Back to Top Skip to main content Skip to sub-navigation

Five Clinical Tools To Help Assess and Treat TBI

Image of An Army 'gun team' brace for the concussion of a 105mm howitzer during operations in Iraq in 2008. (Photo: Master Sgt. Kevin Doheny). An Army 'gun team' brace for the concussion of a 105mm howitzer during operations in Iraq in 2008. (Photo: Army Master Sgt. Kevin Doheny)

Recommended Content:

Traumatic Brain Injury

Traumatic Brain Injury, or TBI, is a major health concern for the military. Over the past two decades, nearly 450,000 service members have suffered a first-time TBI. While some occur in a deployed setting, the majority happen closer to home – during training, sports, recreation, car accidents, or slips and falls.

Left untreated, even mild TBIs can have serious long-term complications. TBIs, also known as concussions, can affect mental health, impacting mission readiness and the ability to deploy.

But there is hope. TBI is treatable. With appropriate care, service members can expect a full recovery. The Military Health System offers the following tools and clinical recommendations to help providers in the identification, treatment and management of mild TBI.

1. Dizziness and Vision following Concussion/Mild TBI Clinical Recommendation

Dizziness and visual problems are among the most common symptoms after a mild TBI. In November 2021, the Traumatic Brain Injury Center of Excellence released the Dizziness and Visual Disturbances Clinical Recommendation. It's a vital tool for primary care managers treating mild TBIs. It provides a single, comprehensive reference for the assessment and management of dizziness and visual problems following concussions.

Providers should perform a visual and dizziness assessment. Learn more here.

2. Military Acute Concussion Evaluation 2

The MHS provides tools to quickly assess and diagnose service members with a potential TBI. The Military Acute Concussion Evaluation 2, or MACE 2, is a step-by-step tool that medical personnel can use to diagnose a possible concussion at the scene of an injury.

The TBICoE helped design the MACE 2 to improve care for service members. Users in the field can screen in for common symptoms, cognitive deficits, and neurological signs of a concussion. The latest version of the MACE 2 also assesses balance and eye motion.

Learn more here.

3. Progressive Return to Activity following Acute Concussion/Mild TBI

Service members should avoid returning to duty too soon after a concussion. That can lead to prolonged symptoms, poor marksmanship, decreased readiness, accidents and falls, and increased risk of more concussions.

To help determine when it's time to return to duty, military health care providers can use a tool known as the Progressive Return to Activity Following Acute Concussion (PRA). It helps ensure a safe return to full duty. The TBICoE developed the tool in collaboration with military service branches, an expert working group, and an end user group.

The PRA involves a six-step return to activity protocol. It helps service members to manage their symptoms and ensure a full recovery. Returning to duty gradually helps reduce long term complications.

Learn more here.

4. Sleep Disturbances following Concussion/Mild TBI Clinical Recommendation

Sleeping problems are common with mild TBI. The most common include insomnia, obstructive sleep apnea, circadian rhythm sleep-wake disorders, and restless legs syndrome. Early treatment of sleeping problems can promote recovery and prevent chronic TBI symptoms.

TBICoE's Sleep Disturbances following Concussion/Mild TBI Clinical Recommendation provides step-by-step guidance to help primary care managers assess and manage sleeping problems linked to mild TBI. The recommendation includes guidelines for medical dosing, specialty referral timelines, and more detailed information for treating sleeping problems like restless legs syndrome, insufficient sleep syndrome, and parasomnias.

Learn more here.

5. Cognitive Rehabilitation following Mild to Moderate TBI

The Cognitive Rehabilitation following Mild to Moderate TBI Clinical Recommendation helps providers to treat service members and veterans with persistent cognitive challenges like memory and attention problems. Evaluating a patient with those symptoms is especially challenging because they can overlap with other problems like post-traumatic stress or depression. The clinical recommendation ensures consistency in cognitive rehabilitation practices across MHS hospitals and clinics.

Learn more here.

