How Long After Concussion Can You Play Sports

Do after concussion: Is it safety and when is it okay?

Exercise after a concussion

Over the years recommendations have changed considerably on when it'due south okay to exercise later on a concussion. When SportsSafe started in 2010, the literature recommended no physical activity until all concussion symptoms were gone at residuum. Recommendations then inverse to endorse balance for at to the lowest degree 2 weeks later on a concussion. As time passed, research gradually began to show us that prolonged rest without some practise may not be the best plan. As of 2016, recommendations for return to light do have changed again. In light of new and improved inquiry, nosotros now recommend low-cal exercise as early as within iii-five days mail service-injury.

Why are recommendations changing?

We accept known for quite some time that a concussion causes neurometabolic changes and blood flow dysregulation in the brain cells that are injured in a concussion. With fourth dimension, these changes and blood catamenia normalize, but research is suggesting that blood flow may be improved with aerobic practice and this may in turn lead to more rapid symptom resolution.

What are the benefits of earlier practice post-concussion?

Decrease in mail service-concussion symptoms sooner
Improved sleep
Improvements in mental wellness, including decreasing feet and depression
Improvement in academics and cognitive functioning

What are potential problems with prolonged rest and no physical activity?

Fatigue
Depression
Deconditioning
Delayed recovery

How before long is likewise presently to exercise?

We still feel that 3 days of rest without exercise post-concussion is beneficial. "Available evidence suggests that gradual resumption of concrete activity should begin every bit soon as tolerated post-obit an acute concussion, with the exception of activities probable to increase the risk of re-injury." Every bit with all activities attempted during a concussion, if the action (cognitive or physical) worsens concussion symptoms, it is best to stop and balance. We definitely recommend no contact activity until cleared by a primary care provider or concussion specialist considering in that location is an increased take a chance of repeat concussion (i.e reinjury). Talk to your concussion provider before beginning any physical activity after a concussion about what is right for you or your child.

References

Recommendation for Complete Remainder Until Symptom-Complimentary After Concussion May Non Be Best Approach for Recovery. https://www.aap.org/en-us/about-the-aap/aap-press-room/pages/Recommendation-for-Complete-Rest-Until-Symptom-Free-After-Concussion-May-Not-Be-Best-Approach.aspx

Association Between Early Participation in Physical Activity Following Acute Concussion and Persistent Postconcussive Symptoms in Children and Adolescents Anne M. Grool, Physician, PhD¹; Mary Aglipay, MSc¹; Franco Momoli, PhD^ane; et alWilliam P. Meehan III, Doc²; Stephen B. Freedman, MDCM, MSc³; Keith Owen Yeates, PhD^iv; Jocelyn Gravel, MD^five; Isabelle Gagnon, PhD⁶; Kathy Boutis, MD⁷; Willem Meeuwisse, Md, PhD⁸; Nick Barrowman, PhD¹; Andrée-Anne Ledoux, PhD¹; Martin H. Osmond, MDCM⁹; Roger Zemek, MD⁹; JAMA.2016;316(23):2504-2514

Summary of evidence-based guideline update: evaluation and direction of concussion in sports: written report of the Guideline Evolution Subcommittee of the American Academy of Neurology. Giza CC¹, Kutcher JS, Ashwal Southward, Barth J, Getchius TS, Gioia GA, Gronseth GS, Guskiewicz Thou, Mandel S, Manley Thousand, McKeag DB, Thurman DJ, Zafonte R. Neurology. 2013 Jun 11;80(24):2250-7.

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