact Measurements: An average of 215 head impacts per player were registered over the season (low = 95, high = 327), or 20 impacts per player per week. Fig. 2 shows histograms for the calculated (a) total power (linear + rotational) transferred to the brain from all individual head impacts, and (b) the daily total cumulative impact powers for all athletes over the entire 3-month season. The total impact power distribution in Fig. 2(a) peaks between 0.5kW and 1.5kW per impact, with few impacts beyond 5kW.
Figure 2. Histograms of (a) total impact powers (linear + rotational) transferred to the brain for all individual head impacts, and (b) the daily total cumulative impact powers for all athletes throughout the 3-month soccer season.
The individual impact values reported here are all significantly lower than those reported to have a high probability of causing a concussion , and none of the athletes were diagnosed with or reported any concussion symptoms. The cumulative daily impact power distribution in Fig. 2(b) reveals routine daily impact loads extending out to 60 kW, with 6 players receiving daily impact loads between 68kW and 110kW.
Imaging Results: The imaging results revealed the accumulation of widely distributed clusters of “outlier voxels” for the athletes, showing significant changes in WM diffusion anisotropy throughout the season, when normalized with respect to baseline values . For the controls, none of the in-season scans were statistically different from the corresponding baseline scans. As shown in Fig. 3, these clusters of outlier voxels were observed for the players in both deep WM and at the white matter-cortical border, including at the cortical sulci. This observation is consistent with finite element modeling of head impacts, which predict that relative displacements and deformations are widely distributed throughout the brain due to coupling of linear and rotational degrees of freedom [17,18]. Because of the off-center location of the brain and its anchor on the brain stem, “pure linear motion” of the head will still lead to rotational motion of the brain, and “pure rotational motion” of the head will still lead to linear motion of the brain.
Figure 3. Clusters of outlier voxels are observed for players but not age matched controls, showing significant changes in white-matter diffusion anisotropy when normalized with respect to baseline vales (p < 0.005).
More advanced finite element brain models that include tissue-specific mechanical properties and detailed structural morphologies have predicted several additional important impact responses, including spatial localization of stress fields and tissue damage at morphologic features such as the cortical sulci [19,20,21], which we have also observed. One implication of these findings is that even modest impacts, at levels traditionally thought to be safe, may generate localized regions of high stress and potentially irreversible changes in the brain. This localization and change of cellular function has been proposed as one possible explanation for recent observations that beta amyloid deposition is concentrated at the cortical sulci in the brains of professional football players who were diagnosed post mortem to have suffered from CTE [22,23]. The prevalence of CTE in subjects with no history of concussion suggests that sub-concussive hits are sufficient to lead to the development of CTE , and it has recently been argued that it is the chronic and repetitive nature of head trauma, irrespective of concussive symptoms, that is the most important driver of disease . The results reported here demonstrate the potential ability to monitor, and even prevent the onset of such localized damage using a wearable head impact dosimeter.
Correlating Sensor and Imaging Data: When the number of outlier voxels in the above WM clusters was plotted as a function of the maximum cumulative daily impact dose, along with the total cumulative impact power measured over the 2, 3, and 4 week periods immediately preceding each player’s mid-season scan (Fig. 4), the data exhibited a non-linear relationship, with a pronounced threshold behavior for the onset of outlier voxels. The cumulative power threshold above which outlier voxels are observed is on the order of 35-50 kW, which falls within the range of typical cumulative daily impact loads for all athletes in this study. The differences between the results for 2, 3, and 4 weeks indicate that a significant fraction of the observed outlier voxel groupings emerge and persist during the two-week period following impact exposure, and that some fraction then begins to dissipate. Further analyses  revealed that accumulated daily exposure doses <50 kW initially triggered transient physiological changes in the brain WM, whereas accumulated daily exposure doses above 100 kW triggered persistent WM changes, or WM changes that required longer recovery times.
As can be seen in Fig. 2(b), these threshold values fall within the range of routine daily head impact loads for the athletes, highlighting the importance of taking preemptive action to avoid more serious injuries accumulating over time.
Figure 4. Calculated number of outlier voxels vs. maximum cumulative daily impact dose, and total cumulative impact power measured over 2, 3, and 4 week periods immediately preceding each player’s mid-season DSI scan.
