Monday, June 18, 2012

was reviewing Feeds from the Center for Disease Control and came across this "Return to Play Progression." Young athletes, as well as professional athletes, need protection while in the heat of the moment. Coaches and Health Care providers can control crucial decisions as discussed below. Baseline (Step 0): As the baseline step of the Return to Play Progression, the athlete needs to have completed physical and cognitive rest and not be experiencing concussion symptoms for a minimum of 24 hours. Keep in mind, the younger the athlete, the more conservative the treatment. Step 1: Light Aerobic Exercise The Goal: only to increase an athlete’s heart rate. The Time: 5 to 10 minutes. The Activities: exercise bike, walking, or light jogging. Absolutely no weight lifting, jumping or hard running. Step 2: Moderate Exercise The Goal: limited body and head movement. The Time: Reduced from typical routine The Activities: moderate jogging, brief running, moderate-intensity stationary biking, and moderate-intensity weightlifting Step 3: Non-contact Exercise The Goal: more intense but non-contact The Time: Close to Typical Routine The Activities: running, high-intensity stationary biking, the player’s regular weightlifting routine, and non-contact sport-specific drills. This stage may add some cognitive component to practice in addition to the aerobic and movement components introduced in Steps 1 and 2. Step 4: Practice The Goal: Reintegrate in full contact practice. Step 5: Play The Goal: Return to competition The Center for Disease Control espouses that an athlete should be free of symptoms prior to being put back into play. If symptoms are present, the athlete should not be put back into play for at least 24 hours. A health care provider should carefully monitor the athlete after injury. Online training for Health Care Professionals can be accessed here. Health Care Professionals can access state, league, or sports governing body’s laws or policies on concussion. Protecting our kids and teens from concussions should be a priority. Check out An International Consensus Statement on Concussion in Sport: the 3rd International Conference on Concussion in Sport held in Zurich, November 2008.

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