STEP ACTIVITY FREESTYLE SKI CONTEXT Symptoms Present? Yes No 1 No activity, only complete rest. Minimum of 24-48 hours of rest. Limit school, work and tasks requiring concentration. Refrain from physical activity until symptoms are gone. A physician, should be consulted before moving to step 2 2 Light aerobic exercise. Activities such as walking or stationary cycling. Someone who can help monitor for symptoms and signs should supervise the player. No resistance training or weight lifting. The duration and intensity of the aerobic exercise can be gradually increased over time if no symptoms or signs return during the exercise or the next day. Follow this 2-step process with 24 of rest between each step. Step 1 - 15 minutes on stationary bicycle, rest 24 hrs. If symptom free go to step 2 Step 2 - 60 minutes of more aggressive cardio work (75% of max Heart Rate) such as bike or jogging. Return to rest and step 1 until symptoms have resolved. If symptoms persist, consult a physician. Proceed to Step 3 only if athlete is: asymptomatic after 60 minute cardio session 3 Sport specific activities Gentle skiing on flat, easy terrain. No jumping or jarring movements. No bouncing on trampolines. Continuous skiing for 60 minutes. Return to rest until symptoms have resolved then resume at step 2. If symptoms persist, consult a physician. Proceed to Step 4 the next day if asymptomatic. 4 Begin Discipline Drills (up to moderate intensity) 60 minutes of continuous discipline-specific training (on or off snow) - Skiing on moderate, terrain with moguls. - Skiing the halfpipe with small, easy jumps. - Riding “ability appropriate” boxes/rails - No big air tricks. - Small bouncing on trampoline or bounding drills. Return to rest until symptoms have resolved then resume at step 3. If symptoms persist, consult a physician. The time needed to progress from exercise will vary with the severity of the concussion and with the player. Proceed to Step 5 with Medical Clearance Only. 5 Begin Sport Specific Drills (up to full Gradually increase the intensity of training to include all normal training activities. Return to rest until symptoms have resolved then resume Proceed to Step 6 the next day.
Return-to-Sports Strategy STEP ACTIVITY LEVEL FREESTYLE SKI CONTEXT Symptoms Present? Yes No 1 No activity, only complete rest. Minimum of 24-48 hours of rest. Limit school, work and tasks requiring concentration. Refrain from physical activity until symptoms are gone. A physician, should be consulted before moving to step 2 2 Light aerobic exercise. Activities such as walking or stationary cycling. Someone who can help monitor for symptoms and should supervise the player. No resistance training or weight lifting. The duration and intensity of the aerobic exercise can be gradually increased over time if no symptoms or signs return during the exercise or the next day. Follow this 2-step process with 24 hours of rest between each step. Step 1 - 15 minutes on stationary bicycle, rest 24 hrs. If symptom free go to step 2 Step 2 - 60 minutes of more aggressive cardio work (75% of max Heart Rate) such as bike or jogging. Return to rest and step 1 until symptoms have resolved. If symptoms persist, consult a physician. Proceed to Step 3 only if athlete is: asymptomatic after 60 minute cardio session 3 Sport specific activities Gentle skiing on flat, easy terrain. No jumping or jarring movements. No bouncing on trampolines. Continuous skiing for 60 minutes. Return to rest until symptoms have resolved then resume at step 2. If symptoms persist, consult a physician. Proceed to Step 4 the next day if asymptomatic. 4 Begin Discipline Specific Drills (up to moderate intensity) 60 minutes of continuous discipline-specific training (on or off snow) - Skiing on moderate, terrain with moguls. - Skiing the halfpipe with easy jumps. - Riding “ability appropriate” boxes/rails - No big air tricks. - Small bouncing on trampoline or bounding drills. Return to rest symptoms have resolved then resume at step 3. If symptoms persist, consult a physician. The time needed to progress from exercise will vary with the severity of the concussion and with the player. Proceed to Step 5 with Medical Clearance Only. 5 Sport Specific Drills (up to full Gradually increase the intensity of training to include all normal training activities. Return to rest symptoms have resolved then resume Proceed to Step 6 the next day.