Gradual Return to Activity and Sport Process
Return to physical activity plans may start within 48 hrs at a symptom guided level that is appropriate for the individual.
Some sport codes (such as rugby) may require medical clearance from a GP before returning to contact sport. It is important that Return to Play Plans are shared across codes to ensure sport specific Return to Play processes are adhered to.
A graded, progressive return to physical activity/exercise plan should be planned and overseen by the sports coordinator or physical education teacher, or by a physiotherapist or Concussion Service.
Stage 1 | Days 1 and 2 | Relative for 24-48 hours. Light activities around the house that do not provoke symptoms are OK. · Minimise screen time. · Walking around the house. |
Stage 2 | Minimum of 24 hours between stages before progressing. Symptoms should be progressively improving. If symptoms worsen, drop back a stage. | Gradually introduce daily activities: Activities away from school/work (introduce TV, increase reading, games, etc). Exercise – light physical activity (e.g. short walks outside). |
Stage 3 | Increase tolerance for mental & exercise activities: Increase study/work-related activities with rest periods. Increase intensity of exercise, guided by symptoms. | |
Stage 4 | Return to work/study & sport training: Part-time return to work/education. Start training activity without risk of head impact. | |
Stage 5 | Earliest Day 14 | Return to normal work/study & sport training: Completion of Stages 1-4 AND Fully reintegrated into work or school AND Symptom free AND at least 14 days post-injury: re-integration into full sport-specific training can occur |
Stage 6 | Earliest Day 21 | Return to sports competition Completion of Stage 5 AND Symptom free during sports training AND At least 21 days post-injury AND whilst not mandated, it is strongly recommended for the student to have received clearance from a health practitioner experienced in concussion management.
|
Who to contact:
It is important to contact your doctor or physiotherapist (or other health provider looking after you) if you have any signs or symptoms of concussion, or if the symptoms get worse.