Accession Number:

ADA592691

Title:

Progressive Return to Activity Following Acute Concussion/Mild Traumatic Brain Injury: Guidance for the Rehabilitation Provider in Deployed and Non-deployed Settings

Descriptive Note:

Corporate Author:

DEFENSE CENTERS OF EXCELLENCE FOR PSYCHOLOGICAL HEALTH AND TRAUMATIC BRAIN INJURY ARLINGTON VA

Personal Author(s):

Report Date:

2014-01-01

Pagination or Media Count:

8.0

Abstract:

The goal of progresive activity is to promote full recovery by gradually increasing physical, cognitive and vestibular balance activities. The progressive activity process as defined in this recommendation may begin if symptoms remain following the mandatory recovery period as indicated by DoDI 6490.11 and the CMAs. The service member may progress through the stages when symptoms are reported at pre-injury level or no higher than 1 mild on the NSI, resting HR is not greater than 100 bpm and resting BP does not exceed 14090 mm Hg. Patient More than 287,000 service members have sustained a traumatic brain injury TBI between 2000 and the third quarter of 2013.1 The majority of these 83.3 percent, were classified as mild TBI mTBI, also known as concussion. The early identification and treatment of mTBI is most beneficial during the acute injury phase and has been reported to decrease disability. Current literature including widely accepted consensus guidelines and the Department of Veterans Affairs VADepartment of Defense DoD Clinical Practice Guideline CPG for Management of ConcussionmTBI recommends that patients with mTBI gradually return to normal activity as soon as safely possible using progressive activity combining multiple components. The Concussion Management Algorithms CMA in Deployed Settings and Department of Defense Guidance for Management of Mild Traumatic Brain InjuryConcussion in the Deployed Setting Department of Defense Instruction DoDI 6490.11 provide guidance for the evaluation and care of service members with mTBI in the deployed setting. However, for those concussed service members who remain symptomatic following the initial recovery period, progression of activity is not well defined.

Subject Categories:

  • Medicine and Medical Research
  • Weapons Effects (Biological)

Distribution Statement:

APPROVED FOR PUBLIC RELEASE