Understanding the Observed Head Impact Threshold: The threshold behavior observed above has several potential explanations. A significant body of research has demonstrated that, independent of the nature of the head impact, common hallmarks of the resulting damage include mechanical breaking of microtubules in axons, compromised axonal transport, focal axonal swelling (FAS), and mitochondrial dysfunction [24,25,26,27]. Recent studies, using cultured neurons and atomic force microscopy to directly measure the threshold mechanical forces required to cause such damage, have also observed an initial threshold for transient local deformation of the axons, and a more abrupt higher threshold above which irrecoverable axonal damage occurs [25,27]. These threshold forces fall well within the range predicted by finite element models to be generated by routine sub-concussive head impacts observed in many athletic activities .
Further Dosimeter Investigations: IMPAXX has shown that a dosimeter can indeed be designed to help monitor and protect against cumulative sub-concussive head impact injuries, and transform the current reactive treatment of concussion injuries after they have already occurred, to proactive, personal-dosimeter-based injury risk monitoring and prevention. IMPAXX is now preparing to deliver larger numbers of the devices for more comprehensive field testing with leading sub-concussive head injury research groups around the world. Investigations of dosimeter threshold variations across larger study populations are also being coordinated with leading sports medicine clinic chains and healthcare/concussion injury insurance providers, to expand their own head injury prevention initiatives.
Thank you to IMPAXX for kicking off our Summit Sponsor Showcase! We look forward to future blogs from our sponsors leading up to The Concussion Health Summit. Register today to attend the Summit and join the conversation discussing the latest knowledge and technology regarding concussion management.
The Early Bird Discount and the Hyatt Regency Hotel "Cut-Off Date" to reserve your hotel rooms ends on Thursday, July 6th. There are three ways to register: online, email/fax or mail. Click here to register.
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 J.D. Ralston, J. Woodard, M. Cieslak, A. Asturias, W. Meiring, and S. Grafton, “A Candidate Neuromechanical Biomarker and Dosimeter for Monitoring Cumulative Head Impact Trauma”, Proceedings of 2017 IEEE International Conference on Biomedical and Health Informatics, Feb 2017. doi:10.1109/BHI.2017.7897289
 J.D. Ralston, W. Meiring, M. Cieslak, A. Asturias, J. Woodard, and S. Grafton “Combining sensor and imaging informatics to monitor and assess cumulative sub-concussive head impact injury risks”, Invited Paper: IEEE JOURNAL OF BIOMEDICAL AND HEALTH INFORMATICS, Special Issue on “Informatics for personalized, precision and preventive healthcare”, to be published, 2017.
 C.S. Hill, M.P. Coleman, and D.K. Menon, “Traumatic Axonal Injury: Mechanisms and Translational Opportunities”, Trends in Neurosciences, vol. 39, no. 5, pp. 311-324, May 2016.
 A.I. Faden and D.J. Loane, “Chronic Neurodegeneration after Traumatic Brain Injury: Alzheimer Disease, Chronic Traumatic Encephalopathy, or Persistent Neuroinflammation?”, Neurotherapeutics, vol. 12, pp. 143–150, 2015. doi:10.1007/s13311-014-0319-5
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 K.L. O’Connor, S. Rowson, S.M. Duma, and S.P. Broglio, “Head Impact Measurement Devices: A Systematic Review”, Journal of Athletic Training, vol. 52(3), pp. 06–227, 2017. doi:10.4085/1062-6050.52.2.05
 S. A. Dambinova1, J. C. Maroon, A. M. Sufrinko, J. D. Mullins, E. V. Alexandrova, and A. A. Potapov, “Functional, structural, and neuro-toxicity biomarkers in integrative assessment of concussions”, Frontiers in Neurology, vol. 7, p. 172, 2016. doi: 10.3389/fneur.2016.00172
 J.A. Newman, N. Shewchenko, E. Welbourne, “A Proposed New Biomechanical Head Injury Assessment Function – The Maximum Power Index”, Stapp Car Crash Journal, Vol. 44 (P-362), Proceedings of 44th Stapp Car Crash Conference, Atlanta, GA, Nov 6-8, 2000.
 Y. Feng, T.M. Abney, R.J. Okamoto, R.B. Pless, G.M. Genin, and P.V. Bayly, “Relative brain displacement and deformation during constrained mild frontal head impact”, J. R. Soc. Interface, vol. 7, pp. 1677–1688, 2010.
 S. Ganpule, N.P. Daphalapurkar, K.T. Ramesh, A.K. Knutsen, D.L. Pham, P.V. Bayly, and J.L. Prince, “A Three-Dimensional Computational Human Head Model That Captures Live Human Brain Dynamics”, Journal of Neurotrauma, vol. 3, pp. 1-13, 2017. doi: 10.1089/neu.2016.4744
 R.J.H. Cloots, H.M.T. Gervaise, J.A.W. Van Dommelen, and M.G.D. Geers, “Biomechanics of Traumatic Brain Injury: Influences of the Morphologic Heterogeneities of the Cerebral Cortex”, Annals of Biomedical Engineering, vol. 36, no. 7, pp. 1203–1215, 2008.
