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the (29), and (24), #guideline (20), concussion (20), symptoms (12), for (11), prolonged (11), this (11), #diagnosis (9), management (8), adults (7), use (7), other (6), older (6), healthcare (6), health (5), sport (5), related (5), not (5), with (5), who (5), you (5), patient (4), evidence (4), return (4), activity (4), work (4), considerations (4), fatigue (4), vestibular (4), vision (4), cognitive (4), mental (4), sleep (4), wake (4), post (4), traumatic (4), headache (4), initial (4), years (4), any (4), professionals (4), guidelines (4), recommendations (3), school (3), balance (3), dizziness (3), dysfunction (3), difficulties (3), disorders (3), disturbances (3), assessment (3), age (3), have (3), sustained (3), may (3), their (3), that (3), from (3), all (3), your (3), such (3), care (3), problems (3), about (2), pediatric (2), version (2), standards (2), clinics (2), tools (2), materials (2), citing (2), resources (2), presentations (2), products (2), project (2), team (2), executive (2), committee (2), expert (2), panels (2), external (2), review (2), formulation (2), updating (2), procedure (2), strengths (2), limitations (2), selection (2), criteria (2), search (2), methodology (2), methods (2), sections (2), intended (2), patients (2), providers (2), acknowledge (2), over (2), internet (2), website (2), must (2), times (2), clinical (2), factors (2), these (2), practice (2), content (2), our (2), feedback (2), very (2), improve (2), ministry (2), purpose (2), can (2), individuals (2), what (2), experienced (2), forces (2), injury (2), living (2), filter (2), home (2), main (2), 2026, ottawa, hospital, research, institute, attribution, international, contact, clients, under, people, are, suspected, having, self, treatment, wish, bring, attention, information, shared, always, secure, could, intercepted, lost, altered, there, guarantee, security, communication, assume, risks, associated, specifically, choices, reflected, preclude, possibility, approaches, practices, also, being, valid, relevant, judgment, consider, preferences, contextual, resource, availability, applying, moreover, respect, legal, normative, regulations, regulatory, bodies, particular, regards, scopes, restricted, protected, activities, differ, jurisdiction, using, medical, advice, agree, cannot, interpreted, based, status, scientific, knowledge, available, time, finalization, well, consensus, experts, participated, development, please, fill, out, short, anonymous, survey, valuable, because, helps, thank, much, consideration, clicking, here, cautionary, note, users, long, term, funders, partners, creating, framework, implemented, effectively, identify, treat, manifest, following, counselors, social, workers, ophthalmologists, optometrists, chiropractors, physiotherapists, speech, language, pathologists, occupational, therapists, psychologists, psychiatrists, physiatrists, neurologists, primary, family, physicians, nurse, practitioners, targeted, toward, providing, service, including, present, appropriate, scope, denotes, acute, neurophysiological, event, blunt, impact, mechanical, energy, applied, head, neck, body, transmitting, brain, sudden, acceleration, deceleration, rotational, motor, vehicle, crash, recreational, falls, workplace, assault, incident, community, faq, provider, yellow, red, colour, dark, theme, navigation, skip,

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home living concussion guidelines skip to main content main navigation home about dark theme colour filter no filter red yellow healthcare provider guidelines diagnosis initial management sport related concussion diagnosis assessment of prolonged symptoms management of prolonged symptoms post traumatic headache sleep wake disturbances mental health disorders cognitive difficulties vestibular balance dizziness vision dysfunction fatigue return to activity work school considerations older adults methods search methodology evidence selection criteria strengths and limitations of the evidence formulation of recommendations and updating procedure external review project team executive committee and expert panels presentations and products resources citing the guideline tools and other materials standards for concussion clinics faq patient version diagnosis of concussion initial management of concussion sport related concussion diagnosis of prolonged symptoms management of prolonged symptoms post traumatic headache sleep wake problems mental health symptoms cognitive problems vestibular and vision problems fatigue return to activity work considerations concussion in older adults pediatric guideline living concussion guidelines guideline for concussion prolonged symptoms for adults 18 years of age or older what is concussion concussion denotes the acute neurophysiological event related to blunt impact or other mechanical energy applied to the head neck or body with transmitting forces to the brain such as from sudden acceleration deceleration or rotational forces concussion can be sustained from a motor vehicle crash sport or recreational injury falls workplace injury assault or incident in the community scope the present guideline is appropriate for use with adults 18 years of age and older who have experienced a concussion this guideline is targeted toward healthcare professionals providing service to individuals who have experienced concussion including primary care providers family physicians nurse practitioners neurologists physiatrists psychiatrists psychologists occupational therapists speech language pathologists physiotherapists chiropractors optometrists ophthalmologists social workers counselors what is our purpose the purpose of this clinical practice guideline is to improve patient care by creating a framework that can be implemented by healthcare professionals to effectively identify and treat individuals who manifest prolonged symptoms following concussion guideline sections older adults diagnosis initial management sport related concussion diagnosis assessment of prolonged symptoms management of prolonged symptoms post traumatic headache sleep wake disturbances mental health disorders cognitive difficulties vestibular balance dizziness vision dysfunction fatigue return to activity work school considerations funders and partners ministry of health ministry of long term care cautionary note to users please fill out our short and anonymous feedback survey by clicking here this feedback is very valuable because it helps us improve the guidelines thank you very much for your consideration the content of the guideline for concussion prolonged symptoms for adults over 18 years guideline is based on the status of scientific knowledge available at the time of their finalization as well as on the consensus of the experts who participated in the guideline development in using this guideline you acknowledge that this is not medical advice and you agree it cannot be interpreted as such choices reflected in this guideline do not preclude the possibility of other approaches or practices also being valid and relevant healthcare professionals must at all times use their clinical judgment and consider other factors such as patient preferences contextual factors and resource availability in applying these recommendations moreover healthcare professionals must at all times respect the legal and normative regulations of the regulatory bodies in particular with regards to scopes of practice and restricted protected activities as these may differ by jurisdiction you acknowledge that any information shared over the internet may not always be secure and could be intercepted lost or altered there is no guarantee of the security of any communication to or from this website or the use of the guideline you assume any all risks associated with your use of the internet and specifically your use of this website and the guideline this guideline is not intended for use with patients or clients under the age of 18 years this guideline is not intended for use by people who have sustained or are suspected of having sustained a concussion for any self diagnosis or treatment patients may wish to bring their healthcare and other providers attention to this guideline guideline sections diagnosis initial management sport related concussion diagnosis assessment of prolonged symptoms management of prolonged symptoms post traumatic headache sleep wake disturbances mental health disorders cognitive difficulties vestibular balance dizziness vision dysfunction fatigue return to activity work school considerations older adults methods search methodology evidence selection criteria strengths limitations of the evidence formulation of recommendations and updating procedure external review project team executive committee and expert panels presentations and products resources citing the guideline tools and other materials standards for concussion clinics patient version pediatric guideline about contact us 2026 the ottawa hospital research institute cc by 4 0 attribution 4 0 international