Wednesday, 29 May 2024

New Things You Need to Know About Concussions in Youth Sports

Concussions in youth sports have been a topic of ongoing research, leading to significant changes in recommendations and treatment approaches. In this article, we will explore the latest information on concussion protocols, allowing you to be well-informed and play an active role in your athlete’s recovery journey. It’s important to note that while this article provides valuable insights, consulting with your athlete’s doctor and athletic trainer remains crucial for personalized treatment plans.

Evolving Recommendations

Over the years, the approach to concussion treatment has shifted away from extended periods of rest and isolation. Contrary to prior beliefs, research now suggests that early re-engagement in physical activity can actually support recovery. However, it’s essential to start with low-intensity exercises such as walking or using a stationary bike, gradually increasing activity levels based on symptom response.

Social Interaction and Screen Time

Social isolation following a concussion can lead to the prolongation of symptoms. Therefore, it’s no longer recommended to keep athletes out of school or away from social activities for extended periods. While excessive screen time may not be optimal during the acute phase of a concussion, maintaining social connections through screens is considered reasonable if it doesn’t exacerbate symptoms. Adjusting screen brightness, font size, and background colors can help reduce discomfort for those experiencing sensitivity.

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Return to Activities and Events

Attending important social or family events like prom or graduation is generally safe for athletes recovering from concussions, as long as there is no risk of additional head injuries. However, it’s vital to have an “exit strategy” in place, allowing them to retreat to a quiet environment or return home if symptoms worsen during the event.

Multiple Concussions

Previously, the belief was that after three concussions, an athlete should no longer participate in sports. However, current recommendations emphasize individualized assessments considering various factors, rather than a fixed number of concussions. It’s worth noting that sustaining multiple concussions may lower the threshold for future injuries, making a transition to non-contact sports a viable option.

Recovery Process and Timing

Concussion recovery is not linear, and symptoms may come and go during the two to four-week recovery period for young athletes. While slight symptom increases during light exercise or schoolwork are generally acceptable, a significant or persistent increase signals the need to scale back activity levels. Working with a physical therapist or athletic trainer can help address specific issues that do not improve over time, leading to symptom reduction and shorter recovery periods.

Key Considerations for Return to Sport

Certain criteria remain unchanged when considering a return to contact sports after a concussion. Athletes must be symptom-free at rest, maintain a symptom-free state during a progressive “return to play” protocol, and regain their pre-injury level of school performance and cognitive function. Additionally, they must be cleared by a healthcare professional before resuming participation.

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The Road Ahead

Although significant progress has been made in understanding and treating concussions, more research is needed, particularly regarding the effects of subconcussive head impacts. These impacts, such as heading a soccer ball or minor collisions in football, accumulate over time, highlighting the importance of minimizing force on the brain.


Q: How soon can an athlete with a concussion return to physical activity?
A: Early re-engagement in physical activity, starting with low intensity, is now recommended within a day or two of sustaining a concussion. However, individual responses to exercise should guide the progression.

Q: Is excessive screen time harmful for concussed athletes?
A: While screens may not be ideal during the acute phase, maintaining social connections through screens is generally considered reasonable unless it worsens symptoms. Adjustments in brightness, font size, and background colors can help alleviate discomfort.

Q: Can athletes attend important events during concussion recovery?
A: Yes, athletes can participate in significant social or family activities, ensuring there is no risk of additional head injuries. However, it’s crucial to have an “exit strategy” in case symptoms worsen during the event.


Concussion treatment protocols have evolved, emphasizing early re-engagement in physical activity and avoiding prolonged isolation. Athletes should be symptom-free during a gradual return to play process, and they must reach their pre-injury level of school performance and cognitive function. Collaboration with healthcare professionals, physical therapists, and athletic trainers is essential for developing an optimal recovery plan. While significant progress has been made, ongoing research is necessary to better understand and address the impact of concussions in youth sports.

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Remember, your athlete’s health should always be the top priority. Stay informed and actively involved in their recovery process.