Progressive Return to Activity Following Acute Concussion/Mild Traumatic Brain Injury

About the Progressive Return to Activity Recommendations

These clinical recommendations provide a step-by-step approach for primary care managers and rehabilitation providers to use in evaluating service members who sustain a mild traumatic brain injury (mTBI) – also known as a concussion. Health care providers can use these pragmatic steps to monitor service members during recovery and guide them as they gradually return to pre-injury activities.

The Defense and Veterans Brain Injury Center (DVBIC) developed the recommendations based on input from academic experts, sports concussion clinicians and military brain injury experts. Progressive Return to Activity represents extensive collaboration between public and private industry partners, and positions the products to be used by the military, civilian and private sectors.

The product suite includes the clinical recommendation, pocket-sized reference card and patient education materials. Once you order the product suite, you can re-order patient education materials to restock as needed. Training slides are available for download only.

Guidance for the Primary Care Manager

This clinical recommendation outlines the recommended approach to help service members gradually return to their daily activities as their concussion symptoms subside. Physical, cognitive and vestibular/balance areas are incorporated into the activities in each of the five stages. The product suite will guide you through this evaluation and monitoring process and help you determine whether the service member needs to see a rehabilitation provider or higher level of care.

Guidance for the Rehabilitation Provider

This clinical recommendation outlines the recommended approach for rehabilitation providers treating service members who are referred by their primary care managers. The product suite will guide you through each stage of the evaluation and monitoring process and help you determine whether the service member is ready to return to normal activities or needs a higher level of care.

Access Progressive Return to Activity Materials

MATERIALOVERVIEW AND ACCESS
Clinical RecommendationDetails the importance of aiding service members to progressively return to pre-injury activity and promotes the standardization of Military Health System (MHS) care following a concussion.
Clinical Recommendation for Primary Care Managers | Clinical Recommendation for Rehabilitation Providers
Clinical Support ToolPocket-sized reference card that details the algorithmic approach for enabling service members to return to activity.
Clinical Support Tool for Primary Care Managers | Clinical Support Tool for Rehabilitation Providers
Training Slides
(Download only)
Educational presentation that provides insight into the Progressive Return to Activity approach (includes knowledge tests and case studies).
Training Slides for Primary Care Managers | Training Slides for Rehabilitation Providers
Educational BrochureDesigned to help service members who sustain a concussion to recover quickly and safely, and offers information about each stage of the Progressive Return to Activity approach.
Educational Brochure for Primary Care Managers
Patient Education ToolContains five individual sheets that correspond with each stage in the Progressive Return to Activity approach. After successfully finishing a stage, service members should receive a new sheet outlining the next stage to complete.
Patient Education Tool for Rehabilitation Providers

How to Learn More

Read the press release for additional information about Progressive Return to Activity.