Back to Top Skip to main content

Improving training of healthcare providers boosts post-concussion care

Elizabeth Fuentes (left), physical therapist assistant, Fort Bliss Traumatic Brain Injury Clinic, William Beaumont Army Medical Center, provides information and educates medical professionals about TBI symptoms, treatments and assessments, during the TBI Clinic’s open house event, in observance of Brain Injury Awareness Month. (U.S. Army photo by Marcy Sanchez) Elizabeth Fuentes (left), physical therapist assistant, Fort Bliss Traumatic Brain Injury Clinic, William Beaumont Army Medical Center, provides information and educates medical professionals about TBI symptoms, treatments and assessments, during the TBI Clinic’s open house event, in observance of Brain Injury Awareness Month. (U.S. Army photo by Marcy Sanchez)

Recommended Content:

Traumatic Brain Injury

What happens when the Defense and Veterans Brain Injury Center disseminates a new clinical recommendation? Is it adopted by practitioners? Does training health care providers lead to improved patient outcomes?

DVBIC scans the latest research about TBI findings, and then recruits TBI experts from the scientific community who meet regularly to develop clinical guidelines to inform health care decisions. This specialized function supports the Military Health System’s objectives of improving warfighter care and readiness. DVBIC is a division of the Defense Health Agency Research and Development Directorate.

These questions are at the heart of a recent study by DVBIC who asked whether teaching providers about state-of-the-science tools for concussion treatment improves patient care and rehabilitation. A concussion is a blow or jolt to the head that disrupts the normal function of the brain. Most traumatic brain injuries in the military are mild and most service members return to duty after recovering from their injuries.

The study compared two groups of TBI patients: those treated after primary care managers at various military hospitals received an interactive two-hour training, and those treated before providers received instruction. At the end of the study, patients completed a questionnaire that asked how soon they began to engage in physical and mental activity.

DVBIC found that patients in the group cared for by providers who had received the intensive training reported an overall reduction in symptoms after one week, one month and at three months, when compared to patients who were treated by the providers who had not yet received the intensive training.

This study highlights the importance of integrating research, clinical affairs, and education activities at DVBIC.

“One of the things that DVBIC has done, of late, is take many of our clinical tools . . . and actually study them,” Navy Captain Scott Pyne, DVBIC division chief. “The tools are based on the state-of-the-science, which is current research. Not only do we create the tool, but we throw it out there for the providers to use, and then we evaluate the effectiveness of its use. That's been very helpful.”

The “Progressive Return to Activity Following Acute Concussion/Mild Traumatic Brain Injury” clinical recommendation is focused on a six-stage approach to manage recovery.

The first stage involves rest, followed by light routine activity, light work-related activity, moderate activity, intensive activity, and finally unrestricted activity.

Each stage lasts a minimum of 24 hours and the service member should be re-evaluated each day. Patients with a mild TBI, often described as a concussion, should begin with less physical and mental activity and gradually move from one stage to the next.

“We have been able to show two critical things for military medicine,” said Jason Bailie, DVBIC’s senior clinical research director at Camp Pendleton. “Our frontline medical practitioners need to be taught how to treat concussed patients with a progressive return to activity approach” and “we can enhance our force readiness by helping our warfighters get better faster following a concussion.”

In addition to improved health among patients, the study finds more consistent treatment options offered by the trained physicians – including giving their patients special brochures focused on different parts of their rehabilitation. As one physician said in a post-study survey, “It’s been a pretty big difference, not only in my comfort with treating these patients, but educating them as well.”

Dr. Keith Stuessi, a DVBIC subject matter expert who provided the two-hour training sessions, underscored the implications of these findings for DVBIC’s future training efforts. “By doing this study, in this way,” Stuessi said, “we showed the effectiveness of this educational intervention.”

These findings could not be timelier. In June 2019, the U.S. Army directed medical personnel who would be treating patients with concussions use updated management tools designed by DVBIC, including the progressive return to activity process.

The progressive return to activity clinical suite is designed to help primary care managers, rehabilitation providers, and service members.

You also may be interested in...

2011 DoD Worldwide Numbers for TBI

Publication
8/10/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

Recommended Content:

Traumatic Brain Injury Center of Excellence | DoD TBI Worldwide Numbers | TBI Educators | Patient and Family Resources | Provider Resources | TBICoE Research | A Head for the Future | Armed Forces Health Surveillance Branch | Defense Medical Surveillance System | Surveillance Case Definitions | Traumatic Brain Injury | TBI Resources

2016 DoD Worldwide Numbers for TBI

Publication
8/10/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

Recommended Content:

Traumatic Brain Injury Center of Excellence | DoD TBI Worldwide Numbers | TBI Educators | Patient and Family Resources | Provider Resources | TBICoE Research | A Head for the Future | Armed Forces Health Surveillance Branch | Defense Medical Surveillance System | Surveillance Case Definitions | Traumatic Brain Injury | TBI Resources

2014 DoD Worldwide Numbers for TBI

Publication
8/10/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

Recommended Content:

Traumatic Brain Injury Center of Excellence | DoD TBI Worldwide Numbers | TBI Educators | Patient and Family Resources | Provider Resources | TBICoE Research | A Head for the Future | Armed Forces Health Surveillance Branch | Defense Medical Surveillance System | Surveillance Case Definitions | Traumatic Brain Injury | TBI Resources

2013 DoD Worldwide Numbers for TBI

Publication
8/10/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

Recommended Content:

