Amanda Gano, Joanne Gold, Rosemay A Remigio-Baker, Katrina Monti
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The Traumatic Brain Injury Center of Excellence (TBICoE) is the US Department of Defense authority on this condition and provides a thorough approach to management of concussion and associated symptom sequela.</p><p><strong>Objectives: </strong>This article seeks to review the TBICoE approach to the management and rehabilitation of military SMs with mTBI, and highlight resources available to military medical providers.</p><p><strong>Methods: </strong>The authors reviewed evidence and TBICoE resources to provide this comprehensive overview of the TBICoE approach to management and rehabilitation of concussion in military SMs.</p><p><strong>Results: </strong>A progressive return to activity protocol in conjunction with symptom-guided management of common post-concussive sequelae, including headache, vestibular and oculomotor issues, sleep dysfunction, cognitive rehabilitation, and behavioral health comorbidities are essential for concussion management in the acute, post-acute and chronic phases of injury.</p><p><strong>Conclusion: </strong>The TBICoE approach to the rehabilitation of military SMs is comprehensive, and includes initial management with a stepwise return to duty protocol and an objective return to duty screening. The mainstays of treatment for SMs with post-acute and chronic post-concussion symptoms are headache management, vestibular and oculomotor rehabilitation, sleep interventions, cognitive rehabilitation, and early intervention for behavioral health comorbidities. These evidence-based strategies may be applied in the treatment of SMs in the US and internationally.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"347-356"},"PeriodicalIF":1.7000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11612931/pdf/","citationCount":"0","resultStr":"{\"title\":\"TBICoE approach to concussion rehabilitation in service members and veterans.\",\"authors\":\"Amanda Gano, Joanne Gold, Rosemay A Remigio-Baker, Katrina Monti\",\"doi\":\"10.3233/NRE-230269\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Concussion, also known as mild traumatic brain injury (mTBI), is a condition with unique ties to military service. Service members (SMs) are inherently at a higher risk for concussive injuries due to the intense physical training environment and combat operational tempo required to serve. The Traumatic Brain Injury Center of Excellence (TBICoE) is the US Department of Defense authority on this condition and provides a thorough approach to management of concussion and associated symptom sequela.</p><p><strong>Objectives: </strong>This article seeks to review the TBICoE approach to the management and rehabilitation of military SMs with mTBI, and highlight resources available to military medical providers.</p><p><strong>Methods: </strong>The authors reviewed evidence and TBICoE resources to provide this comprehensive overview of the TBICoE approach to management and rehabilitation of concussion in military SMs.</p><p><strong>Results: </strong>A progressive return to activity protocol in conjunction with symptom-guided management of common post-concussive sequelae, including headache, vestibular and oculomotor issues, sleep dysfunction, cognitive rehabilitation, and behavioral health comorbidities are essential for concussion management in the acute, post-acute and chronic phases of injury.</p><p><strong>Conclusion: </strong>The TBICoE approach to the rehabilitation of military SMs is comprehensive, and includes initial management with a stepwise return to duty protocol and an objective return to duty screening. 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引用次数: 0
摘要
背景:脑震荡又称轻度脑损伤(mTBI),是一种与服兵役有特殊关系的疾病。由于服役所需的高强度体能训练环境和作战行动节奏,军人(SMs)受到脑震荡伤害的风险本身就较高。创伤性脑损伤卓越中心(TBICoE)是美国国防部在此方面的权威机构,为脑震荡及相关症状后遗症的治疗提供了全面的方法:本文旨在回顾 TBICoE 对患有 mTBI 的军事 SM 的管理和康复方法,并重点介绍可供军事医疗提供者使用的资源:作者回顾了相关证据和 TBICoE 的资源,全面概述了 TBICoE 管理和康复军队 SM 脑震荡的方法:循序渐进的恢复活动方案与以症状为导向的常见脑震荡后遗症(包括头痛、前庭和眼部运动问题、睡眠功能障碍、认知康复和行为健康合并症)管理相结合,对于急性、急性后和慢性损伤阶段的脑震荡管理至关重要:TBICoE 对军队 SM 的康复治疗方法是全面的,包括通过逐步重返工作岗位方案和客观的重返工作岗位筛查进行初始管理。对有急性和慢性脑震荡后症状的工作人员的主要治疗方法是头痛管理、前庭和眼部运动康复、睡眠干预、认知康复和行为健康合并症的早期干预。在美国和国际上,这些循证策略可用于治疗脑震荡后遗症。
TBICoE approach to concussion rehabilitation in service members and veterans.
Background: Concussion, also known as mild traumatic brain injury (mTBI), is a condition with unique ties to military service. Service members (SMs) are inherently at a higher risk for concussive injuries due to the intense physical training environment and combat operational tempo required to serve. The Traumatic Brain Injury Center of Excellence (TBICoE) is the US Department of Defense authority on this condition and provides a thorough approach to management of concussion and associated symptom sequela.
Objectives: This article seeks to review the TBICoE approach to the management and rehabilitation of military SMs with mTBI, and highlight resources available to military medical providers.
Methods: The authors reviewed evidence and TBICoE resources to provide this comprehensive overview of the TBICoE approach to management and rehabilitation of concussion in military SMs.
Results: A progressive return to activity protocol in conjunction with symptom-guided management of common post-concussive sequelae, including headache, vestibular and oculomotor issues, sleep dysfunction, cognitive rehabilitation, and behavioral health comorbidities are essential for concussion management in the acute, post-acute and chronic phases of injury.
Conclusion: The TBICoE approach to the rehabilitation of military SMs is comprehensive, and includes initial management with a stepwise return to duty protocol and an objective return to duty screening. The mainstays of treatment for SMs with post-acute and chronic post-concussion symptoms are headache management, vestibular and oculomotor rehabilitation, sleep interventions, cognitive rehabilitation, and early intervention for behavioral health comorbidities. These evidence-based strategies may be applied in the treatment of SMs in the US and internationally.
期刊介绍:
NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders.
We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.