Skip to main content
The Globe and Mail
Support Quality Journalism
The Globe and Mail
First Access to Latest
Investment News
Collection of curated
e-books and guides
Inform your decisions via
Globe Investor Tools
per week
for first 24 weeks

Enjoy unlimited digital access
Enjoy Unlimited Digital Access
Get full access to
Just $1.99 per week for the first 24 weeks
Just $1.99 per week for the first 24 weeks
var select={root:".js-sub-pencil",control:".js-sub-pencil-control",open:"o-sub-pencil--open",closed:"o-sub-pencil--closed"},dom={},allowExpand=!0;function pencilInit(o){var e=arguments.length>1&&void 0!==arguments[1]&&arguments[1];select.root=o,dom.root=document.querySelector(select.root),dom.root&&(dom.control=document.querySelector(select.control),dom.control.addEventListener("click",onToggleClicked),setPanelState(e),window.addEventListener("scroll",onWindowScroll),dom.root.removeAttribute("hidden"))}function isPanelOpen(){return dom.root.classList.contains(}function setPanelState(o){dom.root.classList[o?"add":"remove"](,dom.root.classList[o?"remove":"add"](select.closed),dom.control.setAttribute("aria-expanded",o)}function onToggleClicked(){var l=!isPanelOpen();setPanelState(l)}function onWindowScroll(){window.requestAnimationFrame(function() {var l=isPanelOpen(),n=0===(document.body.scrollTop||document.documentElement.scrollTop);n||l||!allowExpand?n&&l&&(allowExpand=!0,setPanelState(!1)):(allowExpand=!1,setPanelState(!0))});}pencilInit(".js-sub-pencil",!1); // via darwin-bg var slideIndex = 0; carousel(); function carousel() { var i; var x = document.getElementsByClassName("subs_valueprop"); for (i = 0; i < x.length; i++) { x[i].style.display = "none"; } slideIndex++; if (slideIndex> x.length) { slideIndex = 1; } x[slideIndex - 1].style.display = "block"; setTimeout(carousel, 2500); }

Mild TBI (traumatic brain injury), one of the most common neurological disorders, affects between 500 and 650 individuals per 100,000 in Ontario, and accounts for about 85% of all head injuries.

iStock photo

TORONTO, Ontario (March 14, 2012) – In the past, the best approach to managing patients with a mild traumatic brain injury, or concussion, beyond the acute recovery stage has been unclear, leaving both clinicians and patients in a difficult situation. For the first time, however, a comprehensive set of guidelines has been created for patients who experience residual symptoms following a mild traumatic brain injury (TBI), and Sunnybrook has played an important part.

Dr. Scott McCullagh, co-author of the guidelines and Director of Sunnybrook's Traumatic Brain Injury Clinic, says, "we wanted to develop a set of guidelines that allows healthcare professionals to implement an evidence-based, best practice approach to caring for individuals with mild TBI who do not simply recover spontaneously."

Mild TBI, one of the most common neurological disorders, affects between 500 and 650 individuals per 100,000 in Ontario, and accounts for about 85% of all head injuries. While the prognosis after mild TBI is generally good, approximately ten to fifteen percent of these individuals will still have residual symptoms at the one-year mark, and risk having a poor outcome in their recovery.

Story continues below advertisement

Assisted by funding from the Ontario Neurotrauma Foundation, a group of more than 25 experts from across Canada agreed on 77 recommendations to be included in the guidelines. "In the past, best practice for treatment was not clearly defined, so these guidelines are aimed at reducing the impact of persistent symptoms following mild TBI in adults," says Dr. McCullagh, who is also Assistant Professor in Psychiatry at University of Toronto.

Persistent symptoms of TBI can include post-traumatic headache, sleep disturbance, disorders of balance, cognitive impairments, fatigue, and mood or anxiety disorders, each of which can result in significant functional limitations for a patient who has suffered a mild TBI.

The guidelines can be found in this month's issue of the Canadian Family Physician Journal, or on ONF's website at

Report an error
Due to technical reasons, we have temporarily removed commenting from our articles. We hope to have this fixed soon. Thank you for your patience. If you are looking to give feedback on our new site, please send it along to If you want to write a letter to the editor, please forward to
Comments are closed

We have closed comments on this story for legal reasons or for abuse. For more information on our commenting policies and how our community-based moderation works, please read our Community Guidelines and our Terms and Conditions.

To view this site properly, enable cookies in your browser. Read our privacy policy to learn more.
How to enable cookies