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

    8NYCRR 135.4(c)(7)(i).

     

    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

    recommendations.

     

    The following is a recommended sample return to physical activity protocol based on the

    Zurich Progressive Exertion Protocol:

    http://sportconcussions.com/html/Zurich%20Statement.pdf

     

    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

    to;

     

    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