title: Clinical practice guidelines for mild traumatic brain injury and persistent symptoms.
abstract: OBJECTIVE
  To outline new guidelines for the management of mild traumatic brain injury (MTBI) and persistent postconcussive symptoms (PPCS) in order to provide information and direction to physicians managing patients’ recovery from MTBI.
  
  
  METHODS
  A search for existing clinical practice guidelines addressing MTBI and a systematic review of the literature evaluating treatment of PPCS were conducted. Because little guidance on the management of PPCS was found within the traumatic brain injury field, a second search was completed for clinical practice guidelines and systematic reviews that addressed management of these common symptoms in the general population. Health care professionals representing a range of disciplines from across Canada and abroad were brought together at an expert consensus conference to review the existing guidelines and evidence and to attempt to develop a comprehensive guideline for the management of MTBI and PPCS.
  
  
  RESULTS
  A modified Delphi process was used to create 71 recommendations that address the diagnosis and management of MTBI and PPCS. In addition, numerous resources and tools were included in the guideline to aid in the implementation of the recommendations.
  
  
  CONCLUSIONS
  A clinical practice guideline was developed to aid health care professionals in implementing evidencebased, best-practice care for the challenging population of individuals who experience PPCS following MTBI.
authors.affiliation: Acquired Brain Injury Rehabilitation Program, Ottawa Hospital Rehabilitation Centre, Ontario. smarshall@toh.on.ca
authors.forename: Shawn
authors.initials: S
authors.lastname: Marshall
authors.forename: Mark
authors.initials: M
authors.lastname: Bayley
authors.forename: Scott
authors.initials: S
authors.lastname: McCullagh
authors.forename: Diana
authors.initials: D
authors.lastname: Velikonja
authors.forename: Lindsay
authors.initials: L
authors.lastname: Berrigan
mesh_terms: D001924:Brain Concussion / Q000175:diagnosis* / Q000628:therapy*; D002170:Canada; D019317:Evidence-Based Medicine; D006801:Humans