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Grand Rounds: Minds Matter: Seeing Concussion Through New Eyes


By Christina Master, MD , Division of Orthopedics and Sports Medicine, The Children’s Hospital of Philadelphia

Objectives (Educational Content) :

1. Describe how to use a targeted history and physical examination, including a visio-vestibular examination, to diagnose concussion. 2. Implement a comprehensive active management plan immediately after concussion to optimize return to learning and activities. 3. Develop a comprehensive rehabilitative program for persisting post-concussion symptoms, including approaches utilizing vestibular, aerobic and visual rehabilitative approaches.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists and nurses

Identified Gap:

New and improved methods of diagnosing and managing concussion in the pediatric patient will optimize the return to normal activities and learning.

Estimated Time to Complete the Educational Activity:

1 hour

Expiration Date for CME Credit:


Method of Physician Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CME credit.


Dr. Master has indicated that she has no relevant financial interest in any pharmaceutical or medical device company and that this activity was developed independent of commercial interest.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 125 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.


Grady MF, Master CL. Return to School and Learning After Concussion: Tips for Pediatricians. Pediatr Ann. 2017 Mar 1; 46(3):e93-e98.

Master CL, Master SR, Wiebe DJ, Storey EP, Lockyer JE, Podolak OE, Grady MF. Vision and Vestibular System Dysfunction Predicts Prolonged Concussion Recovery in Children. Clin J Sport Med. 2018; Mar; 28(2):139-145.

Storey EP, Wiebe DJ, D’Alonzo BA, Nixon-Cave K, Jackson-Coty J, Goodman AM, Grady MD, Master CL. Vestibular Rehabilitation is Associated with Visuovestibular Improvement in Pediatric Concussion. J Neurol Phys Ther. 2018;Jul; 42(3):134-141.