I just received this month’s issue of the Journal of Head Trauma Rehabilitation which is celebrating it’s 20th year in publication.

The Journal contained an outstanding article by Ron Ruff, Ph.D. entitled “Two Decades of Advances in Understanding of Mild Traumatic Brain Injury.” The article, divided into four sections, provides a historical background regarding traumatic brain injury research, an explanation of why the diagnostic frameworks have evolved, an examination why 10-20% of all mild traumatic brain injury patients do not have favorable outcomes and finally provides a practical step for future treatment.

Most interesting to me was Dr. Ruff’s discussion of the 10-20% group of individuals, which he labels the “miserable minority who present with a plethora of persistent physical, emotional and cognitive symptoms.”