Treatment and Management of Work-Related Mild Traumatic Brain Injury in Physical Medicine and Rehabilitation

The purpose of this narrative review was to assess work-related mild traumatic brain injury treatment approaches and outcomes. Literature indicates that incidence of work-related mild traumatic brain injury is high. Ability to return to work after injury is variable, with differences identified across industry sector, mechanisms of injury, sex, and timely treatment and referral. Additional challenges exist in the context of secondary gains (e.g., financial) and the potential for symptom exaggeration. Emerging evidence from studies outside the United States demonstrate the benefits of proactive assessment and treatment at the time of injury. These benefits can be further augmented by early referral to multidisciplinary treatment teams led by physical medicine and rehabilitation physicians. Opportunities for ongoing research and development of strategies to improve treatment, management, and more timely return to work for patients with occupational mild traumatic brain injury are discussed. It is concluded that challenges persist in treatment and management of patients with work-related mild traumatic brain injury as they present unique challenges not seen in those with nonwork-related mild traumatic brain injuries. The unique position of physical medicine and rehabilitation and the skills of physiatrists render them poised to lead multidisciplinary treatment teams for these patients and contribute to the development of a new guideline for return to work, with an emphasis on functional recovery.

This is a pre-copyedited, author-produced version of an article accepted for publication in American Journal of Physical Medicine & Rehabilitation. The published version of record [Treatment and Management of Work-Related Mild Traumatic Brain Injury in Physical Medicine and Rehabilitation. American Journal of Physical Medicine & Rehabilitation 102, 6 p560-566 (2022)] is available online at: 10.1097/PHM.0000000000002169.

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Work Title Treatment and Management of Work-Related Mild Traumatic Brain Injury in Physical Medicine and Rehabilitation
Access
Open Access
Creators
  1. Mollie E. Andreae
  2. Lori M. Grafton
  3. Justin S. Hong
  4. Meghan E. Vidt
Keyword
  1. Brain injuries
  2. Traumatic
  3. Occupational injuries
  4. Workplace
  5. Physical and rehabilitation medicine
License In Copyright (Rights Reserved)
Work Type Article
Publisher
  1. American Journal of Physical Medicine & Rehabilitation
Publication Date December 14, 2022
Publisher Identifier (DOI)
  1. https://doi.org/10.1097/PHM.0000000000002169
Deposited March 04, 2024

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Version 1
published

  • Created
  • Added Treatment_and_Management_of_Work_Related_Mild.148.pdf
  • Added Creator Mollie E Andreae
  • Added Creator Lori M. Grafton
  • Added Creator Justin S Hong
  • Added Creator Meghan E Vidt
  • Published
  • Updated Keyword, Publisher Show Changes
    Keyword
    • Brain injuries, Traumatic, Occupational injuries, Workplace, Physical and rehabilitation medicine
    Publisher
    • American Journal of Physical Medicine
    • American Journal of Physical Medicine & Rehabilitation
  • Renamed Creator Mollie E. Andreae Show Changes
    • Mollie E Andreae
    • Mollie E. Andreae
  • Renamed Creator Justin S. Hong Show Changes
    • Justin S Hong
    • Justin S. Hong
  • Renamed Creator Meghan E. Vidt Show Changes
    • Meghan E Vidt
    • Meghan E. Vidt
  • Updated