Back to Top Skip to main content Skip to sub-navigation

USU Co-leads Largest NCAA-DOD Concussion Study in History

Image of A doctor looks at a patient's prosthetic arm. Dr. Paul F. Pasquina examines Sgt. 1st Class Ramon Padilla’s prosthetic arm in his office at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. (Photo courtesy of PBS)

Recommended Content:

Traumatic Brain Injury

Uniformed Service University’s (USU) Dr. Paul Pasquina will co-lead the next phase of the largest concussion and repetitive head impact study in history, the NCAA-U.S. Department of Defense Concussion Assessment, Research and Education (CARE) Consortium.

Pasquina, professor and chair of USU’s Department of Physical Medicine and Rehabilitation, will lead the upcoming phase, known as CARE/Service Academy Longitudinal mTBI Outcomes Study (SALTOS) Integrated Study, as principal investigator for the DoD through USU’s Center for Rehabilitation Sciences Research, coordinating engagement with the four military academies, the military’s Explosive Ordnance and Disposal school at Eglin Air Force Base, as well as the Defense Health Agency’s National Intrepid Center of Excellence for TBI and Intrepid Spirit Centers at Fort Hood, Fort Bragg, and Joint Base Lewis-McChord.

CARE is the most comprehensive and prospective study of its kind, and is the product of the historic NCAA-DOD Grand alliance created in 2014. The Consortium seeks to better understand concussion, as well as Head Impact Exposure (HIE), with broad aims to enhance the health and safety of NCAA student-athletes and military service members. It is also the first major concussion study to assess both women and men in 24 sports, and serves as a valuable resource for youth sports participants and society at large. Prior to CARE, most concussion literature came from men’s football and men’s ice hockey. Leveraging its extensive infrastructure and experienced research team, the consortium has now published more than 80 scientific papers that have been critical to advancing the science of mild Traumatic Brain Injury (mTBI)/concussion and HIE.

The initial phase of CARE focused on the six-month natural history and neurobiology of acute concussion and HIE. The second phase, CARE 2.0, prospectively investigated the intermediate effects -- such as changes in brain health outcomes over a college career -- and early persistent health effects associated with HIE and concussion soon after graduation. CARE/SALTOS will investigate the nature and causes of long-term effects of HIE and concussion/mTBI in NCAA student-athletes and military service members.

“As a former member of West Point’s varsity football team, where I sustained several concussions, my interest in this study is both personal and professional,” Pasquina said. “There remain a number of unanswered questions surrounding concussion and head impact exposure that we hope to be able to help answer through this study. Our team remains committed to help protect, promote, and preserve brain health for service members, athletes, and the public.”

The Consortium has also just received a combined $42.65 million in funding to begin the next phase of its landmark research project. The newly-awarded funding includes a $25 million award from the Medical Technology Enterprise Consortium via the U.S. Army Medical Research and Development Command, from the Defense Health Program under the oversight of the Assistant Secretary of Defense for Health Affairs. An additional $10 million in funding was awarded by the NCAA, and $7.65 million was granted by the Defense Health Agency via a Cooperative Research and Development Agreement. This latest funding will allow the research team additional resources to build upon existing CARE/SALTOS research by following former CARE research participants beyond graduation to evaluate the long-term or late effects (up to 10 years) on brain health after mTBI/concussion and/or HIE.

The CARE/SALTOS Integrated study is an integrated public/private effort, and is designed to identify the unique individual characteristics (such as phenotypes/genotypes) of individuals at a higher versus lower risk of negative outcomes associated with concussion and HIE. This data set will be made available to the broader scientific community to promote further development of specific strategies for injury prevention, early recognition, and mitigating treatments of those at greatest risk of brain health effects.

You also may be interested in...

PRA Training Video 1: PRA Overview

Video
7/22/2021
PRA Training Video 1: PRA Overview

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 service members diagnosed with concussion. Each video in the PRA training series is designed to support primary care providers' ability to manage concussion/traumatic brain injury (TBI).

Recommended Content:

Traumatic Brain Injury Center of Excellence | TBI Provider Resources | Provider Education | Traumatic Brain Injury

PRA Training Video 2: Six Major Changes

Video
7/22/2021
PRA Training Video 2: Six Major Changes

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 duty as quickly and safely as possible. Each video in the PRA training series is designed to support primary care providers' ability to manage concussion/traumatic brain injury (TBI).

Recommended Content:

Traumatic Brain Injury Center of Excellence | TBI Provider Resources | Provider Education | Traumatic Brain Injury

PRA Training Video 5: The Six Stages of the PRA

Video
7/22/2021
PRA Training Video 5: The Six Stages of the PRA

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 process. Each video in the PRA training series is designed to support primary care providers' ability to manage concussion/traumatic brain injury (TBI).

