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Marines with combined anti-armor team conduct weapon familiarization training June 3 at the North Training Area at Combined Arms Training Center Camp Fuji. It was the first time for many of the Marines to fire the AT-4 light anti-armor weapon. The Marines are with the CAAT of Weapons Company, 3rd Battalion, 6th Marine Regiment, which is currently assigned to 4th Marine Regiment, 3rd Marine Division, III Marine Expeditionary Force, under the unit deployment program. The combat correspondent captured the photo at a shutter speed of 1/160th of a second, creating a multiple-exposure effect of the AT-4 gunner, as well as capturing the dust being shaken from the Marines’ helmets as a result of the shockwave created from the concussion of the weapon’s back-blast. (U.S. Marine Corps photo by Cpl. Adam B. Miller/Released)
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Warfighter Brain Health Hub

In June 2022, the Department of Defense launched the Warfighter Brain Health Initiative to bring together the operational and medical communities in a more unified approach toward optimizing service member brain health and countering traumatic brain injuries.

Our Focus

  • Optimizing cognitive and physical performance.
  • Identifying, monitoring, and mitigating brain exposures.
  • Preventing, recognizing, and minimizing the effects of traumatic brain injury.
  • Reducing or eliminating long-term or late effects of brain injury.
  • Advancing warfighter brain health science.

Our Commitment

  • Understanding.
  • Preventing,
  • Accurately diagnosing, and
  • Promptly treating blast overpressure and its effects.

Photo of Dr. Lester Martinez-Lopez

 

Read full statement from Dr. Lester Martinez-López, Assistant Secretary of Defense for Health Affairs

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PRA Training Video 8: Clinical Case Scenario

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This is an interactive clinical case scenario to test your understanding in applying the Progressive Return to Activity (PRA). We hope this will help medical providers become more familiar with the PRA process when treating service members with concussion. Each video in the PRA training series is designed to support primary care providers' ability ...

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Jul 22, 2021

PRA Training Video 3: Understanding Relative Rest

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In this lesson we explain the differences between complete rest and relative rest in a staged concussion recovery process, and provide examples of activities that promote relative rest. The revised Progressive Return to Activity (PRA) Clinical Recommendation uses the term 'relative rest' to emphasize the importance of early introduction of physical ...

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Jul 22, 2021

PRA Training Video 1: PRA Overview

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In the first of TBICoE's Progressive Return to Activity (PRA) video training series, you will learn about the reasons for using a progressive return to activity process and receive an overview of the 2021 PRA algorithm and its associated tools. By the end of lesson one, providers will better understand the PRA process, and explain that process to ...

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Jul 22, 2021

PRA Training Video 7: Symptom-Guided Management and Specialty Referral Guidance Tables

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This lesson covers how to use the Progressive Return to Activity, or PRA's Symptom-Guided Management and Specialty Referral Guidance tables. This lesson also details primary care management strategies for service members who are not progressing as expected in the PRA. Each video in the Progressive Return to Activity training series is designed to ...

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Jul 22, 2021

PRA Training Video 5: The Six Stages of the PRA

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In this lesson, we cover the key activity objectives for each of the six stages of the Progressive Return to Activity (PRA) Clinical Recommendation and provide activity examples for each stage. Each stage is designed to gradually increase the intensity and duration of a service member's physical and cognitive activity as they advance in the PRA ...

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PRA Training Video 2: Six Major Changes

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In this lesson we review the six major changes in the TBICoE's revised 2021 Progressive Return to Activity (PRA) Clinical Recommendation that differ from the original recommendation. The changes reflect the latest TBI research, and will make it easier for providers to manage the recovery process and return service members with concussion to full ...

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Jul 22, 2021

PRA Training Video 4: PRA Progression Criteria

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In this lesson, we review the criteria for advancing through the stages of the Progressive Return to Activity (PRA) Clinical Recommendation. Each video in the PRA training series is designed to support primary care providers' ability to manage concussion/traumatic brain injury (TBI).

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Feb 25, 2021

Progressive Return to Activity After Concussion Video

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The PRA is an evidence-based, easy-to-use approach to help providers return service members with mild TBIs back to duty safely. TBICoE researchers have found that, if medical providers completed a two-hour, in-person training on the use of the PRA, their patients saw an overall reduction in symptoms after one week, one month, and three months, when ...

Fact Sheet
Jul 30, 2020

Concussion/Mild TBI Signs and Symptoms Spanish Version Fact Sheet

.PDF | 455.08 KB

This fact sheet — in Spanish — identifies major physical, cognitive and emotional symptoms of concussion/mild TBI, and provides coping and recovery tips.

Policy
Sep 18, 2012

Instruction: #6490.11, DOD Instruction 6490.11: DOD Policy Guidance for Management of Mild Traumatic Brain Injury/Concussion in the Deployed Setting

This instruction establishes policy, assigns responsibilities, and provides procedures on the management of mild traumatic brain injury (mTBI), also known as concussion, in the deployed setting.

  • Identification #: 6490.11
  • Type: Instruction
Last Updated: April 10, 2024
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