• Centers for Disease Control and Prevention (cdc.gov)
Many excellent summaries – concussion, concussion in sports and others
• Brain Injury Association of America (biausa.org)
Also very informative with links to many providers at all levels of severity nationwide
• Brain Injury Association of Massachusetts (biama.org)
Much more information about programs in Massachusetts, including workshops for families and patients
A good, if perhaps overly cautious, summary of recognition and management of sports concussions
The NCAA guidelines for return to play are:
- Rest –physical and mental - until asymptomatic
- Light aerobic exercise
- Sport-specific exercise
- Non-contact training drills
- Full contact training drills
- Return to competition
For non-athletes the necessity of rest until asymptomatic is unproven. As symptoms decrease, a gradual increase inactivity is acceptable.
The state of Massachusetts has services for brain injury patients provided through the Massachusetts Rehabilitation Commission and the Statewide Head Injury Program (SHIP). The link to state government – mass.gov – will take you to a portal. You can click on the link to Massachusetts Rehabilitation Commission. On that page in the left column, you will see “Brain Injury”. Clicking there will take you to SHIP. There is much information about eligibility and services.
For veterans, the Boston VA Medical Center in Jamaica Plain has an excellent program: www.boston.va.gov - Translational Research Center for TBI and Stress Disorders
The Massachusetts General Hospital has a Home Base program veterans. www.homebaseprogram.
• Community Rehab Care (brain-injury-rehab.com)
This is an excellent community based day treatment program for out-patients with cognitive disabilities. There are three clinics staffed with therapists with experience with TBI.
• Arnold Pain Management Center
Experienced pain program at BIDMC – pharmacological, local, therapy, psychological management of pain
Slavenka Kam-Hansen, MD, PhD in the BIDMC Neurology Program assists us with advanced management of headaches.
Comprehensive Headache Center is an alternative resource for complex headaches
Some patients have complex preexisting or injury related sleep disruptions and we may refer for expert management
For patients with persistent balance impairments there are numerous experienced Vestibular Training programs. At BIDMC the BrainFit Club directed by Bonnie Wong, PhD has several interventions.
There is a community support group at Newton Wellesley Hospital that may provide assistance with balance disorders. Contact Claire Haddad.