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The guideline synthesizes clinical and epidemiological evidence, clarifies relationships between care options and health outcomes, and rates evidence quality and recommendation strength. It addresses scope, audience, patient population, and development methodology, and emphasizes patient-centered stepped care, shared decision making, and consideration of co-occurring conditions. An algorithm structures initial presentation and symptom persistence beyond 7 days, followed by recommendations for settings of care, diagnosis and assessment, and care approaches.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/vadod-clinical-practice-guideline-for-the-management-and-rehabilitation-of-post-acute-mild-traumatic-brain-injury-version-3-june-2021/293756/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/vadod-clinical-practice-guideline-for-the-management-and-rehabilitation-of-post-acute-mild-traumatic-brain-injury-version-3-june-2021/293756.png","ImageObject",300,407,{"name":92,"@type":93},"Chumphorn","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-17",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the purpose of the VA/DoD clinical practice guideline?","Question",{"text":112,"@type":113},"It is designed to provide evidence-based information and assist decision making for the management and rehabilitation of post-acute mild traumatic brain injury. 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A multidisciplinary work group explains evidence quality and recommendation strength, includes external peer review, and addresses implementation and conflicts of interest.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},293756,1790037723,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},2336475401981,"https://ap-avatar.wpscdn.com/avatar/22000c94efd8d5204d?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786935347598174694","VA/DoD CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT AND REHABILITATION OF POST-ACUTE MILD TRAUMATIC BRAIN INJURY  \nDepartment of Veterans Affairs  \nDepartment of Defense  \nQUALIFYING STATEMENTS  \nThe Department of Veterans Affairs and the Department of Defense guidelines are based upon the best information available at the time of publication. They are designed to provide information and assist decision making. They are not intended to define a standard of care and should not be construed as one. Neither should they be interpreted as prescribing an exclusive course of management.  \nThis Clinical Practice Guideline is based on a systematic review of both clinical and epidemiological evidence. Developed by a panel of multidisciplinary experts, it provides a clear explanation of the logical relationships between various care options and health outcomes while rating both the quality of the evidence and the strength of the recommendation.  \nVariations in practice will inevitably and appropriately occur when clinicians take into account the needs of individual patients, available resources, and limitations unique to an institution or type of practice. Every healthcare professional making use of these guidelines is responsible for evaluating the appropriateness of applying them in the setting of any particular clinical situation.  \nThese guidelines are not intended to represent Department of Veterans Affairs or TRICARE policy. Further, inclusion of recommendations for specific testing and/or therapeutic interventions within these guidelines does not guarantee coverage of civilian sector care. Additional information on current TRICARE benefits may be found [at](at www.tricare.mil)[ ](at www.tricare.mil)[www.tricare.mil](at www.tricare.mil) by contacting your regional TRICARE Managed Care Support Contractor.  \nVersion 3.0 – June 2021  \nPrepared by:  \nThe Management and Rehabilitation of Post-Acute Mild Traumatic Brain Injury  \nWork Group  \nWith support from:  \nThe Office of Quality and Patient Safety, VA, Washington, DC  \n&  \nOffice of Evidence Based Practice, Defense Health Agency  \nVersion 3.0 – June 2021  \nBased on evidence reviewed through April 2020  \nTable of Contents  \nI. Introduction..................................................................................................................................... 6  \nII. Background...................................................................................................................................... 6  \nA. Terminology Conventions within this Guideline ................................................................................ 8  \nIII. Scope of this Guideline .................................................................................................................... 8  \nA. Guideline Audience.............................................................................................................................. 8  \nB. Guideline Population ........................................................................................................................... 8  \nIV. Highlighted Features of this Guideline.............................................................................................. 9  \nA. Highlights in this Guideline Update..................................................................................................... 9  \nB. Components of the Guideline ............................................................................................................. 9  \nV. Guideline Development Team.......................................................................................................... 9  \nVI. Summary of Guideline Development Methodology........................................................................ 11  \nA. Evidence Quality and Recommendation Strength ........................................................................... 11  \nB. Categorization of 2016 Clinical Practice Guideline Recommendations....","cbCaid1CwVBElU27","https://ap.wps.com/l/cbCaid1CwVBElU27","pdf",1944545,128,"English","# Introduction\n# Background\n## Terminology Conventions within this Guideline\n# Scope of this Guideline\n## Guideline Audience\n## Guideline Population\n# Highlighted Features of this Guideline\n## Highlights in this Guideline Update\n## Components of the Guideline\n# Guideline Development Team\n# Summary of Guideline Development Methodology\n## Evidence Quality and Recommendation Strength\n## Categorization of 2016 Clinical Practice Guideline Recommendations\n## Management of Potential or Actual Conflicts of Interest\n## Patient Perspective\n## External Peer Review\n## Implementation\n# Approach to Care in Department of Veterans Affairs and Department of Defense\n## Patient-centered, Stepped Care and a “Whole Health” Orientation\n## Shared Decision Making\n## Patients with Co-occurring Conditions\n# Algorithm\n## Module A: Initial Presentation (>7 Days Post-injury)\n## Module B: Management of Symptoms Persisting >7 Days After Mild Traumatic Brain Injury\n# Recommendations\n## Setting of Care\n## Diagnosis and Assessment","[{\"question\":\"What is the purpose of the VA/DoD clinical practice guideline?\",\"answer\":\"It is designed to provide evidence-based information and assist decision making for the management and rehabilitation of post-acute mild traumatic brain injury. It explains relationships between care options and health outcomes while rating evidence quality and recommendation strength.\"},{\"question\":\"How does the guideline structure care over time?\",\"answer\":\"It uses an algorithm with Module A for initial presentation (more than 7 days post-injury) and Module B for managing symptoms that persist beyond 7 days after mild traumatic brain injury.\"},{\"question\":\"What methodology is used to develop the recommendations?\",\"answer\":\"The guideline is based on a systematic review of clinical and epidemiological evidence. A multidisciplinary work group explains evidence quality and recommendation strength, includes external peer review, and addresses implementation and conflicts of interest.\"}]","VA/DoD Clinical Practice Guideline for the Management and Rehabilitation of Post-Acute Mild Traumatic Brain Injury - Version 3 - June 2021 | PDF",1789668607,323]