Progressive Return to Activity Following Acute Concussion/Mild TBI: Guidance for the Primary Care Manager & the Rehab Provider in Deployed & Non-deployed Setting

Date/Time: On Demand, 8-30 September 2014

Consensus panels have increasingly recommended a gradual return to normal activity using a graded protocol after a concussion. In January 2014, the Defense and Veterans Brain Injury Center released two companion clinical recommendations to facilitate a standardized, staged return to unrestricted activity for service members who have sustained concussion in deployed and non-deployed settings.

The “Progressive Return to Activity Following Acute Concussion/Mild Traumatic Brain Injury: Guidance for the Primary Care Manager and the Rehabilitation Provider in Deployed and Non-deployed Setting” resource suite was developed in collaboration with military, clinical and academic subject matter experts. It addresses the six stages of progression from rest to pre-injury activity; definition of rest; use of the Neurobehavioral Symptom Inventory to track symptoms; a two-tiered complementary approach based upon symptoms and provider judgment; physical, cognitive and vestibular/balance activities recommended for participation and activities to avoid at each stage; and guidelines for progression, regression and referral. This session will introduce these key stages delineated by the clinical recommendations.

Target Audience: This program will be beneficial to mental health practitioners including psychologists, social workers, counselors, substance abuse professionals, case managers, clinicians and therapists. Any other mental health professionals are invited to attend.

1.25 contact hours. (Includes Social Work hours) NC AHEC is a 2014 NASW-NC approved provider of distance continuing education. This program has been approved for 1.25 contact hours. CEUs will be awarded to participants who attend 100% of this program. This program will provide 1.25 contact hours (category A) continuing education credit to NC Psychologists.


  • Discuss the evolution toward evidence-based approaches to graded return to activity after concussion
  • Describe the standardized, staged approach for increasing physical and cognitive activities to optimize recovery
  • Identify progress return to activity clinical recommendations, clinical support tools and a patient education dissemination plan in the primary care or rehabilitation setting
  • Evaluate the concussed patient’s progression through the stages of recovery and when the patient should be referred for further evaluation


Michael McCrea, Ph.D., ABPP
Professor of Neurosurgery and Neurology; Director, Brain Injury Research
Medical College of Wisconsin
Milwaukee, Wis.

Therese A. West, DNP, APN, BC
Senior Clinical Advisor, Office of Clinical Affairs
Contract support to Defense and Veterans Brain Injury Center
Silver Spring, Md.


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  • Complete the course evaluation.
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Continuing education credit is available from Duke Medicine for this On Demand session.

To receive credit, you must register no later than 6 p.m. (EDT) 26 September 2014 AND complete the course and evaluation no later than 11:59 p.m. (EDT) 26 September 2014.

Session registration opens 8 September 2014. The evaluation site opens at 8 a.m. (EDT) 8 September 2014 and closes at 11:59 p.m. (EDT) 26 September 2014.

DCoE's awarding of continuing education credit is limited in scope to health care providers who actively provide psychological health and traumatic brain injury care to U.S. active-duty service members, reservists, National Guardsmen, military veterans and/or their families.

To qualify for receipt of continuing education credit for this course, eligible participants must create a profile in the Duke Medicine Learning Management System and register for the event on, or before, the event registration deadline. Complete responses to all pre-registration questions are required to be eligible to receive credit for attending this event. For guidance on creating a user account and event registration in the Duke Medicine Learning Management System site, please visit

Course summary
Available credit: 
  • 1.25 AMA PRA Category 1 Credit(s)
  • 1.25 ANCC
  • 1.25 Attendance
  • 1.25 APA Credit
  • 0.13 CEU
  • 1.25 NASW credits
  • 1.25 NBCC
Registration Opens: 
Registration Expires: 

Available Credit

  • 1.25 AMA PRA Category 1 Credit(s)
  • 1.25 ANCC
  • 1.25 Attendance
  • 1.25 APA Credit
  • 0.13 CEU
  • 1.25 NASW credits
  • 1.25 NBCC
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