Kevin & Sarah

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Ask-A-Doc

As always, you can email Dr. J your questions to James.Ellis@ECIHP.com.

With the return of the school year, both college and high school (even younger), fall sports like football and soccer is upon us. The incidents of concussions are becoming more and more frequent and we continue to learn more about them. Listen to Dr. J talk on the show about how doctors are going about treating them.

Here’s the information he referred to:

Return to Play Progression

Baseline (Step 0): As the baseline step of the Return to Play Progression, the athlete needs to have completed physical and cognitive rest and not be experiencing concussion symptoms for a minimum of 24 hours.  Keep in mind, the younger the athlete, the more conservative the treatment.

Step 1: Light Aerobic Exercise
The Goal: only to increase an athlete’s heart rate.
The Time: 5 to 10 minutes.
The Activities: exercise bike, walking, or light jogging.
Absolutely no weight lifting, jumping or hard running.
Step 2: Moderate Exercise
The Goal: limited body and head movement.
The Time: Reduced from typical routine
The Activities: moderate jogging, brief running, moderate-intensity stationary biking, and moderate-intensity weightlifting
Step 3: Non-contact Exercise
The Goal: more intense but non-contact
The Time: Close to Typical Routine
The Activities: running, high-intensity stationary biking, the player’s regular weightlifting routine, and non-contact sport-specific drills. This stage may add some cognitive component to practice in addition to the aerobic and movement components introduced in Steps 1 and 2.
Step 4: Practice
The Goal: Reintegrate in full contact practice.
Step 5: Play
The Goal: Return to competition

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