Systematic Reviews, ABI Guidelines and Measurements

The brain is the most complex organ in the human body and is command central for everything that we do. Acquired brain injury is a complex condition, and as a result management is multifaceted. ONF works to use and adapt research knowledge for purposes of improving practice, policy and system efficiencies, and most of all health outcomes for people who sustain brain injuries.

In ABI, ONF is building on its strengths in systematic review and guideline development in order to work towards more standardized care in ABI. This effort includes :

  • Enhanced systematic reviews in ABI;
  • Development of clinical practice guidelines and standards of care for use in acute care, rehabilitation and community settings;
  • Knowledge sharing and building best practices in pilot locations, clinics and rehabilitation environments in order to create provincial standards for ABI care;
  • Evaluate the implementation of guidelines and standards of care through measurement of outcomes, performance and efficiency, as well as evaluating outcomes for people with ABI. 

All of this work is being done in collaboration with key stakeholders and experts.

Summary of ONF supported ABI projects

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

ONF, with its partner, Institut national d’excellence en santé et en services sociaux (INESSS) have led the development and will facilitate implementation of the Clinical Practice Guideline (CPG) for the Rehabilitation of Adults with Moderate to Severe TBI in Ontario and Quebec. 

Click here for more information on the project.


ONF has partnered with a wide range of organizations on developing the Concussion/mTBI Strategy to improve outcomes of concussion through improved recognition, diagnosis and management. This Strategy encompasses research, education of professionals, improving standards of care and policy development.

ONF and its partners have developed a designated website for sharing information on activity that has occurred since 2010. To view the website, go to Concussions Ontario.

Concussion/mTBI Guidelines

Adults – The Guidelines for Concussion/ mTBI and Persistent Symptoms were developed to enable health care practitioners to provide enhanced care for those 18 years of age and older who are living with the effects of the injury.

The guidelines are now in their third edition, published in June 2018. Three new features are:

- Patient and family version for each section of the guideline, containing the key information, and offering resources based on needs identified by persons with concussion.

- Indication for certain recommendations, of the evidence level being upgraded from the previous edition.

- A new interactive and searchable platform for the guidelines, making it easier for users to find the information they want.


Pediatrics --The Guidelines for Diagnosing and Managing Pediatric Concussion were released June 2014. These guidelines were developed to enable health care practitioners to provide enhance care for children and youth under the age of 18 years of age. The guidelines are also geared to educate parents and individuals working in community settings with children and youth who have sustained concussion.

The pediatric guidelines are currently being updated and the new edition will be published in 2019.
To access the current edition, go to Guidelines for Diagnosing and Managing Pediatric Concussion.

ONF welcomes feedback on the Guidelines, please email us at

Acquired Brain Injury Evidence-Based Reviews (ABIEBR)

Recognized internationally, this project is a cornerstone of the ONF ABI program, as it provides key literature for some of ONF's clinical practice guidelines and helps to identify where there are research gaps.

For more information, see the ABIEBR website.