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Updated: Jun 25, 2026

A Multi-Modal Approach to Assessing Recovery in Youth Athletes Following Concussion
Published on: September 25, 2014
Return-to-learn after concussion in Washington state public high schools during the COVID-19 pandemic
Shyam J Deshpande1,2,3, Aspen Avery1,3, Julian Takagi-Stewart1,3
1Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, WA 98195, USA.
Aim:
To understand academic support structures for Washington state public high school students with concussion during the COVID-19 pandemic.
Materials & Methods:
Prospective, repeated cross-sectional study of 21 schools in 2020 and 2021.
Results:
About 28% of schools reported not providing any return-to-learn (RTL) accommodations for students with concussion throughout the COVID-19 pandemic. RTL accommodation provision was associated with larger student body size (β = 0.002) and higher graduation rate (β = 0.261) but was not associated with presence of RTL school policy. About 38.1% of schools received no guidance on how to provide RTL accommodations during the COVID-19 pandemic, and many reported that students with concussion struggled more.
Conclusion:
Schools struggled to provide RTL accommodations for students with concussion during the COVID-19 pandemic, highlighting the need for evidence-based guidance and resource allocation to vulnerable schools.

