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Related Experiment Videos

Return to play after concussion: principles and practice.

James Kissick1, Karen M Johnston

  • 1Ottawa Sport Medicine Centre, 39 Goulding Cr., Ottawa, Ontario, Canada K2K 2N9. jkissick@sympatico.ca

Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine
|November 10, 2005
PubMed
Summary
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Effective concussion management requires understanding the four Rs: recognition, response, rehabilitation, and return. This approach ensures athletes receive proper care and a safe return to play after a concussion.

Area of Science:

  • Sports Medicine
  • Neurology
  • Pediatric Sports Medicine

Background:

  • Sport medicine teams face increasing demands for managing concussed athletes.
  • Accurate concussion recognition, assessment, and return-to-play clearance are critical for athlete safety.

Purpose of the Study:

  • To outline a comprehensive approach to concussion management in athletes.
  • To emphasize the importance of understanding concussion signs, symptoms, and recovery protocols.

Main Methods:

  • A framework based on the "four Rs" of concussion management: recognition, response, rehabilitation, and return.
  • Immediate sideline assessment and medical doctor evaluation for suspected concussions.

Main Results:

  • Athletes, coaches, parents, therapists, and physicians require thorough concussion knowledge.

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  • Initial rest (physical and cognitive) is crucial, followed by a step-wise return to activity once asymptomatic.

    • Conclusions:

    • The described concussion management protocol is adaptable for various sports and age groups.
    • A conservative approach with slower progression is recommended for pediatric athletes.