Updated clinical practice guidelines for concussion/mild traumatic brain injury and persistent symptoms

Marshall, Shawn; Bayley, Mark; McCullagh, Scott; Velikonja, Diana; Berrigan, Lindsay; Ouchterlony, Donna; Weegar, Kelly

doi:10.3109/02699052.2015.1004755

Cited by 263Traumatic Brain Injury ResearchTraumatic Brain Injury and Neurovascular DisturbancesLong-Term Effects of COVID-19

Updated clinical practice guidelines for concussion/mild traumatic brain injury and persistent symptoms

Marshall, Shawn, Bayley, Mark, McCullagh, Scott, Velikonja, Diana, Berrigan, Lindsay, Ouchterlony, Donna, Weegar, Kelly·2015·Brain Injury

DOI 10.3109/02699052.2015.1004755

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Abstract

OBJECTIVE: To introduce a set of revised guidelines for the management of mild traumatic brain injury (mTBI) and persistent symptoms following concussive injuries. QUALITY OF EVIDENCE: The Guidelines for Mild Traumatic Brain Injury and Persistent Symptoms were made available in March 2011 based on literature and information up to 2008. A search for new clinical practice guidelines addressing mTBI and a systematic review of the literature evaluating treatment of persistent symptoms was conducted. Healthcare professionals representing a range of disciplines from Canada and abroad attended a consensus conference to revise the original guidelines in light of new evidence. MAIN MESSAGE: A modified Delphi process was used to create 96 recommendations addressing the diagnosis and management of mTBI and persistent symptoms, including post-traumatic headache, sleep disturbances, mental health disorders, cognitive difficulties, vestibular and vision dysfunction, fatigue and return to activity/work/school. Numerous resources, tools and treatment algorithms were also included to aid implementation of the recommendations. CONCLUSION: The revised clinical practice guideline reflects the most current evidence and is recommended for use by clinicians who provide care to people who experience PPCS following mTBI.

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Clinical 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 [24]
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 [24]

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Clinical practice guidelines for mild traumatic brain injury and persistent symptoms.
Marshall, S., Bayley, M. T., McCullagh, S., Velikonja, D., & Berrigan, L. I. (2012) · Europe PMC (PubMed Central) · Cited by 155 · see citing works
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Management of Concussion and Mild Traumatic Brain Injury: A Synthesis of Practice Guidelines
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A summary of the first Australian and Aotearoa New Zealand Clinical Practice Guideline for the management of mild traumatic brain injury/concussion and persisting post-concussion symptoms in adults and children
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Persistent Postconcussion Symptoms: An Expert Consensus-Based Definition Using the Delphi Method
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Authors: Marshall, S., Bayley, M., McCullagh, S., Velikonja, D., Berrigan, L., Ouchterlony, D., & Weegar, K.
Affiliations: University of Ottawa (CA)
University Health Network (CA)
Hamilton Health Sciences (CA)
St. Francis Xavier University (CA)
St. Michael's Hospital (CA)
Ottawa Hospital Research Institute (CA)
Corresponding author: Marshall, Shawn
ORCID: Marshall, Shawn
Bayley, Mark
McCullagh, Scott
Velikonja, Diana
Berrigan, Lindsay
Weegar, Kelly
Venue: Brain Injury
Publisher: Informa UK Limited
Published: 2015-04-14
Volume: 29
Issue: 6
Pages: 688-700
ISSN: 0269-9052 (ISSN-L)
1362-301X
DOI: 10.3109/02699052.2015.1004755
OpenAlex: W2070453156
Cited by: 263
References: 51
Citations by year: 2026: 13 · 2025: 19 · 2024: 19 · 2023: 29 · 2022: 33 · 2021: 38 · 2020: 18 · 2019: 34 · 2018: 21 · 2017: 21 · 2016: 15 · 2015: 2
FWCI: 15.42
Type: journal article
Language: en
Open access: closed
Locations: Brain Injury (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
Health Sciences › Medicine › Neurology › Long-Term Effects of COVID-19
Keywords: mild traumatic brain injury, concussion, persistent post-concussion symptoms, post-traumatic headache, sleep disorders, mental illness, cognitive difficulties, vestibular dysfunction, fatigue, return to work, return to school, return to sport, diagnosis and management
MeSH terms: Brain Concussion, Brain Injuries, Humans

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Updated clinical practice guidelines for concussion/mild traumatic brain injury and persistent symptoms

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