Concussion Summit 2021

presented by the University of Hawaii, College of Education,
State of Hawaii Department of Health,
HCAMP and the Queen's Center for Sports Medicine

July 8-9, 2021  |  8 a.m. - 1:30 p.m. HST


Darian Brothers, MS, ATC
Tyler Duffield, PhD
David Howell, PhD, ATC
John Leddy, MD, FACSM, FACP
Angela Lumba-Brown, MD
Shelly Massingale, PT, MPT
Erik Swartz, PhD, ATC, FNATA


» Download brochure (PDF)


Athletic Trainers - $50 ($100 after 7/1)

Physicians - $150 ($200 after 7/1)

Other Healthcare Providers - $100 ($150 after 7/1)

Students - $25 ($50 after 7/1)

Pay by check/Purchase order (PDF)


Hawaii Concussion Awareness and Management Program (HCAMP) has reported that an average of 1,000 concussions were sustained annually by Hawaii's high school athletes since 2010. HCAMP has also reported an average high school athlete takes more than three weeks to recover from a concussion. The featured faculty will provide research-based evidence and discuss the current trends in concussion management and spinal-motion restriction. Topics will include best practices for schools and youth organizations to implement to help keep students and members safe.

Attendees will be provided with the most up-to-date assessment and management techniques and be inspired to start using these techniques immediately.

This conference has broad appeal to athletic trainers, EMT/MICTs, nurses, physical therapists, and physicians.


Darian Brothers, MS, ATC
University of Hawaii at Manoa
Hawaii Concussion Awareness and Management Program
Graduate Assistant
Honolulu, HI

Ms. Brothers, is a recent Masters of Science graduate from the University of Hawaii’s Kinesiology & Rehabilitation Science department where she is working as a graduate assistant. She will be pursuing her PhD in the fall to continue her work with HuTT808. Last year she presented her poster at the Far West Athletic Trainers Association annual meeting titled “Head Impact Location of Offensive and Defensive Linemen in Hawaiian High School Football.”

Tyler Duffield, PhD
Oregon Health and Science University (OHSU)
Assistant Professor of Family Medicine, School of Medicine
Assistant Professor of Neurology, School of Medicine
Portland, OR

Dr. Duffield is a neuropsychologist who specializes in traumatic brain injury, epilepsy, neurodevelopmental disorders (e.g., ADHD), and sleep health. In addition to neuropsychological assessment, Dr. Duffield provides a cognitive-behavioral sleep intervention service within the concussion clinic at OHSU. Research interests generally include innovative technologies, such as wearables and biometrics, with the potential to improve clinical assessment and treatment.

David R. Howell, PhD, ATC
Children's Hospital Colorado, Sports Medicine Center Lead Researcher
University of Colorado Denver
Assistant Professor and Assistant Director of Clinical Research,
Department of Orthopedics, School of Medicine
Denver, CO

Dr. Howell has received numerous awards for his research, including New Investigator Award from these organizations, National Athletic Trainers Association Foundation in 2019 and American College of Sports Medicine in 2020. Most recently, he was awarded the National Athletic Trainer Achievement Award from the Pediatric Research in Sport Medicine Society in 2021. The main goal of Dr. Howell’s research is to evaluate objective and quantitative measures that provide clinically relevant data for concussion management and to discover the physiologic underpinnings of post-concussion deficits.

John J. Leddy, MD, FACP, FACSM
University at Buffalo
Clinical Professor
Director of the Concussion Management Clinic
Jacobs School of Medicine and Biomedical Sciences
Buffalo, NY

Dr. Leddy is Professor of Clinical Orthopedics and Rehabilitation Sciences at the University at Buffalo Jacobs School of Medicine and Biomedical Sciences, and Director of Outcomes Research for the Department of Orthopaedics. He is a Member of the Expert Panel for the Berlin Fifth International Consensus Conference on Concussion in Sport and a consultant to the NIH on sport concussion research.