The MHS is committed to protecting the brain health of our service members. These are just a few clinical tools out of many that the MHS is using to better identify, care for, and treat service members and veterans who are affected by TBI.

You also may be interested in...

Brain Injury Awareness Month Banner

Infographic
2/17/2022
Brain Injury Awareness Month Banner

March is Brain Injury Awareness Month. Traumatic brain injuries are a key health concern for the military community. Thanks to innovations across the Military Health System, we are improving quality of life for TBI patients & their families. This month, we will share stories, tips, and resources for TBI prevention and recovery. www.health.mil/BIAMonth #BeTBIReady #BIAMonth

Recommended Content:

Brain Injury Awareness To Improve Readiness | Traumatic Brain Injury Center of Excellence | Traumatic Brain Injury

BIAM Heads Up

Infographic
2/17/2022
BIAM Heads Up

Head injuries, especially from a blast, have become one of the most common combat-related injuries among deployed service members. Typical head injury symptoms are: trouble hearing speech in noisy settings, ringing or other sounds in your ears or head, or dizziness when you move your head while walking or bending down. Talk to your doctor if you have any of these symptoms. For more about TBI and hearing loss, visit: https://hearing.health.mil/Resources/Education/Conditions-and-Concerns/TBI-and-Hearing-Loss #BIAMonth #BeTBIReady

Recommended Content:

Brain Injury Awareness To Improve Readiness | Traumatic Brain Injury Center of Excellence | Traumatic Brain Injury

BIAM Head Injury

Infographic
2/17/2022
BIAM Head Injury

DYK? If you sustain a head injury, you could also have vision, balance, and hearing damage problems. See your health care provider right away. https://vce.health.mil; https://hearing.health.mil #BIAMonth #BeTBIReady

Recommended Content:

Brain Injury Awareness To Improve Readiness | Traumatic Brain Injury Center of Excellence | Traumatic Brain Injury

BIAM TBI 2

Infographic
2/17/2022
BIAM TBI 2

#DYK Most TBIs experienced by service members are mild concussions? But, remember, even a mild TBI can impact your overall health and ability to deploy. Learn more: https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence/Patient-and-Family-Resources #BeTBIReady

Recommended Content:

Brain Injury Awareness To Improve Readiness | Traumatic Brain Injury Center of Excellence | Traumatic Brain Injury

BIAM TBI 3

Infographic
2/17/2022
BIAM TBI 3

#DYK Symptoms of TBI aren’t just physical? Severe TBIs can increase the risk for mental health conditions, such as anxiety and depression. Learn more: https://www.health.mil/Military-Health-Topics/Centers-of-Excellence/Traumatic-Brain-Injury-Center-of-Excellence/Patient-and-Family-Resources #BeTBIReady

Recommended Content:

Brain Injury Awareness To Improve Readiness | Traumatic Brain Injury Center of Excellence | Traumatic Brain Injury

Brain Injury Awareness Month 1

Infographic
2/17/2022
Brain Injury Awareness Month 1

Even a mild traumatic brain injury can impact mission readiness and the ability to deploy. #BeTBIReady by understanding the signs and symptoms of TBI, and knowing when to seek care. Thanks to innovations across the Military Health System, TBI is treatable & recovery is possible. www.Health.mil/BIAMonth #BIAMonth #BeTBIReady

Recommended Content:

Brain Injury Awareness To Improve Readiness | Traumatic Brain Injury Center of Excellence | Traumatic Brain Injury

BIAM TBI

Infographic
2/17/2022
BIAM TBI

#DYK Most TBIs don’t occur while deployed? TBIs typically result from activities like sports, falls, or car accidents. Wearing protective gear is one way you can minimize your risk of TBI. #BeTBIReady https://www.health.mil/tbi

Recommended Content:

Brain Injury Awareness To Improve Readiness | Traumatic Brain Injury Center of Excellence | Traumatic Brain Injury

