Medical oversight of each stage is strongly suggested but may not be available. Final Return note written by healthcare professional is mandatory.

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William Wade
5 years ago
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1 Table 1: Return Guidelines Consideration for Advancement Between Stages Minimum of hours. This provides time for proper medical assessment, proper, proper communication to all stakeholders, time for concussion plan development. Minimum of 24 hours between stages. Medical of each stage is strongly suggested but may not be available. Final Return note written by healthcare professional is matory. If any concussionrelated symptoms occur during the stepwise approach, the should drop back to the previous asymptomatic level attempt to progress again after being free of concussionrelated symptoms for a further 24hour period at the lower level. Stage 1: Quiet Brain Quiet Body None No television, video games, computer use, phone, texting or loud music. None No exercise or sports (game, practice, strength conditioning) Support System Created Home: Parent/sibling (BIAA hotline) Home: Quiet physical space, (administration) notified plan developed documented s notified plan developed documented es notified plan developed documented Health Care Provider (HCP) contacted (if Parent (from SCAT 5 or SCAT 5 Child) Health care provider examination (if Score must decrease over first 48 hours in order to progress to Stage 2

2 2: Gently Active Brain Gently Active Body Maximum Adjustment Up to half day attendance No homework or testing Light Aerobic Gentle Mobility No Resistance Training No Walk, stationary bike, rower Stretch, Mobility Flexibility exercises, Tai Chi No training Continue Examination (if Parent Examination (if Decrease in score Ability to : Team warmup activities only. No contact.

3 3: ly Active Brain ly Active Body Adjustments Up to ¾ school day No homework or testing Aerobic Mobility Introduce training Introduce Increased aerobic exercise (~50% time intensity). Increase mobility exercise Introduction of light training (no > 50% 1 RPM). No plyometrics. Return to sports practice: warmup, 50% sprint effort, agility drills, noncontact drills. Continued of stage Parent of stage Decrease in Score Ability to

4 4: Active Brain Active Body Minor Adjustments Up to full school day Homework testing allowed (individual basis) Aerobic Full Mobility training Practice Only without full contact Increased aerobic exercise (~75% time intensity). Full mobility exercise. training ~75%. Easy Plyometrics allowed. Return to sports practice: warmup, skill drills, simulated game drills, gentle contact (no heading in soccer, no tackling in football/rugby, no checking in ice hockey). Continued of stage Parent of stage Decrease in Score Ability to

5 5: Vigorously No Active Brain Adjustments Vigorously Active Body Full school day Homework testing allowed (individual determination) Vigorous Aerobic Vigorous Resistance Training Full Practice Increased aerobic exercise (~75 100% time intensity). training ~75 100%. Plyometrics allowed ~75 100%. Return to sports practice: warmup, skill drills, simulated game drills, full contact. Continued Medical of stage Parent of stage Decrease in Score Ability to

6 6: Full Return to Learn Return to Sport Full Return to Learn Full school day Homework testing allowed Full Return to provider note required provider note required Note Full Return to Learn/Sport Documented Note required for Return to Sport Parent Consent to Return: Signs (checks) Understing of Return to Learn Return to Sport Administration maintains of HCP Note Parental Consent to Return

Concussion Protocol. Signs and Symptoms. Pre-Concussion Management

Concussion Protocol. Signs and Symptoms. Pre-Concussion Management Concussion Protocol In recent years, we have seen an increase in concussions. A concussion is defined by The Children s Hospital of Philadelphia (CHOP) as a mild traumatic brain injury (mtbi) caused by