46. Applying ACRM Criteria for mTBI to Patients Reporting to a Specialty Care Clinic for Acute Treatment of Concussion

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ID: 324458
2026
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Ranked #79 of 79 articles by views in archives of clinical neuropsychology : the official journal of the national academy of neuropsychologists

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Abstract
Abstract Purpose The American Congress of Rehabilitation Medicine (ACRM) recently updated their diagnostic criteria for mild traumatic brain injury (mTBI). The purpose of this study was to apply these criteria to a sample of concussed individuals reporting to a primary care clinic within three days of sustaining a mTBI. Method From an initial sample of 496 individuals, ACRM criteria were applied and the number and percentage of participants meeting these criteria were documented. Clinical measures included: on-field presentation of concussion signs, acute symptoms (Post Concussion Symptom Scale; PCSS), clinical or laboratory findings (Immediate Post-Concussion Assessment and Cognitive Testing; ImPACT) and Vestibular Ocular Motor Screen (VOMS). Results From the initial sample of 496, 100% sustained a traumatic brain injury from a transfer of mechanical energy to the brain from external forces (Criterion 1). Of these, only 58.5% displayed clinical signs attributable to brain injury (loss of consciousness, confusion/disorientation, amnesia, dizziness; Criterion 2). However, 97,4% reported two or more acute symptoms consistent with Criterion 3, with headache, sensitivity to light, difficulty concentrating, feeling slowed, and feeling foggy most prevalent. With respect to Criterion 4 (Clinical or Laboratory Findings), 83.3% scored below 1 standard deviation on ImPACT Composite Scores or above VOMS cutoffs. Conclusions Other than on-field or acute presentation of clinical signs attributable to mTBI (loss of consciousness, confusion/disorientation, amnesia, dizziness), the vast majority of patients reporting to a specialty clinic for treatment of acute concussion met ACRM Criteria.
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Authors P Schatz, M N Womble, K Stephenson, S Jennings, C Dollar, R J Elbin
Journal archives of clinical neuropsychology : the official journal of the national academy of neuropsychologists
Year 2026
DOI
10.1093/arclin/acag055.046
URL
https://doi.org/10.1093/arclin/acag055.046
Keywords Keywords not found

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