Please click on the links below to view important information about Concussion Management Awareness.
CDC/Heads Up online training for coaches (www.cdc.gov/concussion/HeadsUp/online_training.html),Heads Up online training for nurses and certified athletic trainers (http://preventingconcussions.org).New York State Public High School Athletic Association: www.nysphsaa.org/safetyresearch.Return to Play Protocol
Return to School Activities
Once a student diagnosed with a concussion has been symptom free at rest for at least 24 hours, a private medical provider may choose to clear the student to begin a
graduated return to activities. If a district has concerns or questions about the private medical provider’s orders, the district medical director should contact that provider to
discuss and clarify. Additionally, the medical director has the final authority to clear students to participate in or return to extra-class physical activities in accordance with
Students should be monitored by district staff daily following each progressive challenge, physical or cognitive, for any return of signs and symptoms of concussion.
Staff members should report any observed return of signs and symptoms to the school nurse, certified athletic trainer, or administration in accordance with district policy. A
student should only move to the next level of activity if they remain symptom free at the current level. Return to activity should occur with the introduction of one new activity
each 24 hours. If any post concussion symptoms return, the student should drop back to the previous level of activity, then re-attempt the new activity after another 24 hours have
passed. A more gradual progression should be considered based on individual circumstances and a private medical provider’s or other specialist’s orders and
The following is a recommended sample return to physical activity protocol based on the Zurich Progressive Exertion Protocol:
Phase 1- low impact, non-strenuous, light aerobic activity such as walking or riding a stationary bike. If tolerated without return of symptoms over a 24 hour period proceed
Phase 2- higher impact, higher exertion, and moderate aerobic activity such as running or jumping rope. No resistance training. If tolerated without return of symptoms over a 24
hour period proceed to;
Phase 3- Sport specific non-contact activity. Low resistance weight training with a spotter. If tolerated without return of symptoms over a 24 hour period proceed to;
Phase 4- Sport specific activity, non-contact drills. Higher resistance weight training with a spotter. If tolerated without return of symptoms over a 24 hour period proceed to;
Phase 5- Full contact training drills and intense aerobic activity. If tolerated without return of symptoms over a 24 hour period proceed to;
Phase 6- Return to full activities without restrictions.
For further information please visit: http://www.nysphsaa.org/SafetyResearch
For Heads Up CDC information: http://www.cdc.gov/headsup/youthsports/training/index.html