Angela Lumba-Brown, MD
Stanford University School of Medicine
Co-Director, Stanford Brain Performance Center,
Clinical Associate Professor of Emergency Medicine
Clinical Associate Professor of Pediatrics
Stanford, CA

Dr. Lumba-Brown is an academic pediatric emergency medicine physician with expertise in neuroscience and neurocritical emergencies. She cares for children and young adults clinically in the Stanford Pediatric Emergency Department. Dr. Lumba-Brown is a national expert on traumatic brain injury and has led several recent large guideline projects. She is also the co-director of the Stanford Brain Performance Center where she works to advance the neuroscience of brain synchronization in childhood development, injury, and aging through novel biomarker discovery and treatments.

Shelly Massingale, PT, MPT
Banner Concussion Center
Senior Director of Concussion Services
Phoenix, AZ

Ms. Massingale is the Senior Director of the Banner Sports Medicine and Concussion Center in Arizona. She is a Physical Therapist and is a specialist in vestibular and balance therapy. She has completed the Emory University Vestibular competency and advanced competency courses and has been treating vestibular and balance disorders since the beginning of her career. Since opening the Banner Sports Medicine and Concussion Center in 2013, she has focused her treatment and research solely on concussion. She is a co-developer of the Concussion Balance Test (COBALT) and has published articles that explored the utility of COBALT as an objective measurement of balance for the healthy and injured athletic population.

Erik E. Swartz, PhD, ATC, FNATA
University of Massachusetts, Lowell
Chair and Professor, Department of Physical Therapy and Kinesiology
Lowell, MA

Dr. Swartz's research interest focuses on the prevention and acute care of head and neck injuries in football. He has received grants from The NATA Foundation, NOCSAE, NFL Charities and was a winner of the NineSigma Head Health Challenge. He has published in journals such as The American Journal of Emergency Medicine, New England Journal of Medicine, Spine, and The American Journal of Sports Medicine. He served on the NFL Head Neck and Spine Committee’s Subcommittee on Safety Equipment and Rules and as chair of the NATA Position Statement on the Acute Management of the Cervical Spine Injured Athlete.


Thursday - July 8, 2021
All times listed are Hawaii Standard Time
7:30-7:50 a.m. Registration and Login
7:50-8:00 a.m. Welcome and Introduction
8:00-9:00 a.m. Classifying Clinical Presentations of Concussion to Target Recovery
Angela Lumba-Brown, MD
9:00-9:05 a.m. Break
9:05-10:05 a.m. Concussion Biomarkers: Blood, Blood Flow and Saliva
John Leddy, MD, FACSM, FACP
10:05-10:10 a.m. Break
10:10 a.m.-11:10 a.m. The Influence of Sleep Health on General Injury and Concussion Management
Tyler Duffield, PhD
11:10-11:20 a.m. Break
11:20 a.m.-12:20 p.m. Highlights from the Consensus Recommendations on the Prehospital Care of the Injured Athlete with a Suspected Catastrophic Cervical Spine Injury
Erik Swartz, PhD, ATC, FNATA
12:20-12:25 a.m. Break
12:25-1:25 p.m. Prehospital Care Demonstration
Erik Swartz, PhD, ATC, FNATA and Local EMS
1:25-1:30 p.m. Closing Remarks
Friday - July 9, 2021
All times listed are Hawaii Standard Time
7:45-7:55 a.m. Check in
7:50-8:00 a.m. Welcome and Introduction
8:00-8:30 a.m. A HuTT808 Research Update: Year 1 Preliminary Results and COVID Challenges
Erik Swartz, PhD, ATC, FNATA
8:30-8:35 a.m. Break
8:35-9:05 a.m. Head Impact Location of Offensive and Defensive Linemen in Hawaiian High School Football
Darian Brothers, MS, ATC
9:05-9:10 a.m. Break
9:10-10:10 a.m. Exercise for Concussion: Physiology and Implementation
John Leddy, MD, FACSM, FACP
10:10-10:15 a.m. Break
10:15 a.m.-11:15 a.m. Emerging Concussion Rehabilitation Approaches: Incorporating Neuromuscular Control and Dual-Task Training into Return to Play Progressions
David Howell, PhD, ATC
11:15-11:30 a.m. Break
11:30 a.m.-12:30 p.m. The Concussion Balance Test (COBALT) for Athletes’ Pre-Season and Post Injury for mTBI
Shelly Massingale, PT, MPT * Asynchronous
12:30-12:35 p.m. Break
12:35-1:35 p.m. COBALT Demonstration: How to Administer the assessment with and without a force plate
Shelly Massingale, PT, MPT * Asynchronous
1:35-1:40 p.m. Closing Remarks

