Management of Concussion Injuries

Guidelines

Home / Document / Management of head and concussion injuries 2 Print Download

Concussion

A boy who has received a diagnosis of concussion from a medical practitioner, will be required to follow the guidelines for a gradual return to learning, sport and play.

Return to learning, sport and play

Children require a very cautious approach, as their brains are still developing and acquiring knowledge. Current evidence supports a gradual return to school/learning and play.

Your son should have a period of complete physical and mental rest (‘brain rest’). He should refrain from sport, vigorous play and activities that require mental concentration including school/learning, computer and phone use, television and gaming consoles. Once your son has been symptom free for 48 hours he can commence a gradual return to school, play and sporting activities as shown below. If your son remains symptom free he can progress to the next stage however; if he develops any symptoms he should move back one stage and try again after a further 24 hrs.

Any boy who has received  a diagnosis of concussion from a sport related activity will be registered on the school’s concussion register by the Director of Sport. Any boy who has received  a diagnosis of concussion from any other activity besides sport will be registered on the school’s concussion register by the Health Centre. A boy who receives two concussions in a 12-month period must see a medical doctor experienced in concussion management to follow an individual management plan before he can return to playing sport.

Return to learning, sport and play protocol for children 18 years of age and under

STAGE ACTIVITY AIM OF STAGE
STAGE  1:  No activity. Remain at home for first 48 hrs following concussion diagnosis Complete physical and mental rest Recovery
STAGE 2:  If symptom free. Return to learn and light aerobic exercise (24 hours) Learning and return to walking, swimming and stationary cycling Gently increase heart rate
STAGE 3: Sport-specific exercise, non contact (24 hours) Running drills at football codes, cricket, basketball, hockey Add movement.
STAGE  4: Non-contact training drills  (24 hours) Passing drills at football codes, cricket, basketball, hockey. May add resistance training Add co-ordination and exercise
MEDICAL CLEARANCE Parents to provide a doctor’s clearance certificate to the Director of Sport Ensure student is safe to return to normal activities
STAGE 5: Full contact practice (24 hours) Participate in normal training activities Restore confidence and allow coaching staff to assess progress.
STAGE  6: Return to play (Minimum 14 days from cessation of concussion symptoms) Full return to play/activity

Appendix A: Additional information

The following table outlines the minimum and expected ‘graduated return to play’ (GRTP) processes after a diagnosed uncomplicated concussion injury occurring on a Saturday game.

FRIDAY MATCH – PLAYER shows Signs and Symptoms of Concussion
Week SAT SUN MON TUE WED THU FRI
1 Rest
GRTP
Stage 1
Rest
GRTP
Stage 1
Recover
GRTP
Stage 2
Recover
GRTP
Stage 2
Recover
GRTP
Stage 2
Recover
GRTP
Stage 2
Recover
GRTP
Stage 2
2 Recover
GRTP
Stage 3
Recover
GRTP
Stage 3
Recover
GRTP
Stage 3
Recover
GRTP
Stage 4
Recover
GRTP
Stage 4
Recover
GRTP
Stage 4
Recover
GRTP
Stage 4
3 Recover
GRTP
Stage 4
Parents to send medical clearance to the Director of Sport Recover
GRTP
Stage 4
RETURN
GRTP
Stage 5
RETURN
GRTP
Stage 5
RETURN
GRTP
Stage 5
PLAY
MATCH

 

SATURDAY MATCH – PLAYER shows Signs and Symptoms of Concussion
Week SUN MON TUES WED THUR FRI SAT
1 Rest
GRTP
Stage 1
Rest
GRTP
Stage 1
Recover
GRTP
Stage 2
Recover
GRTP
Stage 2
Recover
GRTP
Stage 2
Recover
GRTP
Stage 2
Recover
GRTP
Stage 2
2 Recover
GRTP
Stage 3
Recover
GRTP
Stage 3
Recover
GRTP
Stage 3
Recover
GRTP
Stage 4
Recover
GRTP
Stage 4
Recover
GRTP
Stage 4
Recover
GRTP
Stage 4
3 Recover
GRTP
Stage 4
Parents to send medical clearance to the Director of Sport Recover
GRTP
Stage 4
RETURN
GRTP
Stage 5
RETURN
GRTP
Stage 5
RETURN
GRTP
Stage 5
PLAY
MATCH

Christ Church Grammar School has referenced the guidelines established by Concussion in Sport Australia, ARU, AFL, Sports Medicine Australia, and the Australian Institute of Sport and Australian Medical Association.