Introduction to Sports Neuropsychology

(1.5 CE Credits)

Presented by:
Robert L. Conder, Psy.D., ABPP
Clinical, Rehabilitation, & Sports Neuropsychology
Carolina Neuropsychological Service
Neuropsychologist, Duke Raleigh Hospital

Sports Neuropsychology is an emerging subspecialty, especially given the widespread concern over the effects of concussions at all levels of athletic performance. Yearly, an estimated 38 million children and adolescents participate in organized sports, and it is estimated that 1.6-3.8 million youth concussions are sustained yearly. While based in the fundamentals of Neuropsychology, a Sports Neuropsychology framework requires modification in both assessment and treatment methodologies. This presentation will review the neuroscience, assessment, prevention and management of sports concussions. A repeatable, focused and sensitive assessment model for sports concussion will be delineated. Emphasis will be given to pediatric and adolescent return-to-play and return-to-classroom issues. Predictors of prolonged recovery will be explicated, as will treatment interventions which can speed up or maximize the recovery process. The topic of Chronic Traumatic Encephalopathy will be addressed. A model school-based Concussion Education, Prevention and Management Program will be presented. The implications of Youth Sport Safety Legislation, such as has been introduced in at least 38 states, will be addressed. Finally, suggestions for professional education and training in the field of Sports Neuropsychology will be offered.

After the webinar, participants will be able to:

  1. define a sports concussion, and identify similarities and differences from a traumatic brain injury;
  2. describe management techniques to reduce psychological and academic morbidity post-concussion, including parent, teacher and school consultation;
  3. prepare brief and focused assessment batteries and describe how these differ from a traditional neuropsychological or psychoeducational assessment battery;
  4. explain model guidelines for reduction of sports concussions; and be introduced to educational/advocacy guidelines for parents, players, coaches and schools.
Target Audience:Primarily neuropsychologists who wish to expand their practice to work with athletic populations of any age.

Instructional Level:Introductory

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Neurological Underpinnings and Neuropsychological Outcomes of Concussion

1.5 CE Credits

Presented by:
Gerard A. Gioia, Ph.D.
Division Chief & Professor, Pediatric Neuropsychology
Director, Safe Concussion Outcome, Recovery & Education (SCORE) Program
Children’s National Medical Center
George Washington University School of Medicine

This webinar will discuss our current state of knowledge in the evaluation and management of concussion/mild traumatic brain injury (mTBI). Good clinical practice is informed by a solid understanding of the underlying neuropathophysiology of this injury, paired with the functional assessments and treatment. Our current understanding of the neurometabolic cascade and diffuse axonal injury is explored, as well as functional outcomes in the cognitive, behavioral, and social-emotional domains. Participants will learn the range of clinical assessment tools that are currently available. Complementing the assessment process, participants will learn treatment/intervention strategies to support recovery. An active model of rehabilitation, addressing cognitive and social-emotional factors and highlighting the self-efficacy of the recovering person, will be articulated. The benefits of aerobic activation will also be discussed. This course will illustrate how the clinical skillset of the neuropsychologist is ideally suited to the evaluation and management of concussion/mTBI.

After the webinar, participants will be able to:

  1. Explain the underlying pathophysiology and associated clinical presentation of concussion. 
  2. Describe various domains and methods to assess concussion dysfunction.
  3. Discuss targets and models of active treatment and management.

Target Audience: Clinical neuropsychologists with interest in learning current models and methods of serving persons with mild TBI/concussion.

