2020 Virtual Sports Concussion Conference Resource Guide

SPORTS CONCUSSION VIRTUAL CONFERENCE JULY 31–AUGUST 1, 2020

Resource Guide

SPORTS CONCUSSION VIRTUAL CONFERENCE

Brian W. Hainline, MD, FAAN

The AAN's Sports Concussion Conference, now in its 7th year of advancing concussion knowledge, will look different as we embrace a virtual setting. In this new format, we have developed an equally exciting meeting and have kept engaging sessions that have been most popular and impactful in the past, including a can’t-miss workshop on the ocular motor examination and the scientific and clinical highlights of the past year. We’re excited to have you join us!

– Brian W. Hainline, MD, FAAN, and David W. Dodick, MD, FAAN Co-directors of the Sports Concussion Conference

David W. Dodick, MD, FAAN

PROGRAM DESCRIPTION This two-day conference will focus on the science behind concussion. Concussion experts will present up-to-date best practices and emerging scientific information through a variety of formats.

LEARNING OBJECTIVES Participants should be able to accurately and appropriately diagnose concussion Institute appropriate and clinically useful diagnostic tests when indicated Provide state-of-the-art management of concussed athletes and individuals Make safe and appropriate return to play, school, work, and life decisions Educate athletes, non-health care professionals, and other health care practitioners on key issues

related to concussion

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Sports Concussion Conference • Resource Guide • 2020

JOIN THE CONVERSATION Read what’s being said and join the conversation using #AANSCC on Facebook, Twitter, and Instagram.

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Zoom Best Practices and Technical Support Zoom Tips and Tricks 1. Before the meeting, make sure your computer and Zoom are updated. If you don’t have Zoom, you can download it here for free.

2. Take a few minutes to familiarize yourself with your surroundings. If you have never used Zoom before, we suggest joining the conference five minutes early to allow time for troubleshooting.

3. On the day of the conference, make sure to sit in a quiet area with good internet connection prior to logging in to the Online Learning Center. Find a comfortable chair and appropriate table height so you don’t strain your neck.

4. Do a quick run through of the Sports Concussion Conference Resource Guide and familiarize yourself with the schedule so you can be on time during the conference. You might find it helpful to print this out and have in front of you or download it so you can reference it throughout the event.

5. Use the chat function in Zoom to engage with speakers and the Q&A function to ask questions you have about the presentation. A moderator will address your question to the speaker.

Zoom Technical Support If you experience technical difficulties any time during the day, check out these Zoom support and resources.

AAN Technical Support For support with any technical questions during the live webinar, please use the Zoom chat. There will be an AAN staff member monitoring the Zoom chat and will be able to assist you. If you have issues getting into the Zoom webinar, please reach out to registration@aan.com for support.

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Sports Concussion Conference • Resource Guide • 2020

How to Claim CME/CEU Credits ACCME Accreditation The American Academy of Neurology Institute (AANI) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The AANI holds Accreditation with Commendation, the ACCME highest level of recognition for a CME provider. View the CME Mission Statement.

AMA Credit Designation The AANI designates this live/enduring activity for a maximum of 4.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. *See individual program descriptions for the maximum number of credits per program.

Claiming CME To claim CME hours, attendees must complete program evaluations in the Online Learning Center. Upon submission of the evaluation, a certificate of completion will be sent via email to your associated email address on file. Transcripts will be emailed to nonmember attendees approximately six to eight weeks following the close of the conference. AAN members can access their transcript via NeuroTracker™ at AAN.com/view/NeuroTracker.

BOC Approved CEU Provider The AANI is recognized by the Board of Certification, Inc., to offer continuing education for Certified Athletic Trainers.

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Certificate for Non-physicians Non-physician participants will receive an acknowledgement of participation indicating attendance at an activity designated for AMA PRA Category 1 Credit™.

ABPN Statement The American Board of Psychiatry and Neurology has reviewed the AAN Sports Concussion Conference and has approved this program as a part of a comprehensive lifelong learning program, which is mandated by the ABMS as a necessary component of continuing certification.

