NMYBA Concussion Protocol

There are three things to do if athletes suspect they have a concussion:

1. STOP: whether in the middle of a big football, basketball, or soccer game or practice, stop playing immediately.
2. Tell someone and describe what you’re feeling as honestly and accurately as you’re able.
3. Don’t return to the game until you’ve been examined by a medical professional and given permission

After a concussion, an athlete IS ONLY permitted to return to basketball practices with the approval and under the supervision of their healthcare provider.  

6-Step Return to Play Progression

Usually performed by a health care provider.  Each step typically takes a minimum of 24 hours. It is important for an athlete’s parent(s) and coach(es) to watch for concussion symptoms after each day’s return to sports progression activity.

An athlete should only move to the next step if they do not have any new symptoms at the current step. If an athlete’s symptoms come back or if he or she gets new symptoms, this is a sign that the athlete is pushing too hard. The athlete should stop these activities and the athlete’s medical provider should be contacted. After more rest and no concussion symptoms, the athlete can start at the previous step. 

Step 1: Back to regular activities

The athlete is back to their regular activities (such as school) and has the green-light from their healthcare provider to begin the return to sports progression. You can learn more about the steps to return to regular (non-sports) activities.

Step 2: Light aerobic activity

Begin with light aerobic exercise only to increase an athlete’s heart rate. This means about 5 to 10 minutes on an exercise bike, walking, or light jogging. No weight lifting at this point.

Step 3: Moderate activity

Continue with activities to increase an athlete’s heart rate with body or head movement. This includes moderate jogging, brief running, moderate-intensity stationary biking, moderate-intensity weightlifting (less time and/or less weight from their typical routine).

Step 4: Heavy, non-contact activity

Add heavy non-contact physical activity, such as sprinting/running, high-intensity stationary biking, regular weightlifting routine, non-contact sport-specific drills (in 3 planes of movement).

Step 5: Practice & full contact

Athlete may return to practice and full contact (if appropriate for the sport) in controlled practice.

Step 6: Competition

Athlete may return to competition.

*For further information please visit the Centers of Disease Control and Prevention website at www.cdc.gov/heads-up/