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Return to play guidelines after a head injury

R C Cantu1

  • 1Neurosurgery Service, Emerson Hospital, Concord, Massachusetts, USA.

Clinics in Sports Medicine
|February 26, 1998
PubMed
Summary

No universal concussion grading or return-to-play guidelines exist. Athletes must be symptom-free before returning to competition to prevent second impact syndrome and cumulative brain damage.

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Area of Science:

  • Sports Medicine
  • Neurology
  • Traumatic Brain Injury

Background:

  • Lack of universally accepted definitions for concussion grading.
  • Absence of standardized criteria for athlete return-to-competition post-head injury.
  • Recognition of risks associated with cumulative brain damage and second impact syndrome.

Purpose of the Study:

  • To provide a guideline for concussion management.
  • To emphasize the importance of symptom resolution before return to play.
  • To highlight the clinical judgment required in return-to-competition decisions.

Main Methods:

  • Review of current understanding of concussion.
  • Discussion of the necessity for symptom-free status.
  • Emphasis on individualized clinical decision-making.

Main Results:

  • No universally accepted concussion grading definitions currently exist.
  • No standardized criteria for return-to-competition are universally agreed upon.
  • Consensus exists that athletes with post-concussion symptoms should not compete.

Conclusions:

  • Current guidelines for concussion grading and return-to-play are not universally defined.
  • Preventing second impact syndrome necessitates athletes being symptom-free before competition.
  • Final return-to-competition decisions require expert clinical judgment.

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