Table 5

Return to sport

1Symptom-limited activityReintroduction of normal activities of daily living. Symptoms should not worsen with activity.
2Light aerobic exerciseWalking, stationary biking, controlled activities that increase heart rate.
3Sport-specific exerciseRunning, skating or other sport-specific aerobic exercise avoiding risk of head impact.
4Non-contact training drillsSport-specific, non-contact training drills that involve increased coordination and thinking. Progressive introduction of resistance training.
5Full contact practiceReturn to normal training activities. Assess psychological readiness.
6Return 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