Historically, mild traumatic brain injury (mTBI) was often overlooked. However, growing clinical consensus emphasizes that active intervention is essential to manage physiological impairments and facilitate functional recovery. As secondary impact syndrome poses fatal risks during the acute phase, transitioning from passive rest to multimodal, active management is critical....
The shift toward active intervention over watchful waiting in mild TBI management is relevant context for audiologists treating post-concussive vestibular or auditory symptoms, but this review alone does not mandate a change in audiology-specific protocols.
A growing consensus favouring active management of mild TBI has downstream implications for audiology and vestibular rehabilitation referral pathways and timing.
- 01Review advocates for active medical and non-surgical interventions over passive watchful waiting in mild TBI.
- 02Outlines pharmacological and non-pharmacological management strategies.
- 03Growing expert consensus cited, but high-quality RCT evidence remains limited.
- 04Has indirect relevance to audiologists managing auditory and vestibular sequelae of concussion.
- 05Does not address hearing-specific outcomes directly.
Active intervention produces better outcomes than watchful waiting for mild traumatic brain injury.
opinionpartially supported- PMID
- 42111458
- DOI
- 10.13004/kjnt.2026.22.e12.
- Journal
- Korean Journal of Neurotrauma
- Publication type
- review
- Evidence level
- 5
- Population
- Patients with mild traumatic brain injury
- Intervention
- Medical and non-surgical management strategies
Primary outcomes
Summary of medical and non-surgical management strategies for mild TBI; Comparison of active intervention vs. watchful waiting approaches