Review Article
Traumatic Brain Injury in Sports: A Review
Table 1
Graduated return to play protocol established at the 3rd international conference on concussion in sport.
| Rehabilitation state | Functional exercise at each stage of rehabilitation | Objective of each stage |
| (1) No activity | Complete physical and cognitive rest | Recovery | (2) Light aerobic exercise | Walking, swimming, or stationary cycle keeping intensity <70% MPHR; no resistance training | Increase HR | (3) Sport-specific exercise | Skating drills in ice hockey, running drills in soccer, no head impact activates | Add movement | (4) Non-contact training drills | Progression to more complex training drills, for example, passing drills in football and ice hockey, may start progressive resistance training | Exercise, coordination, and cognitive load | (5) Full contact practice | Following medical clearance; participate in normal training activates | Restore confidence and asses functional skills by coaching staff | (6) Return to play | Normal game play | |
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