GRADUATED RETURN TO PLAY (GRTP) PROTOCOL A GRTP protocol is a progressive exercise programme that introduces an individual back to sport in a step-wise fashion Stage Rehabilitation Functional Exercise % Heart Rate Max Duration Objective Stage 1 Rest Body and mind rest Individual to ensure Recovery symptoms have subsided (TWO weeks minimum) MEDICAL APPOINTMENT with DOCTOR 2 Light Aerobic Walking, swimming or stationary cycling. <70% 15 mins Increase Heart Rate ALL STAGES Exercise No resistance training SHOULD and introduce cognitive tasks REMAIN 3 Sport-Specific Non-contact running drills. <80% 15 mins Add movement and SYMPTOM Exercise assess recovery FREE AND PERFORMED UNDER 4 Non-Contact Progression to more complex training. <90% 15 mins Exercise, DIRECT Training Drills Progressive resistance training (≤50 of max coordination and SUPERVISION weight) cognitive load MEDICAL APPOINTMENT with DOCTOR 5 Full Contact Following medical clearance - Controlled Games Session Restore confidence Practice contact that is progressive and assess functional skills 6 Return to Play Safe return to play once fully recovered
GRADUATED RETURN TO PLAY (GRTP) PROTOCOL A GRTP protocol is a progressive exercise programme that introduces an individual back to sport in a step-wise fashion Stage Rehabilitation Stage Functional Exercise % Heart Rate Max Duration Objective ALL STAGES SHOULD REMAIN SYMPTOM FREE AND PERFORMED UNDER DIRECT SUPERVISION 1 Rest Body and mind rest Individual to ensure symptoms have subsided (TWO weeks minimum) Recovery MEDICAL APPOINTMENT with DOCTOR 2 Light Aerobic Exercise Walking, swimming or stationary cycling. No resistance training and introduce cognitive tasks <70% 15 mins Increase Heart Rate 3 Sport-Specific Exercise Non-contact running drills. <80% 15 mins Add movement and assess recovery 4 Non-Contact Training Drills Progression to more complex training. Progressive resistance training (≤50 of max weight) <90% 15 mins Exercise, coordination and cognitive load MEDICAL APPOINTMENT with DOCTOR 5 Full Contact Practice Following medical clearance - Controlled contact that is progressive Games Session Restore confidence and assess functional skills 6 Return to Play Safe return to play once fully recovered