Returning to play after a head injury during a sporting event

The American Academy of Neurology recommends the following guidelines for returning to play after a concussion sustained during a sporting event. The guidelines assume that the player has been evaluated by a doctor. They are not intended to be used by the coaching staff.

When to return to play after a concussion during a sporting event
Grade of concussion Number of concussions Time until return to play

Grade 1

  • Brief confusion
  • No loss of consciousness
  • Symptoms of concussion that return to normal after less than 15 minutes

1

Same day

2 or more

1 week

Grade 2

1

1 week

2 or more

2 weeks

Grade 3

1 brief (seconds)

1 week

1 prolonged (minutes)

2 weeks

More than 1

4 weeks or longer, based on decision of doctor

For more information, see the American Academy of Neurology Web site at http://www.thebrainmatters.org or the Brain Injury Association Web site at http://www.biausa.org.



Author: Sydney Youngerman-Cole, RN, BSN, RNCLast Updated: September 15, 2006
Medical Review: William M. Green, MD - Emergency Medicine
H. Michael O'Connor, MD - Emergency Medicine

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