Instructional Level: Introductory to Intermediate

About Gerard A. Gioia, Ph.D.
Dr. Gioia is a pediatric neuropsychologist and Chief of the Division of Pediatric Neuropsychology at Children’s National Health System, where he directs the two Neurobehavioral Evaluation Core Laboratories of the Clinical & Translational Science Institute and Intellectual and Developmental Disabilities Research Center, as well as the SCORE Concussion Program. He is Professor of Pediatrics and Psychiatry at the GWU School of Medicine. Dr. Gioia is a clinician, researcher, teacher/ trainer. He is a researcher interested in the construction of developmentally and psychometrically sound tools to define neuropsychological outcomes in children with various neurologic disorders. He has been active in public health activities, working with the CDC on their “Heads Up” concussion educational toolkits for healthcare professionals, parents, children, coaches and school personnel. Dr. Gioia has participated in the 2004, 2008, 2012 and 2016 International Concussion in Sport Group Consensus meetings; the American Academy of Neurology Sports Concussion Guideline Author panel; and the CDC’s evidence based guideline development for mild TBI. He works with the Washington Capitals of the NHL and Baltimore Ravens of the NFL, and consults with youth sports of ice hockey, lacrosse, football, rugby, and soccer. He is the President-Elect of the Sports Neuropsychology Society, and is a member of the Medical Advisory Committee for USA Football; National Advisory Board of the Positive Coaching Alliance; Advisory Council of the former US Surgeon General David Satcher’s National Council on Youth Sports Safety.

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Neuropsychology in Sports-Related Concussion

1.5 CE Credits

Presented by:
Peter Arnett, Ph.D.
Professor & Director
Neuropsychology of Sports Concussion & MS Programs
Penn State University

In this webinar, some current issues in the neuropsychology of sports-related concussion will be reviewed. You will gain a greater understanding of the neuropsychologist’s role in the sports-concussion framework. The importance of measuring depression in the sports-concussion context, of the complexities involved in measuring it, and baseline risk factors for depression will be reviewed. Furthermore, you will learn how cognitive variability at baseline may serve as a risk factor for cognitive decline post-concussion. You will also develop a framework for assessing cognitive functioning post-concussion when no baseline is available. Additionally, exciting new research on genetic risk factors for outcome in sports-concussion will be presented. Finally, some discussion questions will be provided for consideration.


After the webinar, participants will be able to:

  1. Summarize the key roles of neuropsychology in sports concussion management.
  2. Identify the impact of motivation on the assessment of neurocognitive functioning in sports concussion.
  3. Describe what predicts depression in sports concussion and explain how it can be measured.
  4. Develop a framework for assessing cognitive functioning post-concussion, even when no baseline evaluation data is available.
  5. Analyze how pre-morbid and injury-related factors, including generic variables such as APOE E4, predict post-concussion symptoms.

Target Audience: Neuropsychologists and other health care professionals involved, or interested in becoming involved, in the management of sports-related concussion who want to understand more about the complexities of measuring cognitive dysfunction and depression in concussed athletes and to learn key factors predicting outcomes in sports concussion that can help guide them in their care and understanding of their athletes. 

Instructional Level: Intermediate 

About Peter Arnett, Ph.D.

Dr. Arnett received his Ph.D. in Psychology (Clinical) from the University of Wisconsin – Madison, and completed a post-doctoral fellowship in Clinical Neuropsychology at the Medical College of Wisconsin under the direction of Drs. Stephen Rao and Thomas Hammeke. He is currently a Psychology Professor and Director of the Neuropsychology of Sports-Related Concussion and Neuropsychology of MS programs at Penn State University. Dr. Arnett’s research has focused on clinical neuropsychology, with an emphasis on studying secondary influences on cognitive functioning in persons with mild traumatic brain injury/sports concussion and multiple sclerosis (MS).  He is a fellow of NAN, past winner of NAN’s Nelson Butters Award for Research Contributions to Clinical Neuropsychology, current editor of the NAN Bulletin, was Program Co-Chair for the 2010 Mid-Year Meeting of the International Neuropsychological Society (INS), and is a past board member of INS.  Dr. Arnett is the author of over 130 research articles and book chapters, has given many national and international talks on sports concussion and MS, and has edited a book entitled, Secondary Influences on Neuropsychological Test Performance. He is currently editing another book entitled, Neuropsychological Perspectives on Sports-Related Concussion that will be published by APA and appear in print in early 2018.  He is an editorial board member of several journals, and has received grant funding from the National MS Society, NIH, and NIMH.  

