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How to manage concussion

Concussion in Sport Australia brings together the most contemporary evidence-based information on concussion for athletes, parents, teachers, coaches and medical practitioners

How to manage concussion

Any athlete with suspected or confirmed concussion should:

  • remain in the company of a responsible adult
  • not be allowed to drive
  • be advised to avoid alcohol
  • check their medications with their doctor.

Specifically, concussed athletes should avoid:

  • aspirin
  • anti-inflammatories (such as ibuprofen, diclofenac or naproxen),
  • sleeping tablets
  • sedating pain medications.

If diagnosed with concussion, athletes require immediate physical and mental rest; this allows the brain to recover.

To properly rest, time off school or work may be needed. Mental rest may include refraining from playing computer games, reading and watching television.

Children and adolescents

Children and adolescents aged 18 years or younger take longer to recover so a more conservative approach to concussion management should be taken. Concussive symptoms usually resolve in less than four weeks.

The child should be completely free of symptoms for at least 14-days before returning to contact or collision activities.

Return to learn

‘Return to learn’ is about the athlete’s gradual return to their usual program at school or work.

Having rested for 24 - 48 hours after sustaining a concussion, school-age athletes can return to school or study - as long as these activities don’t worsen symptoms. Thinking or concentrating for long periods can bring on or worsen symptoms of concussion. Gradually increasing the load on the brain without provoking symptoms is recommended. School programs may need to be modified to include more regular breaks, rests and increased time to complete tasks. Exams during that period may need to be postponed.

Return to school and learning should take priority before returning to sport. A concussed child should not return to sport until they have successfully returned to normal school activities.

Return to sport

‘Return to sport’ is about the athlete’s gradual return to full sporting activity.

Having rested for 24 – 48 hours after sustaining a concussion, the athlete can begin light physical activity - as long as the activity doesn’t worsen symptoms. Once symptoms have cleared, the athlete can begin a staged return to sport.

These Graded Return to Sport Frameworks can be used to inform Return to Sport programs.

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