Concussions are becoming increasingly recognized as an important public health issues in today’s society. According to the Ontario Neurotrauma Foundation, symptoms can persistent beyond the normal recovery period of 3 months in 10 – 15% of individuals following a concussion. These symptoms may include post-traumatic headache, sleep disturbance, impaired balance, cognitive impairments, fatigue, and mood or affective disorders. The increasing awareness of the short and long term consequences of mild traumatic brain injury demand an evidence-based approach to multidisciplinary treatment. This course introduces R2P SCORETM, an innovative tool to provide participants with an evidence-based algorithm for assessing functional impairments that may contribute to persistent post-concussion symptoms, and assigning clinically sound treatment priorities.

This full-day course focuses on the differential diagnosis, manual examination and treatment of patients with a cervicogenic, visual, vestibular, or autonomic dysfunction component of post- concussion syndrome. R2P SCORETM provides an evidence- based, systematic approach to identifying which functional impairments may be contributing to persistent symptoms. Clinicians will learn to rank treatment priorities based on R2P SCORETM results, and develop clinically sound individualized treatment protocols. Detailed exercise programs will be practiced in the hands-on sessions. Acquired skills can be immediately applied in the clinical setting.

Toronto, ON
April 30, 2017
$295.00 +HST
Payment by VISA or MasterCard must accompany the completed online registration form. Registration includes light refreshments, course manual, and a certificate of attendance. Additionally, participants will receive a basic vision kit.
Register online at:

Clinical Instructor: Jacquie van Ierssel
Jacquie has treated athletes at a recreational through to Olympic level as a physiotherapist for over 14 years. During over a decade of clinical and on-field experience at the University of Toronto with the concussion clinic and research staff, Jacquie has treated a high volume of concussed athletes, with a focus on return to play. Her continuum of care included facilitating neuropsychological baseline testing, acute on-field assessment of injured athletes, management of acute and chronic symptoms, and return to play exercise progressions. Additionally, she completed her vestibular competency training at Emory University. She has been a clinical instructor at the University of Toronto, Department of Physical Therapy, and past chair of the Sport Physiotherapy Canada (SPC), Ontario committee which she sat on for over 12years. Jacquie is currently a PhD candidate at the University of Ottawa, developing a Quality of Life outcome measure to direct treatment for patients with post- concussion syndrome.

For further information contact:



8:30 Diagnosis of post-concussion syndrome; pathophysiology; symptom profiles.
9:00 Introduction to R2P SCORETM; understand how to identify functional impairments that may contribute to persistent PCS symptoms; R2P SCORETM scoring criteria for assigning treatment priorities.
9:30 Neurovascular testing; upper cervical spine mobility and stress testing; validated dynamic stabilization protocol; and cervical joint positioning dysfunction.
10:30 Assessment for vestibular dysfunction, and algorithm for differential dizziness diagnosis.
11:30 Lunch
12:30 Common visual dysfunctions post- concussion; assessment of vestibulo-ocular reflex and ocular motor dysfunction; convergence insufficiency; visual motion sensitivity.
1:30 Sensory motor integration assessment; exertional testing for autonomic nervous system dysfunction.
2:30 Treatment priority and individualized vestibular, vision, and exercise therapy based on functional impairments.
3:30 Case studies with scoring interpretation.
4:00 Questions and Answers.

Screen Shot 2017-03-10 at 2.05.50 PM