Guidelines for your child’s return to school, book work and studies
Stages of Healing |
Home Activity |
School Activity |
Physical Activity |
Stage 1: Your child still has MANY symptoms and problems.
________________________________________________________________________________________________________ Stage 2: Your child still has SOME symptoms and problems. ________________________________________________________________________________________________________ Stage 3: Your child's symptoms and problems have gone away. ________________________________________________________________________________________________________ Stage 4: Your child seems back to normal. |
-Complete rest in a quiet room.
-Allow as much sleep as possible. -Limit things that require your child to think, focus, reason, or remember. -Remove any electronics and computers from your child's room. -Remove any activity planners and "to-do" lists from your child's room. -Give your child plenty of fluids to drink. -Give your child plenty of carbohydrates to eat, such as whole grain breads, cereals, pasta and rice. -Quiet room. -Allow as much sleep as possible. -All your child to use TV, video games, texting and e-mail for a short time - less than 2 hours a day. -Help your child not to stress over missed school work. -Continue with fluids and carbohydrates as in Stage 1. -Slowly return to watching TV and playing video games and texting. -Allow family interaction again. -Normal home and social interactions. |
-No School.
__________________________________________________ -May return to school for 1/2 day. -Attend core classes only. -Attend shortened class time. -Rest in nurse's office between classes and as needed. -No tests or quizzes. -Use pre-printed class notes. -Short homework assignments - work 20 minutes at a time with rest breaks in between. -Talk with school nurse or teacher about a plan. -Full day of classes. -GRADUAL return of class work, including make-up work, tests, quizzes. -May take 1 test or quiz a day with extra time as needed to complete. -Tell the teacher or school nurse of any symptoms or problems return. -Normal school work and studies. |
-See Stage 1 in next chart.
_______________________ -See Stage 2 in next chart. _______________________ -See Stages 2-4 in next chart. -See Stages 5-7 in next chart. |
Guidelines for your child’s return to sports, play and activities
Stage of Healing1. ____________________________________________________________________________________________________________________________________ 2. ____________________________________________________________________________________________________________________________________ 3. ____________________________________________________________________________________________________________________________________ 4. ____________________________________________________________________________________________________________________________________ 5. ____________________________________________________________________________________________________________________________________ 6. ____________________________________________________________________________________________________________________________________ 7. |
Activity Allowed-No Activity Allowed.
-Complete cognitive and physical rest. -Light aerobic activity. -Moderate aerobic activity. -Light resistance training. -Intense aerobic activity -Moderate resistance training. -Sport specific exercise. -Controlled-contact training drills. -Full-contact practice. -Return to play. |
Examples of Sports-Complete physical rest.
-10-15 minutes of walking or stationary bike -Light sweat on the brow. -Slight increase in breathing rate. -20-30 minutes of jogging or stationary bike. -Arm curls, shoulder raises, leg lifts with weights that can be comfortably lifted. -1 set of 10 repetitions for each activity. -40-60 minutes of running or stationary bike. -Same resistance exercises with weight for 3 sets of 10 reps. -Pre-competition warm-up such as passing a soccer ball, throwing a football or doing ladder drills. -60-90 minutes of time on the field, court or mat for specific drills. -Take part in normal practice session. -Contact that is normally part of the sport - only use items that "do not hit back" such as a sled in football. -Recheck for symptoms or problems often. -After OK from the doctor, may take part in normal training activities. -Normal game play. |
Ex. of Other Activities-Quiet time with rest.
-Avoid groups, videos, reading, computers, video games, cell phones, noisy places. -Walk in park or neighborhood. -Avoid group activities. -Supervised play. Low risk activities such as dribbling a ball, playing catch, changing directions, jumping, side-to-side slides, chasing a ball or catching a ball on the run. -Supervised play. -Moderate risk activities such as balance and agility drills. -No head contact activities. -Can sweat and breathe heavy. -Free play. -Run and jump as able. -Full return to physical education (PE). -Recheck for symptoms or problems often. -With parent or adult supervision, may take part in normal activities. -Normal playtime and activities. |
Goal-Brain rest and healing. -Be free of symptoms. -Increase heart rate to 30-40% at most. -Increase heart rate to 40-60% at most. -Add resistance. -Use eyes to track object. -Increase heart rate to 60-80% at most. -Increase resistance. -Mimic the sport. -Mimic the sport or free play without the risk of a head injury. -Build confidence. -Assess skills. -No restrictions. |