Exam 3: concussion return to play

Question 1

Concussion RTP: Progression 1

Answer 1

1. no activity
2. complete brain rest
3. limit brain stimulation
4. no tv, video games, reading
5. thinking is brain activity
6. onces symptoms resolved, smc physician will start next progression
7. progress to next step on daily basis unless otherwise directed
8. if symptoms return, wait til asymptomatic for 1 full day, then restart at 1

Question 2

Concussion RTP: Progression 2

Answer 2

1. light activity
2. stationary cycling
3. light jog

Question 3

Concussion RTP: Progression 3

Answer 3

1. resistance training

2. sport specific activities/drills - no body contact

Question 4

Concussion RTP: Progression 4

Answer 4

1. practice w/o body contact

2. once has practiced asymptomatically, refer to physical for clearance to next level

Question 5

Concussion RTP: Progression 5

Answer 5

1. practice with full contact

Question 6

Concussion RTP: Progression 6

Answer 6

1. unrestricted activity

Question 7

RTP Guidelines

Answer 7

1. normal neurological eval
2. neurocognitive tests - WNL’s
3. posture/stability tests - WNL’s
4. pass functional sports skills test
5. athlete feels he/she is ready to RTP
6. no one test should be used to determine recovery or RTP