Stage | Description | Objective |
1 | Symptom-limited activity | Reintroduction of normal activities of daily living. Symptoms should not worsen with activity. |
2 | Light aerobic exercise | Walking, stationary biking, controlled activities that increase heart rate. |
3 | Sport-specific exercise | Running, skating or other sport-specific aerobic exercise avoiding risk of head impact. |
4 | Non-contact training drills | Sport-specific, non-contact training drills that involve increased coordination and thinking. Progressive introduction of resistance training. |
5 | Full contact practice | Return to normal training activities. Assess psychological readiness. |
6 | Return to sport |
Return-to-sport progressions should be individualised based on the injury, athlete’s age, history and level of play, and the ability to provide close supervision during the return to activity, and progressions may vary between athletes. Each stage is generally 24 hours without return of concussion symptoms. Consider written clearance from a healthcare professional before return to sport as directed by local laws and regulations.3