Return to play guidelines
are typically used for patients who have had a sports injury and want to return
to playing the sport. However the
overall principles are applicable for anyone who has had a head injury and
wants to return to physical activities.
Depending on which
guidelines you look at, there are 5 or 6 stages to returning to play. Before starting stage 1 you must not have any
symptoms. At any stage, if you
experience any symptoms, return to the stage where you didn’t have symptoms
(some guidelines also advise seeing your primary care provider to be
reassessed). Stay at each stage for
24-48 hours before trying the next stage.
Baseline
No symptoms, for a minimum
of 24 hours
Stage 1
Light aerobic exercise such
as walking or biking on a stationary bike.
No jarring activities like hitting a baseball. Take a few days at stage 2 before moving on
to stage 3 (if you have no symptoms).
Stage 2
Sports-specific activities
such as skating or throwing, but much reduced from the usual routine. No jarring exercises. No high-speed stops.
Stage 3
Drills without any body
contact.
Stage 4
Drills with body contact.
Stage 5
A full game with body
contact.
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