Br J Sports Med 43:i76-i84 doi:10.1136/bjsm.2009.058248
  • Supplement

Consensus Statement on Concussion in Sport: the 3rd International Conference on Concussion in Sport held in Zurich, November 2008

Table 1 Graduated return to play protocol
Rehabilitation stage Functional exercise at each stage of rehabilitation Objective of each stage
1. No activity Complete physical and cognitive rest Recovery
2. Light aerobic exercise Walking, swimming or stationary cycling keeping intensity <70% maximum predicted heart rate Increase heart rate
No resistance training
3. Sport-specific exercise Skating drills in ice hockey, running drills in soccer. No head impact activities Add movement
4. Non-contact training drills Progression to more complex training drills, eg passing drills in football and ice hockey Exercise, coordination, and cognitive load
May start progressive resistance training)
5. Full contact practice Following medical clearance participate in normal training activities Restore confidence and assess functional skills by coaching staff
6. Return to play Normal game play

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