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Sports Concussion Conference • Resource Guide • 2020

Schedule and Speakers Conference Timing: Friday, July 31, 2020

Saturday, August 1, 2020

4:00 p.m.-6:10 p.m. ET / 1:00 p.m.-3:10 p.m. PT /

11:00 a.m.-1:30 p.m. ET / 8:00 a.m.-10:30 a.m. PT /

3:00 p.m.-5:10 p.m. CT

10:00 a.m.-12:30 p.m. CT

Friday, July 31 * The following are listed in Eastern Time Welcome

4:00 p.m.–4:10 p.m.

Brian W. Hainline, MD, FAAN–Indianapolis, IN David W. Dodick, MD, FAAN–Scottsdale, AZ Ocular Motor Examination Workshop and Q&A

4:10 p.m.–5:10 p.m.

David I. Kaufman, DO–East Lansing, MI Janet C. Rucker, MD–New York, NY Return to Activity and the Role of Exercise Post-COVID-19 and Q&A

5:10 p.m.–6:10 p.m.

Brian W. Hainline, MD, FAAN–Indianapolis, IN John J. Leddy, MD, FACSM, FACP–Buffalo, NY

6:20 p.m.–6:50 p.m.

Virtual Sports Trivia and Happy Hour

Virtual Poster Hall The Virtual Poster hall will be available on both conference days from 4:00 p.m. to 7:00 p.m. Eastern Time. You can access the Virtual Poster Hall throughout the conference by going to the Online Learning Center.

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Schedule and Speakers Saturday, August 1 * The following are listed in Eastern Time Oculomotor Therapy and Q&A

11:00 a.m. – 11:30 a.m.

Steven Galetta, MD, FAAN–New York, NY Frederick Robert Carrick, DC, PhD, MS-HPEd–Cape Canaveral, FL

11:30 a.m. – 12:00 p.m.

12:30 p.m. – 1:00 p.m.

1:00 p.m. – 1:30 p.m.

NCAA/DoD CARE Consortium: Emerging Biomarkers and Q&A Michael McCrea, PhD, ABPP–Milwaukee, WI The Basic Science of Concussion and Q&A Christopher Giza, MD, FAAN–Los Angeles, CA The Clinical Science of Concussion and Q&A Christina Master, MD, FAAP, CAQSM–Philadelphia, PA

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Sports Concussion Conference • Resource Guide • 2020

Faculty and Talk Descriptions Ocular Motor Examination Workshop Janet C. Rucker, MD, and David I. Kaufman, DO Talk description: The goal of this workshop will be to teach participants the role Janet C.Rucker, MD

of vision and eye movements in concussion evaluation, including the definition and purpose of each type of eye movement and how to examine each in person and via telemedicine. Case examples of mild traumatic brain injury and pathology in each of the eye movement types will be provided.

David I. Kaufman, DO

Return to Activity and the Role of Exercise Post COVID-19 Brian W. Hainline, MD, FAAN, and John J. Leddy, MD, FACSM, FACP Talk description: This presentation will describe the physiology of concussion, Brian W. Hainline, MD, FAAN

the diagnostic and prognostic value of physiological testing for acute sport-related concussion (SRC), and the treatment of acute SRC using early testing and sub-symptom threshold aerobic exercise. Plus, return-to-play and exercise recommendations following COVID-19 infection.

John J. Leddy, MD, FACSM, FACP

Ocular Therapy Steven Galetta, MD, FAAN, and Frederick Robert Carrick, DC, PhD, MS-HPEd Talk description: This presentation will cover convergence insufficiency and vestibuloSteven Galetta, MD, FAAN

ocular therapy. Convergence insufficiency is a very common complication of concussion.

In this talk, we will review the history and examination features that establish the diagnosis of convergence insufficiency. A series of treatment options for this disorder will be provided. Functional pathology of the vestibulo-ocular system also occurs commonly

Frederick Robert Carrick, DC, PhD, MSHPEd

after concussion and complicates recovery. We will explore the symptomatology of vestibulo-ocular disorders and establish evidence-based diagnostic and therapeutic clinical guidelines.

