PBS Logo
New Jersey (609) 921-9001
Pennsylvania (215) 741-3141
slash-sm

About PBS

Spine Links
 
Brain Links
 
Trigeminal Neuralgia Pages
 
Concussion Pages
 
Chiari Malformation Pages
 
Patient Testimonials
 

/ LOCATIONS

Our neurosurgical team now serves Lower Bucks Hospital in Bristol, PA. See all locations here.

Our Philosophy Video

/ ON SITE

What can you expect from surgical treatment of a disc herniation? Dr Qureshi Explains

/ TESTIMONIALS

Doctor Testimonials

What Do Doctors Think About Before Cervical Spine Surgery? Watch Video Now

/ APPOINTMENTS

Appointment Info
Phone, Forms, Directions

Register Online

slash-lg

Concussion Management: Return to Sport

Guiding the recovery of individuals of any age with MTBI who participate in competitive or recreational activities requires careful management to avoid re-injury or prolonged recovery. Athletes engaged in collision sports require special management and evaluation to ensure full recovery prior to their return to play.

An individual should never return to competitive sporting or recreational activities while experiencing any lingering or persisting MTBI symptoms. This includes PE class, sports practices and games, and other high-risk/high-exertion activities such as running, bike riding, skateboarding, climbing trees, jumping from heights, playful wrestling, etc. The individual should be completely symptom free at rest and with physical exertion (e.g., sprints, non-contact aerobic activity) and cognitive exertion (e.g., studying, schoolwork) prior to return to sports or recreational activities.

Along with parent and teacher observation for continuing signs or symptoms of concussion, objective data in the form of formal neuropsychological testing may provide valuable information to assist with return to play decisions in younger athletes, as their symptom reporting may be more limited and less reliable. Formal neuropsychological testing of competitive athletes may also help physicians with return to play decisions, as athletes may minimize their symptoms to facilitate return to play.1

It is important to inform the athlete's coach, PE teacher, and/or athletic trainer that the athlete should not return to play until they are symptom-free and their cognitive function has returned to normal, both at rest and with exertion.

Return to play should occur gradually. Individuals should be monitored for symptoms and cognitive function carefully during each stage of increased exertion. Patients should only progress to the next level of exertion if they are asymptomatic at the current level. In competitive sports, a specific return to play protocol outlining gradual increase in activity has been established by the Concussion in Sport Group:

  1. Rest
  2. Aerobic exercise (.e.g., stationary bicycle)
  3. Specific training (e.g., running, skating)
  4. Non-contact drills (includes cutting and other lateral movements)
  5. Full-contact controlled training
  6. Full-contact game play
 

LastUpdate: 2016-09-24 11:26:51

questionmark
spinelink
brainlink
pbspresent
 
 

By using this site, you acknowledge that you have read and agreed to the terms of our User Agreement . The information provided is not intended to replace the medical advice of your doctor or health care provider.
© 2017 Princeton Brain & Spine

  • top