Concussions

A concussion is defined as a type of traumatic brain injury caused by a bump, blow, or jolt to the head that can change the way your brain normally works. Concussions can also occur from a blow to the body that causes the head to move rapidly back and forth. 

If a concussion is suspected proceed with the following steps:

  • Remove child from event
  • Refer to Concussion Danger Signs information sheet for immediate medical evaluation
  • Evaluate child using Concussion Checklist provided
  • Inform parent or guardian
  • Refer for medical evaluation if indicated in accordance with the Concussion Checklist
  • Continue to monitor child until child is under parental or medical supervision
  • Notify school nurse – File incident report

Return to Play Guidelines

After a concussion has been diagnosed, proceed with the following steps:

  • Documented medical clearance is required by a medical doctor and school medical director before the child may return to physical education and/or sports
  • The child should not return to physical education and /or sports until the child is totally asymptomatic including after exercise)
  • The child must complete the Return to Play Protocol provided before he or she may return to physical education and /or sports
  • The return to play protocol must be completed at school with the coach and nurse m monitoring progress

Graduated Return to Play Protocol

Rehabilitation Stage 1: No activity

  • Complete physical and cognitive rest
  • Objective: Recovery

Rehabilitation Stage 2: Light aerobic exercise

  • Walking or stationary cycling, keeping intensity less than 70 percent MPHR; no resistance training
  • Objective: Increase HR

Rehabilitation Stage 3: Sport-specific exercise

  • Running drills in soccer, volleyball, basketball and x-country; no head-impact activities
  • Objective: Add movement

Rehabilitation Stage 4: Non-contact training drills

  • Progression to more complex training drills, e.g.: passing drills in soccer and basketball; may start progressive resistance training
  • Objective: Exercise, coordination and cognitive load

Rehabilitation Stage 5: Full contact practice

  • Following medical clearance, participate in normal training activities
  • Objective: Restore confidence and assess functional skills by coaching staff

Rehabilitation Stage 6: Return to play

  • Normal game play