TableĀ 1

Gradual return-to-play protocol after a concussion (from the 4th International Conference on Concussion in Sport, Zurich)

Rehabilitation stageFunction exercise at each stageObjectives of each stage
1. No activitySymptomatic-limited physical and cognitive restRecovery
2. Light aerobic exerciseWalking, swimming, or stationary cycling, keeping intensity <70% of maximum permitted heart rate; no resistance trainingIncrease heart rate
3. Sport-specific exerciseSkating drills in ice hockey, no head-impact activitiesAdd movement
4. Non-contact training drillsProgression to more complex training drills, for example, passing drills in ice hockey; may start progressive resistance trainingExercise, coordination and cognitive load
5. Full contact practiceAfter medical clearance, participation in normal training activitiesRestore confidence and assessment of functional skills by coaching staff
Return to playNormal game play