 

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The Spectrum of Concussion: Recovery Time, Treatment, Rehabilitation, and Possible Long-Term Effects on Brain Health

(2.0 CE Credits)

Concussion has received enormous attention from the medical and scientific communities as well as extensive media coverage and public-policy interest. Although much has been learned, there remain critical unanswered questions relating to the clinical care, treatment, and ultimate wellbeing of student and professional athletes. This workshop will review the spectrum of concussion, from acute effects to possible long-term effects on brain health. Topics covered will include: (i) comorbidity factors that influence athletes’ trajectories of recovery from concussion; (ii) factors relating to fast and slow recoveries; (iii) improving assessment, treatment, and rehabilitation; (iv) examining possible long-term effects of multiple concussions on later-in-life brain health; and (v) a critical review of chronic traumatic encephalopathy.

After the presentation, participants will be able to:

1. Delineate anticipated recovery times for those who sustain a sport-related concussion.
2. List factors or characteristics associated with a slower recovery from concussion.
3. Develop and compile more personalized treatment and rehabilitation plans for those who are slow to recover.
4. Describe and critique what is known (and not known) about risks for long-term effects of multiple concussions, including accelerated aging, neurodegenerative diseases,  and chronic traumatic encephalopathy.

 

Presented by:
Grant L. Iverson, Ph.D.
Professor, Department of Physical Medicine & Rehabilitation, Harvard Medical School
MassGeneral Hospital for Children™ Sports Concussion Program 
Traumatic Brain Injury Program, Home Base, A Red Sox Foundation
Massachusetts General Hospital Program

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Chronic Traumatic Encephalopathy (CTE) and the Long-Term Consequences of Sports-Related Repetitive Subconcussive Brain Trauma: What We Know Now and What We Need to Know Next

1 CE Credits

 

Presented by:
Robert A. Stern, Ph.D.

Professor of Neurology, Neurosurgery, and Anatomy & Neurobiology
Boston University (BU) School of Medicine
Director of Clinical Research, BU CTE Center
Senior Investigator, BU Alzheimer’s Disease Center


Description
Chronic traumatic encephalopathy (CTE) is a neurodegenerative disease found in individuals with a history of exposure to repetitive head impacts (RHI), such as former American football players, soccer players, and boxers. Referred to as “punch drunk” or dementia pugilistica since the early 20th century, the term “CTE” has been used since the 1950s to describe the clinical and neuropathological changes seen in individuals with RHI exposure. However, it is only in the past decade that CTE has received increased attention due to a growing number of deceased former NFL players being diagnosed with the disease postmortem. The tremendous growth in media attention to CTE has led to many misconceptions and misunderstanding about CTE. As with other neurodegenerative diseases, at this time CTE can only be confirmed by neuropathological examination. However, there are now consensus diagnostic criteria for the clinical presentation of CTE, and there have been several studies indicating potential neuroimaging and fluid biomarkers to detect and diagnose CTE during life. This workshop will provide an overview of what is currently known about CTE and what knowledge gaps exist, as well as current and future directions in research.

After the session, participants will be able to:
Describe the neuropathological features of chronic traumatic encephalopathy (CTE).
Explain what is currently known about risk factors for developing CTE.
Discuss the clinical features associated with CTE and the current diagnostic criteria for Traumatic Encephalopathy Syndrome.
Describe the possible fluid and neuroimaging biomarkers for CTE.
Explain the current gaps in knowledge about CTE and what research is needed to close those gaps.

