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Ongoing Management

Daily re-examination by a certified athletic trainer.

An ImPACT test (computerized neurocognitive test) will be performed within 24-72 hours of the concussion and compared to preseason baseline tests when available.

Symptomatic athletes should avoid all physical and mental exertion (including limited screen time with electronics) to allow the brain injury to heal as quickly as possible. An excused absence from school may be required or restrictions for returning to school may need to be followed.

Athletes who exhibit any of the modifying factors discussed earlier will be required to have medical clearance prior to beginning any return to activity from their family physician or team physician who has performed a post-concussion evaluation.

The athlete may begin a graduated return to activity when completely asymptomatic at rest (example: day 1-light activity, day 2-sport-specific vigorous activity).

Athletes will be required to have written medical clearance from a physician (their family physician or team physician) trained in the management of concussions that has performed a post-concussion evaluation prior to continuing their return to play progression.

The athlete may progress through a graduated return to activity when completely asymptomatic with exertion and post-concussion ImPACT test is within baseline values (example: day 3-non-contact training drills after medical clearance, day 4-contact training drills, day 5-gameplay).

  • The athlete will be required to complete a return to play progression prior to any competition regardless of medical clearance from a health care provider.

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