Evaluation of the Zurich Guidelines and Exercise Testing for Return to Play in Adolescents Following Concussion

Abstract

The BCTT in combination with the Zurich consensus guidelines seems to be safe and successful for RTP. There is evidence to suggest that cNP testing performed in athletes who do not have a preinjury baseline test was not related to RTP or problems upon return to school.

Is the content and duration of the graduated return to play protocol after concussion demanding enough? A challenge for Berlin 2016

“…The benefits of more targeted rehabilitation focusing on cervical and vestibular interventions following concussion have also been demonstrated in studies 8 9…”

Active Rehabilitation of Concussion and Post-concussion Syndrome

“…Exercise intolerance may be a physiological sign or biomarker of ongoing concussion and the return of normal exercise tolerance may serve as a physiological biomarker to establish physiological recovery from concussion and readiness to RTS. 99 Leddy and colleagues 53 have applied this principle to those with persistent symptoms. Their preliminary studies show that individualized subthreshold aerobic exercise treatment improved symptoms in PCS subjects in association with improved fitness and autonomic function (ie, better heart rate [HR] and blood pressure [BP] control) during exercise and, when compared with a period of no intervention, safely sped recovery and restored function (ie, sport and work).…”

Factors Associated With Problems for Adolescents Returning to the Classroom After Sport-Related Concussion

“…All the 91 students eventually passed the BCTT and successfully returned to play. 11 Table 1 compares students who did and did not report problems in the school setting on age, gender, and previous concussion. None of these comparisons reached significance.…”