BROCKPORT
CENTRAL SCHOOL DISTRICT
RETURN
TO PLAY PROTOCOL
(Grades
9-12)
The
following protocol has been established in accordance to the National
Federation of State High School Associations and the International Conference
on Concussion in Sport, Prague 2004.
When
an athlete shows ANY signs or
symptoms of a concussion:
1. The athlete will not be allowed to
return to play in the current game or practice.
2. The athlete should not be left alone,
and regular monitoring for deterioration is essential over the initial few
hours following injury.
3. The athlete should be medically
evaluated following the injury.
4. Return to play must follow a medically
supervised stepwise process.
The
cornerstone of proper concussion management is rest until symptoms diminish and
then a graded program of exertion before return to sport. The program is broken down into six steps in
which only one step is covered a day.
The six steps involve the following:
1. Low impact, non strenuous, light
aerobic activity.
2. Higher impact, higher exertion, moderate
aerobic activity. No resistance
training.
3. Sport specific non-contact
activity. Low resistance weight training
with a spotter.
4. Sport specific activity, non-contact
drills. Higher resistance weight
training with a spotter.
5. Full contact training drills and
intense aerobic activity.
6. Return to full activities.
The
student-athlete should also be monitored for recurrence of symptoms due to
mental exertion such as reading, working on computer, or taking a test.
In order to return to
competition:
1. Meet baseline on ImPACT (Immediate
Post-Concussion Assessment and Cognitive Testing)
·
If
athlete does not have baseline – meet recommended percentages based on sex/age
2. Receive medical clearance from their
primary care physician or physician from a concussion clinic
3. Complete six step process outlined
above (under Certified Athletic Trainer supervision)
4. Receive final clearance from Chief
Medical Officer or designee (Certified Athletic Trainer) via note to school
nurse