The DOI matches its Crossref record; 51 of the 51 references it cites were found in a registry or an index.
Updated clinical practice guidelines for concussion/mild traumatic brain injury and persistent symptoms
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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In the citing paper
“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]
In the citing paper
“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]
Citations
Cites
ASSESSMENT OF COMA AND IMPAIRED CONSCIOUSNESS
Teasdale, G., & Jennett, B. (1974) · The Lancet · doi:10.1016/s0140-6736(74)91639-0 · Cited by 13,215 · cited 1×
“mTBI is defined by a Glasgow Coma Scale score [8] of 13–15 and limited post-traumatic amnesia, to permit differentiation from moderate and severe injuries.”
BackgroundPreferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2010) · International Journal of Surgery · doi:10.1016/j.ijsu.2010.02.007 · Cited by 12,156
the delphi method: techniques and applications
Linstone, H. A., & Turoff, M. (1975) · Bibliothèque et Archives nationales du Québec (Québec government) · Cited by 5,236
McCrory, P. R., Meeuwisse, W. H., Aubry, M., Cantu, B., Dvořák, J., Echemendía, R. J., Engebretsen, L., Johnston, K., Kutcher, J. S., Raftery, M., et al. (2013) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-092313 · Cited by 2,669
The Delphi Method: Techniques and Applications
J., J. E., Linstone, H. A., & Turoff, M. (1976) · Technometrics · doi:10.2307/1268751 · Cited by 2,277
McCrory, P. R., Meeuwisse, W. H., Aubry, M., Cantu, B., Dvořák, J., Echemendía, R. J., Engebretsen, L., Johnston, K., Kutcher, J., Raftery, M., et al. (2013) · Physical Therapy in Sport · doi:10.1016/j.ptsp.2013.03.002 · Cited by 2,141
Cassidy, J. D., Carroll, L., Peloso, P. M. J., Borg, J., von Holst, H., Holm, L. W., Kraus, J. F., & Coronado, V. G. (2004) · Journal of Rehabilitation Medicine · doi:10.1080/16501960410023732 · Cited by 1,612
Giza, C. C., Kutcher, J. S., Ashwal, S., Barth, J. T., Getchius, T. S. D., Gioia, G. A., Gronseth, G., Guskiewicz, K. M., Mandel, S. M., Manley, G. T., et al. (2013) · Neurology · doi:10.1212/wnl.0b013e31828d57dd · Cited by 933
Outcome from mild traumatic brain injury
Iverson, G. L. (2005) · Current Opinion in Psychiatry · doi:10.1097/01.yco.0000165601.29047.ae · Cited by 696
Disability in young people and adults one year after head injury: prospective cohort study
Thornhill, S., Teasdale, G., Murray, G., Mcewen, J., Roy, C., & Penny, K. (2000) · British medical journal · doi:10.1136/bmj.320.7250.1631 · Cited by 679
Research works printed but not linked: 9
- Marshall S, 2012, Canadian Family Physician, 58, 257
- Marshall S, Bayley M, McCullagh S, Velikonja D, Berrigan L, Ouchterlony D, Weegar K. Guidelines for Concussion/Mild Traumatic Brain Injury & Persistent Symptoms. 2nd ed. Toronto: Ontario Neurotrauma Foundation; 2013. Available online at: http://onf.org/documents/guidelines-for-concussion-mtbi-persistent-symptoms-second-edition, accessed 1 June 2014
- Care of the patient with mild traumatic brain injury, 2011, AANN and ARN Clinical Practice Guideline series
- New South Wales Ministry of Health, 2011, Adult trauma clinical practice guidelines: Initial management of closed head injury in adults. 2nd ed
- Scottish Intercollegiate Guidelines Network, 2009, Early management of patients with a head injury: A national clinical guideline
- Workplace Safety and Insurance Board of Ontario, 2012, Mild traumatic brain injury program of care
- New Zealand Guidelines Group, 2007, Traumatic brain injury: Diagnosis, acute management and rehabilitation
- Susskind O, 2010, Journal of Rehabilitation Research & Development, 49, 17
- Hilton M, 2004, Cochrane Database System Review, 2, CD003162
Cited by
Sorted by citations
Physical Therapy Evaluation and Treatment After Concussion/Mild Traumatic Brain Injury
Quatman‐Yates, C. C., Hunter-Giordano, A. O., Shimamura, K. K., Landel, R., Alsalaheen, B. A., Hanke, T. A., McCulloch, K. L., Altman, R. D., Beattie, P., Berz, K. E., et al. (2020) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2020.0301 · Cited by 173
Considering Biological Sex in Traumatic Brain Injury
Biegon, A. R. (2021) · Frontiers in Neurology · doi:10.3389/fneur.2021.576366 · Cited by 157
Vestibular consequences of mild traumatic brain injury and blast exposure: a review
Akin, F. W., Murnane, O. D., Hall, C. D., & Riska, K. M. (2017) · Brain Injury · doi:10.1080/02699052.2017.1288928 · Cited by 132
Fatigue Symptoms During the First Year Following ARDS
Neufeld, K. J., Leoutsakos, J., Yan, H., Lin, S., Zabinski, J. S., Dinglas, V. D., Hosey, M. M., Parker, A. M., Hopkins, R. O., & Needham, D. M. (2020) · CHEST Journal · doi:10.1016/j.chest.2020.03.059 · Cited by 135
Murray, D. A., Meldrum, D., & Lennon, O. C. (2016) · British Journal of Sports Medicine · doi:10.1136/bjsports-2016-096081 · Cited by 101
Metadata
- 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
- 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
- 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 › Clinical Neurology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Health Sciences › Medicine › Clinical 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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