Progressive Return to Activity Following a Concussion

March 13, 2014; 1-2:30 p.m. (ET)


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 webinar will introduce these key stages delineated by the clinical recommendations.

At the conclusion of this webinar, participants will be able to:

  • 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 progressive return to activity clinical recommendations, clinical support tools and 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, APRN, FNP-C, CPN-BC
Office of Clinical Affairs, Division of Clinical Practice and Clinical Recommendations Defense and Veterans Brain Injury Center Silver Spring, Md.


Maj. Tisha Bridge, PA-C, SP, U.S. Army
Chief, Office of Education Outreach Defense and Veterans Brain Injury Center Silver Spring, Md.

Continuing Education

Continuing education credit is available from Duke Medicine. You must register on or before March 13, 2014, at 11:00 a.m. (EDT) to qualify for the receipt of continuing education credit.  To qualify for receipt of continuing education credit for applicable webinars, 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-requisite course 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

Please note:  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.

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