 Cloots, R.J. et al., “Multi-scale mechanics of traumatic brain injury: predicting axonal strains from head loads”, Biomech. Model. Mechanobiol., vol. 12, pp. 137–150, 2013.
 J. Ho and S. Kleiven, “Can sulci protect the brain from traumatic injury?”, Journal of Biomechanics, vol. 42, pp. 2074–2080, 2009.
 T.D. Stein, P.H. Montenigro, V.E. Alvarez, W. Xia, J.F. Crary, Y. Tripodis, D.H. Daneshvar, J. Mez, T. Solomon, G. Meng, C.A. Kubilus, K.A. Cormie, S. Meng, K. Babcock, P. Kiernan, L. Murphy, C.J. Nowinski, B. Martin, D. Dixon, R.A. Stern, R.C. Cantu, N.W. Kowall, and A.C. McKee, “Beta-amyloid deposition in CTE”, Acta Neuropathol, vol. 130, pp. 21–34, 2015.
 T.D. Stein, V.E. Alvarez, and A.C. McKee, “Concussion in chronic traumatic encephalopathy”, Curr. Pain Headache Rep., vol. 19, no. 10, p. 14, 2015. doi:10.1007/s11916-015-0522-z.
 M.D. Tang-Schomer, A. R. Patel, P.W. Baas, and D. H. Smith, “Mechanical breaking of microtubules in axons during dynamic stretch injury underlies delayed elasticity, microtubule disassembly, and axon degeneration”, FASEB J., vol. 24, no. 5, pp. 1401–1410, 2010.
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The Concussion Health Summit, In Partnership with Nationwide Children's Hospital, Announces Dr. Kevin Guskiewicz as Keynote Speaker
Concussion Health, in partnership with Nationwide Children’s Hospital, will host The Concussion Health Summit in Columbus, Ohio, at the Hyatt Regency Friday, July 28-Saturday, July 29, 2017.
This two day long program will encourage education and discussion – bringing together an influential array of experts, practitioners, and innovators from a range of specialties who will discuss the latest knowledge and technology regarding concussion management. By emphasizing the importance of a multi-disciplinary approach, the Summit aims to make the connection between prevention, baseline testing, time of injury, post-injury exam and the recovery process. The Program Planning Committee has assembled a faculty of renowned clinical experts to provide opportunities for approved continuing education sessions as well as special programming for concussion survivors and caregivers. The Concussion Health Summit will also provide opportunities to network through social events and round table discussions.
“Hearing from the diverse panel of experts assembled will afford attendees an opportunity to expand their knowledge and skill base in caring for concussion patients,” said Mark A. Letendre, ATC, Co-Chair of The Concussion Health Summit and Director of Umpire Medical Services for Major League Baseball. “Allowing a hands-on approach as part of the Summit will take thoughts and information shared and turn them into actionable patient care trajectories.”
The Summit will be highlighted by Dr. Kevin Guskiewicz who will serve as Luncheon Keynote Speaker on Saturday, July 29th. Dr. Guskiewicz is a neuroscientist, nationally recognized expert and leading researcher in the field of sport-related concussions. He became Dean of the College of Arts and Sciences at the University of North Carolina at Chapel Hill in January 2016.
Other highlights include but are not limited to:
“Traumatic brain injury (TBI) has received notable attention in the literature over many years with a consensus that each individual presents uniquely and recovery requires an intra-disciplinary and customized approach,” said Bridgett Wallace, PT, DPT and Co-Chair of The Concussion Health Summit. “Yet, such ideas towards concussion (a type of TBI) has lagged in both research and clinical application. It is extremely exciting and promising to see experts from a variety of medical specialties sharing their knowledge on the evolving field of concussion management, especially the evolution of concussion as a treatable injury.”
Concussion Health and Nationwide Children’s Hospital would like to thank the following sponsors and exhibitors for their support of The 2017 Concussion Health Summit: Bertec, ImPACT Applications, Inc., Micromedical Technologies, Inc., Upledger Institute, Atlas Concussion Testing, Biodex, Cyrex Laboratories, Center for Pain & Stress Research, The IronNeck, BrainCheck, MedTrak VNG, Inc., Shuttle Systems and Natus. Also, a very special thank you to the Columbus Clippers!
Click here for more information regarding speakers and topics.
