The Aim
Daily activities at home that do not give the child symptoms
The Activity
Typical day-to-day activities (e.g., reading, texting, screen time) so long as the activity does not aggravate symptoms; start with 5-15 minutes at a time & build gradually
The Goal of Each Step
Gradual return to typical activities
The Aim
School activities
The Activity
Homework, reading or other cognitive activities outside of the classroom
The Goal of Each Step
Increase tolerance to cognitive work
The Aim
Return to school part-time
The Activity
Gradual introduction of schoolwork; may need to start with a partial school day or with increased breaks during the day
The Goal of Each Step
Increase academic activities
The Aim
Return to school full time
The Activity
Increase school activities gradually until student can tolerate a full day
The Goal of Each Step
Return to full academic activities and catch up on missed work
Most state concussion laws include some requirements related to concussion education.6 These vary widely in terms of specificity. Some prescribe a certain number of hours of concussion education that must be renewed periodically (e.g., every two years). Some specify who must satisfy these requirements (e.g., coaches), and some provide examples of approved sources of education.
While concussion education is logical and important, such requirements take very different forms and often are ambiguous. Physical education teachers should begin by researching state and local policies to understand minimal requirements.7 Remember, though, that these are only minimums.
Also, even if your state doesn’t require concussion training, you might want to be proactive and at least meet the local standards. For example, a given state may not require concussion education for coaches in private schools even though the importance of understanding concussion is just as important for their professional practice as their peers coaching in public schools.