Target Audience: Neuropsychologists and trainees

Instructional Level: Intermediate

Dr. Robert Stern is Professor of Neurology, Neurosurgery, and Anatomy & Neurobiology at Boston University (BU) School of Medicine. He is an internationally recognized expert on chronic traumatic encephalopathy (CTE) and the long-term effects of repetitive head impacts in athletes. He is Co-Founder and Director of Clinical Research for the BU CTE Center, and he is the lead investigator of a $17 million, 7-year NIH grant for a multi-center study to develop methods of diagnosing CTE during life as well as examining potential risk factors of the disease. Dr. Stern’s other major area of funded research includes the diagnosis and treatment of Alzheimer’s disease. From 2010-2019 he was Clinical Core Director of the NIH-funded BU Alzheimer’s Disease Center. He oversees several clinical trials for the treatment and prevention of Alzheimer’s and has conducted research on innovative new tests to detect and diagnose the disease. Dr. Stern has over 250 publications, is a member of several medical journal editorial boards, and is the co-editor of two recent textbooks: Sports Neurology (Dr. Brian Hainline, co-editor), part of the Handbook of Clinical Neurology series, and the Oxford Handbook of Adult Cognitive Disorders (Dr. Michael Alosco, co-editor). He is a clinical neuropsychologist and has developed several widely used neuropsychological tests, including the Neuropsychological Assessment Battery (NAB). He is a Fellow of the National Academy of Neuropsychology and the American Neuropsychiatric Association. Dr. Stern is a member of the court-appointed Medical Scientific Committee for the NCAA Student-Athlete Concussion Injury Litigation, as well as the Mackey-White Health and Safety Committee of the NFL Players Association.


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Sports Concussion: Diagnosis, Management, and Long-Term Risk

3.0 CE Credits


William Perry, Ph.D.

Professor of Psychiatry
University of California, San Diego
Past President and Executive Director 
National Academy of Neuropsychology 

C. Munro Cullum, Ph.D., ABPP-CN
Professor of Psychiatry, Neurology & Neurotherapeutics, and
Neurological Surgery
Pamela Blumenthal Distinguished Professor of Clinical Psychology
Vice Chair and Chief, Psychology Division, Department of Psychiatry
Senior Neuropsychologist, O’Donnell Brain Institute
University of Texas Southwestern Medical Center
President, Sports Neuropsychology Society 

Donna K. Broshek, Ph.D., ABPP-CN

John Edward Fowler Professor of Psychology
Department of Psychiatry and Neurobehavioral Sciences
Co-Director, Acute Concussion Evaluation Clinic at University of Virginia School of Medicine 
Past President and Executive Director, Sports Neuropsychology Society

Andrew J. Gardner, Ph.D. 
Associate Professor, School of Medicine and Public Health, The University of Newcastle, Australia.
Co-Director, Sports Concussion Clinic, Hunter New England Local Health District. 
Hunter Medical Research Institute (HMRI)

Grant L. Iverson, Ph.D. 
Professor, Department of Physical Medicine & Rehabilitation, Harvard Medical School
Director, Massachusetts General Hospital for Children Sports Concussion Program
Associate Director, Traumatic Brain Injury Program, Home Base, A Red Sox Foundation and Massachusetts General Hospital Program

Jeffrey T. Barth, Ph.D.
John Edward Fowler Professor Emeritus
University of Virginia School of Medicine 

This 3-hour workshop is designed to provide foundational information about sports-related concussion to practitioners. While the focus will be on sports-related concussion, the information is of value to all practitioners who work with concussed individuals. Both typical and complicated recovery will be discussed as well as long-term risks. 

After the webinar, participants will be able to:

1. Explain concussion diagnosis and typical recovery. 
2. List the individual factors that can influence recovery after sports-related concussion.
3. Explain how terminology about persisting symptoms after concussion can influence clinical care.
4. Describe the importance of individualized assessment and management of athletes with persisting symptoms after concussion.
5. Differentiate 20th century descriptions of neurological disorders in boxers from modern descriptions of chronic traumatic encephalopathy (CTE) and traumatic encephalopathy syndrome.
6. Describe the later life health issues of retired professional rugby league players.


Target Audience:
Health care providers are the primary audience, including clinical psychologists, school psychologists, neuropsychologists, athletic trainers, pediatricians, school nurses, and others with an interest in treating concussion.

Instructional Level:
Introductory to intermediate

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