Management of Concussion and Mild Traumatic Brain Injury: A Synthesis of Practice Guidelines

被引：179

作者：

Silverberg, Noah D. ^{[1
,2
]}

Iaccarino, Mary Alexis ^{[3
,4
,5
]}

Panenka, William J. ^{[6
,7
,8
]}

Iverson, Grant L. ^{[9
,10
,11
]}

McCulloch, Karen L. ^{[12
]}

Dams-O'Connor, Kristen ^{[13
,14
]}

Reed, Nick ^{[15
,16
]}

McCrea, Michael ^{[17
,18
]}

Cogan, Alison M. ^{[19
]}

Graf, Min Jeong Park ^{[20
,21
]}

Kajankova, Maria ^{[3
,22
]}

McKinney, Gary ^{[23
]}

Jamora, Christina Weyer ^{[24
,25
]}

机构：

[1] Univ British Columbia, Div Phys Med & Rehabil, 4255 Laurel St, Vancouver, BC V5Z 2G9, Canada

[2] GF Strong Rehabil Ctr, Rehabil Res Program, Vancouver, BC, Canada

[3] Massachusetts Gen Hosp, Dept Phys Med & Rehabil, Boston, MA 02114 USA

[4] Spaulding Rehabil Hosp, Dept Phys Med & Rehabil, Boston, MA USA

[5] Harvard Med Sch, Boston, MA 02115 USA

[6] BC Mental Hlth & Addict Res Inst, Vancouver, BC, Canada

[7] British Columbia Prov Neuropsychiat Program, Vancouver, BC, Canada

[8] Univ British Columbia, Dept Psychiat, Vancouver, BC, Canada

[9] Harvard Med Sch, Dept Phys Med & Rehabil, Boston, MA 02115 USA

[10] MassGen Hosp, Children Sport Concuss Program, Boston, MA USA

[11] Home Base, Boston, MA USA

[12] Univ North Carolina Chapel Hill, Dept Allied Hlth Sci, Div Phys Therapy, Sch Med, Chapel Hill, NC USA

[13] Icahn Sch Med Mt Sinai, Dept Rehabil Med, New York, NY 10029 USA

[14] Icahn Sch Med Mt Sinai, Dept Neurol, New York, NY 10029 USA

[15] Holland Bloorview Kids Rehabil Hosp, Bloorview Res Inst, Toronto, ON, Canada

[16] Univ Toronto, Dept Occupat Sci & Occupat Therapy, Toronto, ON, Canada

[17] Med Coll Wisconsin, Ctr Neurotrauma Res CNTR, Milwaukee, WI 53226 USA

[18] Med Coll Wisconsin, Dept Neurosurg, Milwaukee, WI 53226 USA

[19] Washington DC Vet Affairs Med Ctr, Washington, DC USA

[20] Univ Minnesota, Med Sch, Minneapolis, MN 55455 USA

[21] Hennepin Healthcare, Dept Phys Med & Rehabil, Minneapolis, MN USA

[22] Brain Injury Res Ctr, Houston, TX USA

[23] Def & Vet Brain Injury Ctr, Silver Spring, MD USA

[24] Univ Calif San Francisco, Dept Neurol Surg, San Francisco, CA 94143 USA

[25] Univ Calif San Francisco, Zuckerberg San Francisco Gen Hosp, Dept Psychiat, San Francisco, CA 94143 USA

来源：

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2020年 / 101卷 / 02期

关键词：

Brain concussion; Brain injuries; traumatic; Practice guidelines as topic; Rehabilitation; Review; PATIENT HEALTH QUESTIONNAIRE-9; CT HEAD RULE; COGNITIVE REHABILITATION; POSTCONCUSSION SYMPTOMS; CHILDREN; RISK; OUTCOMES; SPORT; RECOMMENDATIONS; TRENDS;

D O I：

10.1016/j.apmr.2019.10.179

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

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. (C) 2019 by the American Congress of Rehabilitation Medicine. Published by Elsevier Inc.

引用

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页码：382 / 393

页数：12

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