Registration for healthcare and educational professionals, as well as survivors and caregivers is now open: https://www.concussionhealth.com/register.html
About Concussion Health
Concussion Health provides multi-disciplinary education, tools and services for concussion management. Through comprehensive training and certification programs, it enables industry professionals, hospitals and outpatient clinics to expand their practices to successfully develop, implement and/or complement a comprehensive concussion management program. For more information visit concussionhealth.com.
About Nationwide Children’s Hospital
Named to the Top 10 Honor Roll on U.S. News & World Report’s 2016-17 list of “America’s Best Children’s Hospitals,” Nationwide Children’s Hospital is one of America’s largest not-for-profit freestanding pediatric healthcare systems providing wellness, preventive, diagnostic, treatment and rehabilitative care for infants, children and adolescents, as well as adult patients with congenital disease. Nationwide Children’s has a staff of more than 11,000 providing state-of-the-art pediatric care during more than 1.2 million patient visits annually. As home to the Department of Pediatrics of The Ohio State University College of Medicine, Nationwide Children’s physicians train the next generation of pediatricians and pediatric specialists. The Research Institute at Nationwide Children’s Hospital is one of the Top 10 National Institutes of Health-funded freestanding pediatric research facilities. More information is available at Nationwidechildrens.org/sports-medicine.
A concussion is an individualized injury that presents with a myriad of cognitive, physical, emotional, somatic, and sleep-related symptoms and impairments that should require a multifaceted approach to assessment and management. Despite a significant increase in research dedicated to identifying and managing sport-related concussion, it remains one of the most complex injuries sports medicine professionals face.
Historically, concussion has been managed with a more conservative approach of cognitive and physical rest. Post-concussion, individuals are frequently advised to avoid activity until he or she is symptom free. As research and practice evolve, a significant gap exists between the historically conservative approach versus a more active treatment approach in both perceived public perception and clinical practice[3,4].
Moving beyond “rest and monitor” and establishing clinical profiles and targeted recovery approaches has become the focus of modern concussion treatment but has received limited attention in the literature and the need to focus on process not protocol is paramount in continuing to advance effective treatment of sport-related concussion. Further studies are needed to evaluate long-term outcomes of early intervention and test the safety and efficacy of active rehabilitation in the acute post-injury period to optimize a shorter duration of symptoms and improved return to play outcomes.
Of equal importance is implementing cervical strengthening training sessions in both pre-season and post-injury that have been found to decrease the risk of concussion and improve recovery time[6,7]. Additionally, the high prevalence of concussion-related vision disorders supports the need for appropriate clinical testing of oculomotor control.
Research suggests vision therapy can be an effect intervention[8,9]. It is vitally important the healthcare professional have a solid understanding of a multi-faceted approach from baseline to sideline to post-injury and throughout the recovery process to minimize the risk associated with concussions as well as decrease the duration of symptoms and optimize best outcomes for a safe return to activity.
Join us at The Concussion Health Summit where we will be discussing and providing strategies for these educational needs and practice gaps. The early bird discount expires on June 30th and hotel rooms are filling up fast. Click here to register. We look forward to seeing you at the Summit!
Bridgett Wallace, PT, DPT
Director of Clinical Education, Concussion Health
President, 360 Balance & Hearing
Concussion Health Summit Co-Chair
Mark Letendre, ATC
Director of Umpire Medical Services
Office of the Commissioner
Major League Baseball (MLB)
Concussion Health Summit Co-Chair
1. Giza CC, Kutcher JS, Ashwal S, et al. Summary of evidence-based guideline update: evaluation and management of concussion in sports. Report of the Guideline Development Subcommittee of the American Academy of Neurology. Neurology. 2013; 80(24):2250–2257.
2. University of Pittsburgh Medical Center Sports Medicine Concussion Program (2015). How knowledgeable are Americans about concussions? Assessing and recalibrating the public’s knowledge. Retrieved from http://rethinkconcussions.upmc.com/wp-content/uploads/2015/09/harris-poll-report.pdf.
3. Thomas DG, Apps JN and et al. Benefits of strict rest after acute concussion: a randomized controlled trial. Pediatr. 2015;135(2);213-223.
4. Strelzik J and Langdon R. The role of active recovery and rest after concussion. Pediatr Ann. 2017;46(4):139-144.
5. Institute of Medicine of the National Academies (2013). Sports-related concussions in youth improving the science, changing the culture. Sports-Related Concussions in Youth Improving the Science, Changing the Culture.
