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Evidence + Standards Based Return to Sport Management

Return to Sport

When it is safe for an athlete to return to play contact or collision sports after symptoms of concussion clear depends on many factors, including the athlete’s age, baseline test data, time symptoms take to clear and severity, and concussion history.

Once symptom free, it is recommended that each athlete undergo a graduated program of exercise testing.

Similar to weight training, athletes recovering from a concussion should not skip to 100% exertion from 0% in a short time frame. Physical exertion testing is important not only for physical re-conditioning, but to guard against symptom relapse and help prevent premature return-to-sport. It is well known that concussive symptoms can be aggravated with exercise and even though you may feel well, running, jumping, or stick handling are things that may cause your symptoms return.

The return-to-play process is gradual. The first stage typically involves light cycling or jogging to elevate your heart rate a moderate amount. If no symptoms are aggravated either during or for 24 hours after this exercise session, you may progress to a more difficult workout routine.

Eventually you may advance to on-field practice and finally full game play (with proper medical clearance). The whole process could take anywhere from 5 days to 2 weeks depending on your specific situation or the stipulations of your governing sport organization. At any time if your symptoms return, you must return to a lower level exertion (or modified activities) depending on the advice of your health professional.

Melbourne Headache + Concussion Group Support Package

Concussion recovery is more than just rest, -it’s a structured process backed by evidence, objective testing, and professional care.

At MHCG, we guide each patient through complete return-to-play protocol, tailored to the individual, and compliant with AIS (Aust Institute of Sport) and AFL (Australian Football League) standards

DAY 7

Pre Non Contact Training CheckBuffalo Concussion Treadmill Test (15 mins)Symptom tracking via Sway re-testClinical clearance for training progression

DAY 14

Pre Limited Contact Training CheckVirtual or phone consultRepeat Sway testingReview of symptom progression and trainingreadiness

GP CLEARANCE

Return to Full ContactCoordination with your GPFinal clearance reporting for contact training

FINAL CHECK-IN

Prior to Full Sport ReturnFinal symptom reviewConfirmation of unrestricted play status