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What Does Return to Play Really Mean?

Many of the immediate signs of concussion – such as headache, dizziness, drowsiness and lack of focus – can impact academic performance. But missing multiple days of school can create a backlog of assignments and learning. Many schools have concussion oversight teams who work with parents, school counselors, school nurses and teachers to help student athletes transition back to class, as the student is ready...

Once the student is able to return to regular school activities for 24 hours without any symptoms, and has received the green light from a healthcare provider… return to play progression can begin.

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 Return to Learn

Move forward to the next stage only when symptom free for 24 hours.

 Return to Play

There should be at least 24 hours (or longer) for each step of the progression. If any symptoms worsen during exercise, you should go back to the previous step.

Articles of Interest

Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016

The process of recovery and then return to sport participation after an SRC follows a graduated stepwise rehabilitation strategy.

Learn/Return to Play: Concussion Management Guidelines

The student may return to school when symptoms are tolerable and manageable, as long as the school is making appropriate accommodations for the student. The school must understand concussions and the necessary academic accommodations in order to facilitate returning students to the learning environment.

Pediatric sports specific return to play guidelines following concussion

In 2010, the American Academy of Pediatrics officially adopted the recommended return to play guidelines proposed by the International Conference on Concussion in Sport. The guidelines include a six-step process that provides structure to guide an athlete who is recovering from a concussion in a gradual return to play (RTP) by allowing participation in increasingly difficult physical activities.

Return to Learn After a Concussion

When can my child return to school? It will depend on your child. Every child’s injury and recovery is unique and requires careful observation from parents and doctors. You can promote recovery and prevent ongoing symptoms by following a “return to learn” plan...

Return to Learn: Helping Students Safely Get Back to Class After A Concussion

Because most athletes also participate in school and/or work, we include Return to Learn and/or Work steps (before Return to Play) to enhance the concussion protocol and encourage appropriate recovery in all aspects of life.

Return-to-Play After Concussion: Clinical Guidelines for Young Athletes

The CDC's return-to-learn guidelines are based on the level of residual symptoms the patient experiences.