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Faculty and Talk Descriptions The NCAA-DoD CARE Consortium: Emerging Biomarkers Michael McCrea, PhD, ABPP Talk description: There is increasing interest in the biomarkers of traumatic brain injury Michael McCrea, PhD, ABPP

and concussion. This session will review emerging evidence from the NCAA-DoD CARE Consortium on potential diagnostic and prognostic utility of blood and neuroimaging biomarkers in sport-related concussion.

The Basic Science of Concussion Christopher Giza, MD, FAAN Talk description: Advances in preclinical and translational research continue to better Christopher Giza, MD, FAAN

inform our understanding of the basic science of mild TBI and concussion. This session focuses on several interesting recent basic science studies that show promise to guide our clinical approach to sports concussion identification, prognosis, and management.

The Clinical Science of Concussion Christina Master, MD, FAAP, CAQSM Talk description: The goal of this talk is to highlight important developments in Christina Master, MD, FAAP, CAQSM

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concussion research that have translational implications for clinical management of concussion.

Sports Concussion Conference • Resource Guide • 2020

Virtual Sports Trivia and Happy Hour Put your sports IQ to the test! Join us on Friday, July 31, from 6:20 p.m.–6:50 p.m. Eastern Time for the first ever Virtual Sports Trivia hosted by Tad D. Seifert, MD. Interested in other ways to connect? Check out the AAN’s Synapse communities where members can partner with colleagues; engage in conversation; exchange ideas; and share scientific, practice, and professional insights.

Additional Sports Concussion Resources AAN Sports Concussion Checklist

NeuroBytes: Phases of Sports Concussion Recovery

AAN Sports Concussion Resources Page

NeuroBytes: Concussion Versus Post-concussion Syndrome

AAN 2019 Sports Concussion Archive Page

Neurology Today® Sports Concussion Studies

Brain&Life® Concussion Basics

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Accreditation/CME/Core Competencies AMA CME Definition/Educational Content of Certified CME The AMA HOD and the Council on Medical Education have defined continuing medical education as follows: CME consists of educational activities which serve to maintain, develop, or increase the knowledge, skills, and professional performance and relationships that a physician uses to provide services for patients, the public, or the profession. The content of CME is the body of knowledge and skills generally recognized and accepted by the profession as within the basic medical sciences, the discipline of clinical medicine, and the provision of health care to the public. (HOD policy #300.988) Definition of Certified CME • Nonpromotional learning activities certified for credit prior to the activity by an organization authorized by the credit system owner, or • Nonpromotional learning activities for which the credit system owner directly awards credit Accredited CME providers may certify nonclinical subjects (e.g., office management, patient-physician communications, or faculty development) for AMA PRA Category 1 Credit™ as long as these are appropriate to a physician audience and benefit the profession, patient care, or public health. CME activities may describe or explain complementary and alternative health care practices.

As with any CME activity, these need to include discussion of the existing level of scientific evidence that supports the practices. However, education that advocates specific alternative therapies or teaches how to perform associated procedures, without scientific evidence or general acceptance among the profession that supports their efficacy and safety, cannot be certified for AMA PRA Category 1 Credit™.

Content Validation The AANI, as an ACCME accredited provider, is responsible for validating the clinical content of CME activities that it provides. Specifically, (1) All the recommendations involving clinical medicine in a CME activity must be based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients. (2) All scientific research referred to, reported, or used in CME in support or justification of a patient care recommendation must conform to the generally accepted standards of experimental design, data collection, and analysis.

Disclaimers/Disclosures Disclaimers The primary purpose of this program is to meet the educational needs of its members and address practice gaps by providing practice oriented and scientifically based educational activities that will maintain and advance competence and performance in the field of neurology.

