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| Research article summary (published 15 Mar 2009): |
Recommendations for diagnosing a mild traumatic brain injury: a National Academy of Neuropsychology education paper.
Full Abstract
A special interest group of the American Congress of Rehabilitation Medicine [ACRM; Mild Traumatic Brain Injury Committee. (1993). Definition of mild traumatic brain injury. Journal of Head Trauma Rehabilitation, 8 (3), 86-87.] was the first organized interdisciplinary group to advocate four specific criteria for the diagnosis of a mild traumatic brain injury (TBI). More recently, the World Health Organization (WHO) Collaborative Center Task Force on Mild Traumatic Brain Injury [Carroll, L. J., Cassidy, J. D., Holm, L., Kraus, J., & Coronado, V. G. (2004). Methodological issues and research recommendations for mild traumatic brain injury: the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. Journal of Rehabilitation Medicine, (Suppl. 43), 113-125.] conducted a comprehensive review of the definitions utilized in evidence-based studies with mild TBI patients. Based on this review, the WHO task force maintained the same four criteria but offered two modifications. The similarities and differences between these two definitions are discussed. The authors of the ACRM and the WHO definitions do not provide guidelines or specific recommendations for diagnosing the four criteria. Thus, we provide recommendations for assessing loss of consciousness, retrograde and post-traumatic amnesia, disorientation and confusion as well as clarification of the neurologic signs that can be indicative of a diagnosis of mild TBI. Finally, confounding factors mentioned in both definitions that should exclude a mild TBI diagnosis are summarized.
Author information
Author/s: Ruff, Ronald M (RM); Iverson, Grant L (GL); Barth, Jeffrey T (JT); Bush, Shane S (SS); Broshek, Donna K (DK); NAN Policy and Planning Committee;
Affiliation: San Francisco Clinical Neurosciences, San Francisco, CA 94109, USA. ronruff(-atsign-)mindspring.com
Journal and publication information
Publication Type: Journal Article; Practice Guideline
Journal: Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists (Arch Clin Neuropsychol), published in United States. (Language: eng)
Reference: 2009-Feb; vol 24 (issue 1) : pp 3-10
Dates: Created 2009/04/27; Completed 2009/05/22;
PMID: 19395352, status: MEDLINE (last retrieval date: 5/22/2009, IMS Date: 22 May 2009 00:00:00)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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