Recommended Content:

Traumatic Brain Injury Center of Excellence | TBI Provider Resources | Provider Education | Traumatic Brain Injury

PRA Training Video 4: PRA Progression Criteria

Video
7/22/2021
PRA Training Video 4: PRA Progression Criteria

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).

Recommended Content:

Traumatic Brain Injury Center of Excellence | TBI Provider Resources | Provider Education | Traumatic Brain Injury

Caregiver Guide supports service members and veterans with TBI

Article
7/22/2021
Military family posing for a picture

Traumatic Brain Injury Center of Excellence’s 2021 Caregiver Guide provides specific tools to help caregivers manage TBI patient recovery.

Recommended Content:

Centers of Excellence | Traumatic Brain Injury | TBI Education and Training Events

2020 TBICoE Annual Report

Publication
7/9/2021

2020 Traumatic Brian Injury Center of Excellence (TBICoE) Annual Report.

Recommended Content:

Traumatic Brain Injury Center of Excellence | Traumatic Brain Injury

TBI Hot Topics Bulletin May 2021

Publication
7/8/2021

The TBI Hot Topics Bulletin is a product of the TBICoE research branch and provides a quarterly summary of TBI research relevant to health care providers. This issue covers research published January to March 2021.

Recommended Content:

Traumatic Brain Injury Center of Excellence | TBICoE Research | TBI Provider Resources | Traumatic Brain Injury

Traumatic Brain Injury: A Guide for Caregivers of Service Members and Veterans

Publication
7/7/2021

The 2021 "Traumatic Brain Injury: A Guide for Caregivers of Service Members and Veterans" is a recovery support tool to assist caregivers of service members and veterans who have sustained a traumatic brain injury at any severity level.

Recommended Content:

Traumatic Brain Injury Center of Excellence | TBI Educators | Traumatic Brain Injury | Psychological Health Center of Excellence

TBI Caregiver Support Forms

Form/Template
6/29/2021

This is a fillable and printer-friendly version of the forms available in the "Traumatic Brain Injury: A Guide for Caregivers of Service Members and Veterans."

Recommended Content:

Traumatic Brain Injury | Traumatic Brain Injury Center of Excellence | Patient and Family Resources

Aphasia, Caused by Stroke or TBI, is Frustrating and Little Known

Article
6/29/2021
A doctor looking at brain scans

Aphasia is an incurable disease usually caused by stroke that affects all forms of communication.

Recommended Content:

Total Force Fitness | Heart Health | Centers of Excellence | Traumatic Brain Injury

NICoE Education Webinar Series: July Poster

Publication
6/25/2021

Service Members and TBI: The Not So Invisible Wound

Recommended Content:

Traumatic Brain Injury | TBI Education and Training Events | Centers of Excellence

NICoE Education Webinar Series: June Poster

Publication
6/23/2021

Combat-related Concussion: Understanding Trajectories of Long-term Clinical and Imaging Outcomes

Recommended Content:

Traumatic Brain Injury | TBI Education and Training Events

TBICoE Virtual Quarterly Education Series: July 2021

Publication
6/22/2021

The Traumatic Brain Injury Center of Excellence is hosting a caregiver education series to learn about TBI caregiver resources, mind-body wellness exercises, and current research in the field.

Recommended Content:

Traumatic Brain Injury Center of Excellence | TBI Educators | Traumatic Brain Injury | TBI Education and Training Events

Progressive Return to Activity Following Concussion/mTBI Patient and Leadership Guide

Publication
6/22/2021

The Progressive Return to Activity Following Concussion/mTBI Patient and Leadership Guide alerts command and line leaders about the PRA process and provides service members with appropriate activities for each stage of their recovery.

Recommended Content:

Traumatic Brain Injury Center of Excellence | Patient and Family Resources | Traumatic Brain Injury | TBI Resources

TBI Topic Page Review Form

Publication
5/21/2021

The Traumatic Brain Injury Center of Excellence (TBICoE) manages the content on the Health.mil Traumatic Brain Injury Topic Page for the Defense Health Agency (DHA). To submit content for review and approval to this page, Military Health System agencies and other government partners can email this form, along with attached content in a Word document, to the TBICoE website manager at dha.TBICoEinfo@mail.mil.

Recommended Content:

Traumatic Brain Injury
<< < 1 2 3 4 5  ... > >> 
Showing results 46 - 60 Page 4 of 16
Refine your search
Last Updated: October 08, 2021

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.