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Sport-Related Concussion Guideline Development: Acute Management to Return to Activity

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Tackling the Concussion Epidemic

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Abstract

The diagnosis, management, and ultimate decision for medical clearance following sport-related concussion are complex and multifactorial. In recent years, for example, we have observed a transition from the conservative prescription of rest following sport-related concussion to the recommendation of early introduction of activities. The chapter begins with a historical contextualization of concussion/mild traumatic brain injury, followed by describing the formalization and evolution of concussion assessment tools. Next, the chapter provides a chronological narrative of the development and advancements of graded return-to-sport guidelines. This section of the chapter will also review the challenges and research opportunities in determining when to initiate activity, at what intensity, duration, and type. The chapter also highlights that activity is not limited to sport participation (i.e., return-to-sport protocols) and that management guidelines have been developed for both school and work settings. The chapter concludes by highlighting that sport-related concussion is a heterogeneous clinical condition and necessitates an interdisciplinary team with concussion expertise in certain situations, irrespective of return-to-activity goals.

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Authors and Affiliations

  1. Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON, Canada

    Michael G. Hutchison

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  1. Keenan Research Centre, St. Michael’s Hospital, Unity Health Toronto and University of Toronto (Neurosurgery), Toronto, ON, Canada

    Tom A. Schweizer

  2. Departments of Critical Care and Anesthesia, St. Michael’s Hospital, Unity Health Toronto and University of Toronto, Toronto, ON, Canada

    Andrew J. Baker

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Hutchison, M.G. (2022). Sport-Related Concussion Guideline Development: Acute Management to Return to Activity. In: Schweizer, T.A., Baker, A.J. (eds) Tackling the Concussion Epidemic. Springer, Cham. https://doi.org/10.1007/978-3-030-93813-0_5

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