Concussion Program

Pediatric Brain Injury Rehabilitation at ChildServe

Concussions can occur in any sport or physical activity. As children and athletes of all ages are playing longer and harder than ever before, the potential for concussion (mild traumatic brain injury), continues to rise. ChildServe's concussion program is well-equipped to evaluate and treat these injuries, while providing children and teens with the therapy, rehabilitation, and recommendations they need to successfully return to school and play. Our highly trained and certified staff use a series of tests, therapy exercises, and drills to make sure each child or teen recovers to the fullest extent. Not only are we CARF-accredited in pediatrics, brain injury, and rehabilitation, but ChildServe's medical director, Dr. Fred Klingbeil, is the only pediatric physiatrist in the state of Iowa. Dr. Klingbeil leads a team of experts who partner together to offer the best combination of services for a fast and full recovery– all in one convenient central Iowa location.

Who We Serve

ChildServe’s concussion program provides comprehensive treatment and rehabilitation for children and teens who have or are suspected of having a mild traumatic brain injury and/or concussion.

Concussion Program Scope

ChildServe's concussion program is integrated with community and emergency health care providers, education professionals, and families to create one coordinated system of care. Services begin with medical assessment and care planning, followed by intensive rehabilitation services. Our community programs focus on education and prevention.

Physician Services

Concussion services begin with a Pediatric Rehabilitation Medicine clinic evaluation, ideally within three days of injury. Fred Klingbeil, MD, and Hannah Jepson, ARNP, PNP use the following physician screening tools to assess the injured child or teen:

Sport Concussion Assessment Tool (SCAT)
  • Standardized tool for evaluating injured children and teens for concussion
  • Measures symptoms, orientation, memory, recall, balance, coordination and gait
  • Developed at the 2012 International Summit on Concussion in Zurich by the international group of experts who set best practice guidelines for concussion care
  • 15-20 minutes long
Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT)
  • Measures player symptoms and subtle changes in brain function, including verbal and visual memory, processing speed, attention span, non-verbal problem solving, and reaction time (to the 1/100th of a second)
  • Promotes the highest level of care and a safe return to play for athletes of all ages
  • Helps determine whether academic accommodations are needed after injury
  • Scientifically proven through over 15 years of university-based research
  • 25 minute computerized test



After providing testing and interpreting the results, our physicians work directly with ChildServe therapists to provide guidance for each child or teen's recovery.

Therapy Services

Based on findings from their physician evaluation, the injured child or teen will start intensive therapy treatments within 7-10 days of their injury. ChildServe has experienced and credentialed pediatric therapists on staff who have additional training in concussion care and rehabilitation, including Heads Up certification and Dynavision training. Therapy treatments range from vision work and sport-specific exercises to occupational therapy, physical therapy, and more. At ChildServe, everyone works together to help the child or teen "return to learn" and "return to play."

Experts agree that a multidisciplinary approach is best for managing concussions when symptoms linger. For children and teens that continue to show symptoms after intensive therapy, ChildServe physicians, therapists, and social workers will partner with family members and school officials to share information and create a post-concussive care plan to minimize the effects of the injury. This may include developing modifications for classroom learning, recommending home exercises, suggesting concussion resources, and providing continued physical, occupational, or speech therapy.

Community Programs

ChildServe partners with the community by providing education and resources to prevent future concussions from occuring and to make sure the right steps are taken when injuries do happen.

Pediatric Experts

At ChildServe, we understand that treating children and teens is different than treating adults, and we have all of the tools, training, and expert staff in place to meet their specific needs. ChildServe specializes in pediatric rehabilitation and our medical equipment, therapy gyms, and activity rooms are intentionally designed for children and teens with special health care needs. Our concussion program is led by Dr. Fred Klingbeil, the only board-certified pediatric physiatrist in the state, and our therapists have special training and certifications in concussion care. ChildServe also holds CARF-accreditations in pediatrics, brain injury, and outpatient rehabilitation.