6. Gilchrist I, Storr M and et al. Neck muscle strengthening in the risk management of concussion in contact sports: critical appraisal of application… J Athl Enhancement, 2015;4:2-19.
7. Collins CL, Fletcher EN and et al. Neck strength: a protective factor reducing risk for concussion in high school sports. J Prim Prev, 2014;35(5):309-19.
8. Gallway M, Scheiman M and Mitchell GL. Vision Therapy for Post-Concussion Vision Disorders. Optom Vis Sci, 2017;94(1):68-73.
9. Kontos, AP, Deitrick JM and et al. Review of Vestibular and Oculomotor Screening and Concussion Rehabilitation. J Athl Train, 2017;52(3):256-261.
I am so excited to announce Concussion Health's 10 Day Multi-Disciplinary Approach Challenge! Starting today and for the next 10 days, we are offering our Professional Membership for only $39 (regular price $97)!
With this challenge, we are asking you to sign-up, join this multi-disciplinary community and help us to set the gold standard in concussion management.
This whole community thing is something we’ve seen over and over again through the years with Concussion Health. I know I’ve mentioned this a few times before… and that’s because it’s such a critical factor for a multi-disciplinary approach in concussion management.
The more you engage with the community… the more you get in there and rub shoulders with your colleagues and ask and answer questions… the bigger the results you’ll get going forward.
When you sign-up, you'll receive:
Member Benefit #1: Private Member Forum - New Feature!
This one-of-a-kind group was created so you can discuss hot topics and connect with your fellow colleagues. Partnering together we can provide a sharing of knowledge and support for questions we all have in common. Being an expert is not only about knowing the content but also recognizing what we don't know. To become aware of what we don't know requires communication and collaboration with others.
Here are some of our Hot Topics:
Member Benefit #2: Listing in the Global Concussion Directory
The Concussion Directory, www.concussiondirectory.com, is free to the public and features industry professionals from every discipline as well as industry leading companies specializing in all aspects of concussion related services and products. It allows you to search for industry professionals, organizations, services and products as quickly as possible. By entering keywords or locations, one can easily find useful and reliable concussion information anywhere at any time.
When you update your listing, make sure and add as much information as you can. The more information you include, the greater your chances of someone finding you in their search results. Customize your member profile by including your logo, contact information, specialties, profile picture, social media links, locations and much more. Highlight yourself and stand out in the concussion world!
Benefit #3: Free Education & Tools
Once you become a professional member, you will have access to eBooks, Case Studies, Quick Guides, Swipe Files, V2FIT Exercise Videos, Discounts on Certification Courses, Access to the following Courses:
Member Benefit #4: CH Educator Network
Do you have a topic that you would like to present? As a Professional Member, you are welcome to participate in our CH Educator Network. The CH Webinar Network gives you the opportunity to present a topic related to your expertise in the field of concussion management.
For only $39 (regular price $97), you receive all of the above member benefits! PLUS by joining this multi-disciplinary community, you get to share your knowledge with your colleagues in the private multi-disciplinary member forum.
Why are we offering such a great deal? We are in this together and it is time to rethink concussions as a manageable injury. This membership creates the opportunity for those with more experience to share their knowledge with those with less experience. Being an expert is not about having all the answers, it is about seeking answers for new questions. Just as we tell our clients/patients that being more informed results in better care so is true for providers.
Click the button below and join us today!
Bridgett Wallace, PT, DPT
Director of Clinical Education, Concussion Health
President, 360 Balance & Hearing
Concussion Health Summit Co-Chair
We are honored to announce the winners of The Concussion Health Summit Case Study Contest! The winners are Rob Hofschulte, PT from Milwaukee, WI and John Ralston, CEO from Portola Valley, CA. We would like to thank all of you who submitted your case study. They were all outstanding!
Early Bird Discount Extended! Get $75 off Your Summit Ticket
If you are planning on attending this high level event, register today. We don't want you to miss your opportunity to join us in Columbus! Please select your registration type below:
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Continuing Education Credits (updated)
"The Ohio Physical Therapy Association (OPTA) has approved the following course for continuing education in Ohio:
"This activity has been approved by the Texas Board of Physical Therapy Examiners for 14 CCUs for PTs and PTAs."
"The Ohio Occupational Therapy, Physical Therapy and Athletic Trainers Board has approved The Concussion Heath Summit for 14 contact hours."
"Concussion Health is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. This program has been approved for a maximum of 14 hours of Category A continuing education. Certified Athletic Trainers are responsible for claiming only those hours actually spent participating in the continuing education activity."
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Concussion Health Updates
Here's what we've added to Concussion health lately...