The Buffalo Concussion Treadmill Test (BCTT)

This pre-recorded webinar focuses on how the BCTT can be useful for the differential diagnosis of acute and chronic post-concussive symptoms.


Sport-specific exertional activities have been the cornerstone to the concussion return to play protocol. Far too frequently, however, athletes are allowed to return to play without assessing their response to exertion. The Buffalo Concussion Treadmill Test (BCTT) is a safe and reliable test to monitor symptoms and physiological responses to graded exercise demands.

Exertional activities below the individual's symptom threshold is a safe and effective option to returning athletes back to their sport. More recently, experts have been starting return to play activities 2-4 days after the injury. If an athlete is having difficulty with returning to exertional demands then the BCTT is an excellent tool to use.

The BCTT can also be used as a differential diagnosis of a physiological versus cervicogenic versus vestibular component for those athletes suffering from post-concussion syndrome.


Webinar attendees will learn how the BCTT can be useful for the differential diagnosis of acute and chronic post-concussive symptoms and how it is used to establish individualized sub-threshold aerobic exercise treatment programs for patients with persistent post-concussive symptoms.

Upon completion of this course, the participant will be able to:

  • Describe the method of performing the BCTT
  • Describe how the BCTT can be useful for
    • The differential diagnosis of early and prolonged post-concussion symptoms.
    • Establishing prognosis early after sport-related concussion (SRC).
    • Devising an active approach to concussion treatment consisting of individualized sub-threshold aerobic exercise for patients with exercise intolerance and prolonged symptoms.

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Dr. John J. Leddy
Dr. John J. Leddy

Dr. John J. Leddy is Professor of Clinical Orthopedics and Rehabilitation Sciences at the University at Buffalo Jacobs School of Medicine and Biomedical Sciences, a Fellow of the American College of Sports Medicine and of the American College of Physicians, and Director of Outcomes Research for the Department of Orthopaedics.

He is a Division 1 team physician and Program Director for the Sports Medicine Fellowship at the University at Buffalo. He is the Medical Director of the University at Buffalo Concussion Management Clinic. He is a Member of the Expert Panel for the Berlin Fifth International Consensus Conference on Concussion in Sport.

In conjunction with Dr. Barry Willer, he developed the Buffalo Concussion Treadmill Test, which is the first functional physiological test used to establish recovery from concussion and to develop exercise programs for the rehabilitation of patients with prolonged concussion symptoms.

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