BIAM Caregivers

Infographic
2/17/2022
BIAM Caregivers

#DYK? Family support helps TBI recovery? Learn how to support your loved one here: https://www.health.mil/News/Articles/2021/07/22/Caregiver-Guide-supports-service-members-and-veterans-with-TBI #BeTBIReady #BIAMonth

Recommended Content:

Brain Injury Awareness To Improve Readiness | Traumatic Brain Injury Center of Excellence | Traumatic Brain Injury

BIAM Providers

Infographic
2/17/2022
BIAM Providers

Providers: Stay up-to-date on the latest evidence-based clinical guidance and training so you are always #TBIReady. Visit: https://vce.health.mil/Clinicians-and-Researchers/Clinical-Practice-Recommendations, and https://hearing.health.mil/For-Providers. #BIAMonth #BeTBIReady

Recommended Content:

Brain Injury Awareness To Improve Readiness | Traumatic Brain Injury Center of Excellence | Traumatic Brain Injury

BIAM Call to Action

Infographic
2/17/2022
BIAM Call to Action

#PSA! Don’t forget your protective gear! Most TBIs do not occur in combat. They are usually caused by everyday activities like sports, training, or a car accident. You can minimize the risk of TBI by wearing protective gear. www.health.mil/BIAMonth #BeTBIReady #BIAMonth

Recommended Content:

Brain Injury Awareness To Improve Readiness | Traumatic Brain Injury Center of Excellence | Traumatic Brain Injury

Brain Injury Awareness Month 2

Infographic
2/17/2022
Brain Injury Awareness Month 2

TBI symptoms aren’t just physical. Research shows traumatic brain injuries can lead to sleeping problems. Ignoring these problems can worsen symptoms and lead to longer recovery times. Learn more: www.health.mil/TBIproviders #BeTBIReady #BIAMonth

Recommended Content:

Brain Injury Awareness To Improve Readiness | Traumatic Brain Injury Center of Excellence | Traumatic Brain Injury

BIAM Main

Infographic
2/17/2022
BIAM Main

March is Brain Injury Awareness Month. Traumatic brain injuries are a key health concern for the military community. Thanks to innovations across the Military Health System, we are improving quality of life for TBI patients & their families. This month, we will share stories, tips, and resources for TBI prevention and recovery. www.health.mil/BIAMonth #BeTBIReady #BIAMonth

Recommended Content:

Brain Injury Awareness To Improve Readiness | Traumatic Brain Injury Center of Excellence | Traumatic Brain Injury

TBI Prevention

Video
2/9/2022
TBI Prevention

It is important for everyone to remember that we only have one brain. That means taking the necessary to protect your brain when engaging in sports, driving, or during exercises while on-duty.

Recommended Content:

Traumatic Brain Injury

2000-Q32021 DOD Worldwide Numbers for TBI

Publication
1/20/2022

TBICoE is the Defense Department’s office of responsibility for tracking traumatic brain injury data in the U.S. military. Here you’ll find data on the number of active-duty service members—anywhere U.S. forces are located—with a first-time TBI diagnosis from calendar year 2000 through the third quarter of 2021. The data is also broken down by each branch of the armed services.

Recommended Content:

Traumatic Brain Injury | Worldwide TBI Numbers | Traumatic Brain Injury Center of Excellence | TBI Provider Resources | Patient and Family Resources

2021 Q3 DOD Worldwide Numbers for TBI

Publication
1/20/2022

TBICoE is the Defense Department’s office of responsibility for tracking traumatic brain injury data in the U.S. military. Here you’ll find data on the number of active-duty service members—anywhere U.S. forces are located—with a first-time TBI diagnosis in the third quarter of calendar year 2021. The data is also broken down by each branch of the armed services.

Recommended Content:

Traumatic Brain Injury | Traumatic Brain Injury Center of Excellence | Worldwide TBI Numbers | TBI Provider Resources | Patient and Family Resources
<< < 1 2 3 4 5  ... > >> 
Showing results 16 - 30 Page 2 of 15
Refine your search
Last Updated: March 21, 2022

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.