Management of Concussion and Mild Traumatic Brain Injury: A Synthesis of Practice Guidelines
Open accessAbstract
At least 3 million Americans sustain a mild traumatic brain injury (mTBI) each year, and 1 in 5 have symptoms that persist beyond 1 month. Standards of mTBI care have evolved rapidly, with numerous expert consensus statements and clinical practice guidelines published in the last 5 years. This Special Communication synthesizes recent expert consensus statements and evidenced-based clinical practice guidelines for civilians, athletes, military, and pediatric populations for clinicians practicing outside of specialty mTBI clinics, including primary care providers. The article offers guidance on key clinical decisions in mTBI care and highlights priority interventions that can be initiated in primary care to prevent chronicity.
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Current consensus guidelines for the treatment of mTBI stipulate the importance of multidisciplinary care to maximise treatment outcomes for this population.
“Current consensus guidelines for the treatment of mTBI stipulate the importance of multidisciplinary care to maximise treatment outcomes for this population.22 24”
From Acceptance and commitment therapy for mild traumatic brain injury (ACTion-mTBI): a quasiexperimental feasibility study (2025) · cites this paper as [22]
The ‘Referral to a specialty clinic’ section (page unavailable) recommends access to a multidisciplinary team for specialized mTBI clinics and considers referral appropriate when persistent symptoms do not respond to primary care. It also says most patients can be managed effectively in primary care, so the claim overgeneralizes the role of multidisciplinary care; the passage does not establish that it maximizes treatment outcomes. (LLM, conf=0.87)
Experimental — accuracy not yet measuredClinical practice guidelines for mTBI underscore the importance of multidisciplinary rehabilitation of PPCS including the provision of mental health treatments, such as psychology.
“clinical practice guidelines for mTBI underscore the importance of multidisciplinary rehabilitation of PPCS including the provision of mental health treatments, such as psychology.”
From Acceptance and commitment therapy for mild traumatic brain injury (ACTion-mTBI): a quasiexperimental feasibility study (2025) · cites this paper as [22]
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References 130 · Cited by 366
Part of this paper’s reference list could not be split into single entries.
Research works printed but not linked: 3
- Rao DP, Mcfaull S, Thompson W, Jayaraman GC. Traumatic brain injury management in Canada: changing patterns of care. Heal Promot Chronic Dis Prev Canada 2018;38:147-50.
- McCrory P, Meeuwisse W, Dvorak J, et al. Consensus statement on concussion in sportdthe 5th international conference on concus- sion in sport held in Berlin, October 2016. Br J Sports Med 2017; 51:838-47.
- Ernst A, Basta D, Seidl RO, Todt I, Scherer H, Clarke A. Manage- ment of posttraumatic vertigo. Otolaryngol Head Neck Surg 2005; 132:554-8.
- Authors
- Silverberg, N. D., Iaccarino, M. A., Panenka, W. J., Iverson, G. L., McCulloch, K. L., Dams-O’Connor, K., Reed, N., McCrea, M., Cogan, A. M., Park Graf, M. J., Kajankova, M., McKinney, G., & Weyer Jamora, C.
- Affiliations
- University of British Columbia (CA)
- Harvard University (US)
- University of North Carolina at Chapel Hill (US)
- Icahn School of Medicine at Mount Sinai (US)
- University of Toronto (CA)
- Medical College of Wisconsin (US)
- Corresponding author
- Silverberg, Noah D.
- ORCID
- Venue
- Archives of Physical Medicine and Rehabilitation
- Publisher
- Elsevier BV
- Published
- 2020-02
- Volume
- 101
- Issue
- 2
- Pages
- 382-393
- ISSN
- 0003-9993 (ISSN-L)
- OpenAlex
- W2981683234
- Cited by
- 366
- References
- 130
- Citations by year
- 2026: 52 · 2025: 75 · 2024: 65 · 2023: 78 · 2022: 46 · 2021: 37 · 2020: 12 · 2014: 1
- FWCI
- 18.08
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Archives of Physical Medicine and Rehabilitation (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Automotive and Human Injury Biomechanics
- Keywords
- mild traumatic brain injury, concussion, expert consensus statement, primary care management, military personnel, pediatric concussion
- MeSH terms
- Return to Sport, Brain Concussion, Humans, Military Personnel, Patient Education as Topic, Pediatrics, Primary Health Care, Prognosis, Referral and Consultation, United States, Biomarkers, Practice Guidelines as Topic, Athletes
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