After completing this educational activity, participants should be able to:

  • » Describe and discuss concussion subtypes and associated conditions, as well as gender and age frequency during acute concussions
  • » Discuss and evaluate the reliability, objectivity, and user friendliness of a noninvasiveness of a saliva-based microRNA diagnostic test and patient reported symptoms in the diagnosis of mTBI/concussions
  • » Describe and discuss the physiology of concussion with respect to the Autonomic Nervous System, Cerebral Blood Flow regulation, and the role of exercise tolerance testing in the prescription of individualized subthreshold aerobic exercise for the treatment of sport-related concussion and for Persistent Post-Concussive Symptoms (PPCS)
  • » Describe and discuss the relationship of sleep and concussion symptom reporting during the course of concussion recovery
  • » Apply the NATA Consensus Statement on the Prehospital Care of the injured athlete with a suspected catastrophic cervical spine injury into practice
  • » Explain and demonstrate the 8 conditions of Concussion Balance Test (COBALT) and what equipment is required to perform the test for the concussed patient
  • » Explain how integrated neuromuscular control and dual-task training may be beneficial for the treatment of concussion
  • » Summarize and discuss the utilization of the Helmetless Tackling Technique (HuTT) in Hawaii, year one results


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of The Queen’s Medical Center and the Hawai’i Concussion Awareness Management Program. The Queen’s Medical Center is accredited to provide continuing medical education for physicians.

The Queen’s Medical Center designates this live activity for a maximum of 10.0 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


AMA PRA Category 1 Credits issued by organizations approved by ACCME will be recognized by the American Nurses Credentialing Center (1 CME credit = 1 contact hour) and most other nursing certifying bodies. Check with your certifying body. It will also be recognized by the State of Hawaii Board of Nursing for license renewal.


The Queen’s Medical Center is an approved provider of continuing education for Emergency Medical Services Personnel. Hawaii provider #19-029. This educational activity has been approved for 10.0 hours.


BOC Logo Hawaii Concussion Awareness and Management Program (BOC AP# P10061) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers. This program is eligible for a maximum of 10.0 Category A CEUs. ATs should claim only those hours actually spent in the educational program.

This program has been planned and implemented in accordance with the Requirements and policies of the Board of Certification (BOC) through the joint sponsorship of Hawaii Concussion Awareness and Management Program and The Queen's Center for Sports Medicine. Hawaii Concussion Awareness and Management Program is approved by the BOC to provide continuing education for Athletic Trainers.


Continuing Competence units (CCUs) pending approval from Hawaii Board of Physical Therapy.


A certificate of attendance will be provided to other healthcare professionals for requesting credits in accordance with state boards, specialty societies, or other professional associations.


Essential and advanced


The Queen's Medical Center
The Center for Sports Medicine
Ross Oshiro
Phone: (808) 691-8059 • Email: [email protected]


The sponsors fully intend to comply with the legal requirements of the Americans with Disabilities Act. If you are in need of accommodation, please include this information with your registration.


To receive a refund for the registration fee, cancellation must be made in writing. Refunds will be processed less 20% service fee if made by July 1, 2021. No refunds will be made after that date.


This activity is subject to cancellation. In the unlikely event that it should be cancelled, refund of registration fees will be made in full; however, the sponsor(s) are not responsible for any travel costs you incur.


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