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Updated: Jul 26, 2026
10:31
A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
14.1K
Return to Learning After a Concussion and Compliance With Recommendations for Cognitive Rest
Robert P Olympia1, Jed T Ritter, Jodi Brady
1*Department of Emergency Medicine, Penn State Hershey Medical Center, Hershey, Pennsylvania; †Penn State College of Medicine, Hershey, Pennsylvania; and ‡Department of Pediatrics, Penn State Hershey Children's Hospital, Hershey, Pennsylvania.
Summary
School compliance with concussion cognitive rest guidelines varies widely. Enhancing school policies, nurse training, and individualized student care are crucial for post-concussion recovery.
Area of Science:
- Pediatric Medicine
- Sports Medicine
- Public Health
Background:
- Concussions in students require careful management, including cognitive rest, to ensure proper recovery and academic success.
- National recommendations exist for managing students with concussions, but their implementation in schools is not well-documented.
Purpose of the Study:
- To assess the adherence of U.S. schools and school nurses to national guidelines for cognitive rest in students with concussions.
- To identify gaps in current practices regarding concussion management in educational settings.
Main Methods:
- A cross-sectional study utilizing a questionnaire distributed to members of the National Association of School Nurses at the high school level.
- Data collected on school policies, nurse training, and the roles of nurses in concussion prevention, detection, and management.
Main Results:
- Only 53% of schools reported having guidelines for students returning after a concussion, with variations in specific accommodations.
- 66% of surveyed school nurses had received specialized training in concussion recognition and management.
- Nurses play key roles in identifying concussions, supporting students' emotional well-being, and guiding academic re-entry.
Conclusions:
- There is significant variability in how schools and school nurses comply with national recommendations for cognitive rest after a student concussion.
- Improving school policies, ensuring individualized care plans, enhancing nurse training, and integrating nurses into the re-entry process are essential areas for improvement.
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