This self-assessment has 27 questions and requires a minimum passing score of 70% to claim CME. You will have unlimited attempts to achieve a passing score.

This learning activity meets the self-assessment criteria of the Part II: Life-long Learning and Self-Assessment component as part of the ABPM&R's Maintenance of Certification^©program.

Learning Objectives
After completing this enduring material, the participant should be able to:

• Recognize appropriate clinical management strategies and apply these techniques and knowledge into their practice.
• Assess the current state of their knowledge specific to the activity topic and identify knowledge gaps in which additional study is needed.
• Develop a strategy to closing the identified knowledge gaps using resources provided as references within the activity.

Associated Articles

• Leddy J, Baker JG, Haider MN, Hinds A, Willer B. A Physiological Approach to Prolonged Recovery From Sport-Related Concussion. Journal of Athletic Training. 2017;52(3):299-308. doi:10.4085/1062-6050-51.11.08.
• VA/DoD Clinical Practice Guideline for the Management of Concussion-Mild Traumatic Brain Injury. Management of Concussion-mild Traumatic Brain Injury Working Group. Washington, DC. 2016. Available from: https://www.healthquality.va.gov/guidelines/Rehab/mtbi/mTBICPGFullCPG50821816.p
• Esterov D, Greenwald B. Autonomic Dysfunction after Mild Traumatic Brain Injury. Brain Sciences. 2017; 7(8):100. doi:10.3390/brainsci7080100.
• Lumba-Brown A, Yeates KO, Gioia G, et al. Report From the Pediatric Mild Traumatic Brain Injury Guideline Workgroup: Systematic Review and Clinical Recommendations for Healthcare Providers on the Diagnosis and Management of Mild Traumatic Brain Injury Among Children. Centers for Disease Control and Prevention. 2016.
• 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. doi:10.1212/WNL.0b013e31828d57dd.
• Davis GA, et al. Concussion in Sport Group 2017. Sport Concussion Assessment Tool 5 (SCAT5). http://bjsm.bmj.com/content/bjsports/early/2017/04/26/bjsports-2017-097506SCAT5.full.pdf
• McCrory P, Meeuwisse W, Dvorak J, et al. Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016. Br J Sports Med Published Online First: 26 April 2017. doi: 10.1136/bjsports-2017-097699
• Kenzie ES, Parks EL, Bigler ED et al. Concussion As a Multi-Scale Complex System: An Interdisciplinary Synthesis of Current Knowledge. Front Neurol. 28 September 2017: https://doi.org/10.3389/fneur.2017.00513
• Ontario Neurotrauma Foundation. Guidelines for Concussion/Mild Traumatic Brain Injury & Persistent Symptoms. 3rd ed. 2018.
• Montenigro PH, Bernice C, Cantu RC.  Clinical Features of Repetitive Traumatic Brain Injury and Chronic Traumatic Encephalopathy. Brain Pathology 2015; 25(3):304-317. https://doi.org/10.1111/bpa.12250
• NIH Chronic Traumatic Encephalopathy Diagnosis Conference. National Institute of Neurological Disorders and Stroke. Available from: https://www.ninds.nih.gov/Current-Research/Focus-Research/Traumatic-Brain-Injury/NIH-Chronic-Traumatic-Encephalopathy; Date last modified: Fri, 2016-12-02 17:27; accessed 8/17/2018 at 22:00.

Accreditation Statement

AAPM&R is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CME Credit Designation

AAPM&R designates this enduring material for a maximum of 8.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and their Disclosures
All faculty, planners and reviewers participating in continuing medical education programs must disclose to the learner any financial interests with any commercial supporter or other relationships with manufacturer(s) or providers of any product or service related to content of their presentation. For this activity, all self-assessment questions were developed and peer-reviewed to ensure quality and independence by the Self-Assessment Committee, under the oversight of the chair and the Medical Education Committee.  Their disclosures are provided below.  Disclosures from the article authors can be found in the article PDFs.

Prinicpal Faculty/Self-Assessment Committee Members:
Atul T. Patel, MD, MHSA, Chair
Speaker's Bureau for Allergan, Ipsen, Merz; participates in clinical trials for Ipsen, Merz, and Revance; Guideline and AUC Committee for the AAOS, nonremunerative position of influence.

Fred Bagares, DO
Disclosed no relevant financial relationships.

Scott Campea, MD
Disclosed no relevant financial relationships.

Hans L. Carlson, MD
Consultant, Standard Insurance

Carol Y. Crooks, MD
Disclosed no relevant financial relationships.

Maria Aurora Dajoyag-Mejia, MD
Disclosed no relevant financial relationships.

Colby Hansen, MD
Consultant for CSRA International, Inc..

David J. Haustein, MD
Disclosed no relevant financial relationships.

Matthew P. Mayer, MD
Disclosed no relevant financial relationships.

Michelle McFarlane, MD
Disclosed no relevant financial relationships.

Virtaj Singh, MD
Disclosed no relevant financial relationships.

Kate Temme, MD
Disclosed no relevant financial relationships.

AAPM&R Medical Education Committee:
Steve R. Flanagan, MD, Chair
Royalties from Springer Publishing; research grant from Brain Injury of America

Anna-Christina Bevelaqua, MD
Disclosed no relevant financial relationships.

Justin M. Bishop, MD, MBA, MS (RPC Liaison)
Disclosed no relevant financial relationships.

Joseph E. Burris, MD
Serves on the Speakers Bureau for, and received clinical research grants from Allergan.

John C. Cianca, MD
Independent contractor, Houston Marathon Committee; owner, Musculoskeletal Ultrasound Consultants, LLC; consultant, 2nd MD; royalties from Demos Medical Publishing

Andrew B. Collins, MD (RPC Liaison)
Disclosed no relevant financial relationships.

Rita G. Hamilton, DO
Disclosed no relevant financial relationships.

Mark E. Huang, MD
Holds a nonremunerative position of influence at Cerner Corporation.

R. Sam Mayer, MD
Royalties from Demos Medical Publishing.

Andre Panagos, MD
Disclosed no relevant financial relationships.

Atul T. Patel, MD, MHSA
Speakers Bureau for Allergan, Ipsen, Merz; participates in clinical trials for Ipsen, Merz, and Revance; Guideline and AUC Committee for the AAOS, nonremunerative position of influence.

Kerrie M. Reed, MD
Disclosed no relevant financial relationships.

Sunil Sabharwal, MD
Royalities from Demos Publishing; board member, American Board of Physical Medicine and Rehabilitation.

Rebecca DeVivo, MPH, MSW
Staff Liaison
Disclosed no relevant financial relationships.

No other planners, faculty or other individuals in control of content disclosed any relevant financial relationships.