Persistent symptoms following mild TBI present treatment challenges and hinder community reintegration. Recognizing the multi -faceted nature of persistent symptoms, influenced by the complex interplay of biological, psychological, and social factors, can aid in developing an individualized treatment plan. The mainstay approach to prevention of persistent symptoms involves early education that manages expectations and emphasizes the high likelihood of full symptom resolution. Specific strategies can involve using terms like "concussion" instead of "brain injury" to avoid potential associations with ongoing disability and to validate symptoms without implying attribution or causation. Early active targeted symptom treatment, often necessitating a multi -disciplinary team, should be implemented. Prioritize nonpharmacological methods and try to avoid polypharmacy. For further guidance, the following clinical practice guidelines are driven by evidence -based research and serve as a comprehensive resource for managing persistent symptoms after mTBI. http://www.healthquality.va.gov/guidelines/Rehab/mtbi/
机构:
Harvard Med Sch, Dept Phys Med & Rehabil, Boston, MA USA
Spaulding Rehabil Hosp, Boston, MA USA
A Red Sox Fdn, Home Base, Boston, MA USA
Massachusetts Gen Hosp Program, Boston, MA USA
MassGeneral Hosp Children, Sport Concuss Program, Boston, MA USAGF Strong Rehab Ctr, Vancouver, BC, Canada
Iverson, Grant L.
Purtzki, Jacqueline
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机构:
GF Strong Rehab Ctr, Vancouver, BC, Canada
Univ British Columbia, Div Phys Med & Rehabil, Vancouver, BC, CanadaGF Strong Rehab Ctr, Vancouver, BC, Canada
机构:
Univ British Columbia, Div Phys Med & Rehabil, Vancouver, BC, Canada
Vancouver Coastal Hlth Res Inst, Rehabil Res Program, Vancouver, BC, CanadaGF Strong Rehab Ctr, Vancouver, BC, Canada
Silverberg, Noah D.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION,
2018,
99
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: 242
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机构:
Univ British Columbia, Fac Med, Vancouver, BC, CanadaUniv British Columbia, Fac Med, Vancouver, BC, Canada
Green, Katherine E.
Purtzki, Jacqueline
论文数: 0引用数: 0
h-index: 0
机构:
Univ British Columbia, Div Phys Med & Rehabil, Vancouver, BC, CanadaUniv British Columbia, Fac Med, Vancouver, BC, Canada
Purtzki, Jacqueline
Chapman, Andrea
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h-index: 0
机构:Univ British Columbia, Fac Med, Vancouver, BC, Canada
Chapman, Andrea
Oberlander, Tim F.
论文数: 0引用数: 0
h-index: 0
机构:
Univ British Columbia, Dept Pediat, Vancouver, BC, Canada
British Columbia Childrens Hosp, Res Inst, Vancouver, BC, CanadaUniv British Columbia, Fac Med, Vancouver, BC, Canada
Oberlander, Tim F.
Silverberg, Noah D.
论文数: 0引用数: 0
h-index: 0
机构:
Univ British Columbia, Dept Psychol, Vancouver, BC, CanadaUniv British Columbia, Fac Med, Vancouver, BC, Canada
Silverberg, Noah D.
Dhariwal, Amrit K.
论文数: 0引用数: 0
h-index: 0
机构:
British Columbia Childrens Hosp, Res Inst, Vancouver, BC, CanadaUniv British Columbia, Fac Med, Vancouver, BC, Canada
机构:
Oakland Neuropsychol Ctr, Bloomfield Hills, MI USA
Nationwide Childrens Hosp, Dept Pediat Psychol & Neuropsychol, Columbus, OH USA
Ohio State Univ, Dept Pediat, Columbus, OH 43210 USAOakland Neuropsychol Ctr, Bloomfield Hills, MI USA
O'Neill, Jilian A.
Rose, Sean C.
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机构:
Ohio State Univ, Dept Pediat, Columbus, OH 43210 USA
Nationwide Childrens Hosp, Dept Neurol, Columbus, OH USAOakland Neuropsychol Ctr, Bloomfield Hills, MI USA
Rose, Sean C.
Davidson, Ashley M.
论文数: 0引用数: 0
h-index: 0
机构:
Nationwide Childrens Hosp, Dept Sports Med, Columbus, OH USAOakland Neuropsychol Ctr, Bloomfield Hills, MI USA
Davidson, Ashley M.
Shiplett, Kathleen M.
论文数: 0引用数: 0
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机构:
Nationwide Childrens Hosp, Dept Clin Therapies, Columbus, OH USAOakland Neuropsychol Ctr, Bloomfield Hills, MI USA
Shiplett, Kathleen M.
Castillo, Anthony
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机构:
Nationwide Childrens Hosp, Dept Pediat Psychol & Neuropsychol, Columbus, OH USAOakland Neuropsychol Ctr, Bloomfield Hills, MI USA
Castillo, Anthony
McNally, Kelly A.
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h-index: 0
机构:
Nationwide Childrens Hosp, Dept Pediat Psychol & Neuropsychol, Columbus, OH USA
Ohio State Univ, Dept Pediat, Columbus, OH 43210 USAOakland Neuropsychol Ctr, Bloomfield Hills, MI USA