A diversity of opinions exists in the medical field and the views of the conference faculty do not represent those of the AAN/AANI or constitute endorsement by the AAN/AANI. The AAN/AANI disclaims any and all liability for the claims that may result from the use or nonuse of information, publications, therapies, and/or services discussed at its conferences.

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Sports Concussion Conference • Resource Guide • 2020

The activities conducted, and content distributed, during this conference are for educational purposes only and do not constitute or substitute professional medical advice, diagnosis, or treatment. EEGs, examples of neurologic exams, and other activities conducted during conferences are not for diagnostic or treatment purposes, do not establish a patient-physician relationship, do not constitute the practice of medicine, and are not conclusive as to the absence or presence of any health condition. The AAN does not recommend or endorse any specific physicians, products, procedures, opinions, or other information that may be mentioned. Reliance on any information provided is solely at participant's own risk. The AAN is not liable to any participant or anyone else for any decision made or action taken by based on reliance upon the information provided during the program.

Liability Participant assumes any and all liability associated with participation in AAN educational activities, and releases the American Academy of Neurology, the American Academy of Neurology Institute, and their contractors, from any claims that may arise. The AAN is not liable for any claims whatsoever for personal injury, illness, death, or damages of any kind as a result of or caused by participation. Participation is voluntary.

Faculty Disclosure of Commercial Relationships Consistent with the AAN/AANI and ACCME policies, faculty must disclose any relevant financial relationship with the manufacturer(s) discussed in their presentation, so that learners may form their own judgments about material discussed during the educational activity. Full disclosure of faculty’s commercial relationships will appear in the individual program materials or in the AAN Conferences Mobile App. Unlabeled Use Disclosure The AANI requires all faculty members to disclose if a product is not labeled for the use being discussed or that the product is still investigational. Such disclosures will appear in the individual program materials.

Meeting Policies Anti-harassment The AAN is committed to providing a conference environment that is free from all forms of discrimination and harassment. The Meetings Anti-Harassment Policy promotes the AAN’s values by defining the expectations for all participants during any AAN conference and related social events. Violations of this policy may be reported to Member Services at (800) 879-1960, memberservices@aan.com, or to AAN conference staff at registration@aan.com.

Social Media, Photography, and Videography The American Academy of Neurology (AAN) encourages all AAN Regional Conference in-person and virtual participants to share their Regional Conference experience on social media using #AANFC for the Fall Conference/Virtual Fall Conference and #AANSCC for the Sports Concussion Conference/Sports Concussion Virtual Conference. When doing so, please adhere to the following AAN Regional Conference Social Media Policies: Photography and videography are permitted* for personal use only if captured via mobile phone, handheld device, or self-contained camera (no external lighting, tripod, or microphone) in the following locations: • Hallways • Poster Sessions (in-person and virtual)

Photography and videography intended for commercial use is strictly prohibited.

Live streaming is prohibited in all areas of an AAN Regional Conference and during all AAN Virtual Regional Conference offerings.

Photography and videography are prohibited due to the sensitive nature and privacy of unpublished research for all in-person and virtual conference participants in the following locations: • Exhibit Hall • Programming Sessions Usage of the AAN logo or the Regional Conference logos in social media is prohibited.

The AAN has the right to ask any in-person or Regional Conference participant to remove a social post or to stop taking photos or recording video at any time.

Consent to AAN Use of Images All portions of AAN conferences, live and virtual, may be photographed, videotaped, or recorded for future rebroadcast, distribution, promotion, or other commercial purpose. By attending the conference, you are consenting to being recorded, photographed, and videotaped without acknowledgment, payment, or remuneration of any kind. Any recordings, photographs, or videos of any nature are the sole property of AAN and its successors and assignees.

Cell Phones The AAN requests that participants turn cellular phones and pagers to vibrate mode upon entering for all conference programs.

Language The official language of AAN conferences is English. No simultaneous translation is available.

No Smoking For the health and comfort of everyone, smoking, including the use of electronic cigarettes, is prohibited at AAN conferences and functions, which include all education and scientific activities and social functions, including virtual settings.

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