Traumatic Brain Injury Center of Excellence | DoD TBI Worldwide Numbers | TBI Educators | Patient and Family Resources | Provider Resources | TBICoE Research | A Head for the Future | Armed Forces Health Surveillance Branch | Defense Medical Surveillance System | Surveillance Case Definitions | Traumatic Brain Injury | TBI Resources

2017 DoD Worldwide Numbers for TBI

Publication
8/10/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

Recommended Content:

Traumatic Brain Injury | TBI Resources | Armed Forces Health Surveillance Branch | Defense Medical Surveillance System | Surveillance Case Definitions | Traumatic Brain Injury Center of Excellence | DoD TBI Worldwide Numbers | TBI Educators | Patient and Family Resources | Provider Resources | TBICoE Research | A Head for the Future

2018 DoD Worldwide Numbers for TBI

Publication
8/10/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

Recommended Content:

Traumatic Brain Injury Center of Excellence | DoD TBI Worldwide Numbers | TBI Educators | Patient and Family Resources | Provider Resources | TBICoE Research | A Head for the Future | Armed Forces Health Surveillance Branch | Defense Medical Surveillance System | Surveillance Case Definitions | Traumatic Brain Injury | TBI Resources

2000 DoD Worldwide Numbers for TBI

Publication
8/6/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

Recommended Content:

Traumatic Brain Injury | TBI Resources | DoD TBI Worldwide Numbers | Traumatic Brain Injury Center of Excellence | TBI Educators | Patient and Family Resources | Provider Resources | TBICoE Research | A Head for the Future | Defense Medical Surveillance System | Surveillance Case Definitions | Armed Forces Health Surveillance Branch

2004 DoD Worldwide Numbers for TBI

Publication
8/6/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

Recommended Content:

Traumatic Brain Injury Center of Excellence | DoD TBI Worldwide Numbers | TBI Educators | Patient and Family Resources | Provider Resources | TBICoE Research | A Head for the Future | Armed Forces Health Surveillance Branch | Defense Medical Surveillance System | Surveillance Case Definitions | Traumatic Brain Injury | TBI Resources

2003 DoD Worldwide Numbers for TBI

Publication
8/6/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

Recommended Content:

Traumatic Brain Injury Center of Excellence | DoD TBI Worldwide Numbers | TBI Educators | Patient and Family Resources | Provider Resources | TBICoE Research | A Head for the Future | Armed Forces Health Surveillance Branch | Defense Medical Surveillance System | Surveillance Case Definitions | Traumatic Brain Injury | TBI Resources

2001 DoD Worldwide Numbers for TBI

Publication
8/6/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

Recommended Content:

Traumatic Brain Injury Center of Excellence | DoD TBI Worldwide Numbers | TBI Educators | Patient and Family Resources | Provider Resources | TBICoE Research | A Head for the Future | Traumatic Brain Injury | TBI Resources | Armed Forces Health Surveillance Branch | Defense Medical Surveillance System | Surveillance Case Definitions

2002 DoD Worldwide Numbers for TBI

Publication
8/6/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

Recommended Content:

Traumatic Brain Injury Center of Excellence | DoD TBI Worldwide Numbers | TBI Educators | Patient and Family Resources | Provider Resources | TBICoE Research | A Head for the Future | Traumatic Brain Injury | TBI Resources | Armed Forces Health Surveillance Branch | Defense Medical Surveillance System | Surveillance Case Definitions

2006 DoD Worldwide Numbers for TBI

Publication
8/6/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

Recommended Content:

Traumatic Brain Injury | Traumatic Brain Injury Center of Excellence | TBI Educators | Provider Resources | DoD TBI Worldwide Numbers | Patient and Family Resources | TBICoE Research | A Head for the Future | Armed Forces Health Surveillance Branch | Defense Medical Surveillance System | Surveillance Case Definitions | TBI Resources

2005 DoD Worldwide Numbers for TBI

Publication
8/6/2020

DVBIC is the Defense Department’s office of responsibility for tracking TBI data in the U.S. military. On this page you’ll find annual and quarterly reports that provide data on the number of active-duty service members — anywhere U.S. forces are located — with a first-time TBI diagnosis since 2000.

Recommended Content:

Traumatic Brain Injury | Traumatic Brain Injury Center of Excellence | TBI Educators | Provider Resources | DoD TBI Worldwide Numbers | TBICoE Research | A Head for the Future | Patient and Family Resources | Armed Forces Health Surveillance Branch | Defense Medical Surveillance System | Surveillance Case Definitions | TBI Resources

Respect the Road

Fact Sheet
8/6/2020

One of the leading causes of military traumatic brain injury is motor vehicle crashes. This car safety fact sheet provides tips to help prevent TBI while driving a motor vehicle and safety measures to take to keep passengers safe. It also includes the signs and symptoms of TBI, and how to get help if you think you sustained a brain injury.

Recommended Content:

Traumatic Brain Injury Center of Excellence | TBI Educators | Patient and Family Resources | A Head for the Future | Traumatic Brain Injury | TBI Prevention | TBI Resources

Head Check: Know Your Helmet, Football and Baseball

Fact Sheet
8/6/2020

A Head for the Future aims to raise awareness about TBI among service members, veterans and their families. This fact sheet provides tips for choosing the right helmet for the right sport, with information about different safety features in helmets for football and baseball.

Recommended Content:

Traumatic Brain Injury Center of Excellence | TBI Educators | Patient and Family Resources | A Head for the Future | Traumatic Brain Injury | TBI Prevention | TBI Resources
<< < 1 2 3 4 5  ... > >> 
Showing results 31 - 45 Page 3 of 13

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.