INESSS-ONF Guideline for Rehabilitation of Adults with Moderate to Severe TBI


The Clinical Practice Guideline for the Rehabilitation of Adults with Moderate to Severe TBI, also referred to as the INESSS-ONF Guideline, is designed to improve patient health outcomes through providing evidence supported recommendations specifically for the rehabilitation of adults with moderate to severe traumatic brain injury (TBI). This acts as a tool which health care professional can refer to during the clinical decision making process.


The rehabilitation guideline is primarily targeted towards healthcare professionals and managers who are involved in the rehabilitation of adults with moderate to severe TBI in Canada. The recommendations encompass many settings from acute care to post-acute inpatient or outpatient rehabilitation. The Guideline may also be an important resource for medical care providers within the community and support workers who are involved in the care of patients with a TBI. Lastly, the recommendations can be accessed by stakeholders such as policy makers, organizations providing funding, and adults with a TBI or their family and caregivers. The ultimate goal is to improve the quality and consistency of rehabilitative care that is provided to such patients. However, the Guidelines do not negate the validity of other approaches and the clinical judgment of healthcare professionals based on other factors and normative regulations.


The INESSS-ONF Guidelines are designed for adults aged 18-65 years old who have acquired a moderate to severe TBI. Recommendations are relevant for patients receiving early rehabilitation in acute care settings, as well as for post-acute inpatients and outpatients in rehabilitation facilities. Beyond the publicly funded sector, the guidelines also pertain to patients in community based rehabilitation centers, including those that are privately delivered or funded by a third party.


To guidelines can be found at