Graduated Return to Learn Protocol Adapted from the Sports Concussion Institute RECOVERY RECOVERY RECOVERY RECOVERY STAGE 1 STAGE 2 STAGE 3 STAGE 4 Return to School Continue Full Recovery to Complete Physical with Academic Academic Academics and Cognitive Rest Accommodations Accommodations until Medical Clearance Attend School Full Attend School Full No School Continue Limits on Time if Possible Time Attendance Technology Usage Increase Work Load Self-Advocate at Strict Limits on Avoid Heavy School (meet due Technology Usage Backpacks Gradually (testing, dates, etc) homework, etc) Rest No Tests, PE, Band Resume Normal or Choir May Begin Activities Graduated Return to Monitor Symptoms Play Protocol Must Continue Graduated REST at home Have Medical Return to Play Clearance Protocol Incorporating Light Activity Monitor Symptoms Monitor Symptoms Symptom Free for 24 Symptom Free for Symptom Free for Symptom Free for Hours? Next 24 hours? Next 24 Hours? Next 24 Hours? YES: Yes: Yes: Yes: Begin Stage 2 Begin Stage 3 Begin Stage 4 Return to School No: No: No: Rest Further Return to Stage 2 Return to Stage 3 NO: Continue Resting until Symptom until Symptom Free until Symptom Free Free
Graduated Return to Learn Protocol Adapted from the Sports Concussion Institute RECOVERY STAGE 1 Complete Physical and Cognitive Rest until Medical Clearance No School Attendance Strict Limits on Technology Usage Rest RECOVERY STAGE 2 Return to School with Academic Accommodations Continue Limits on Technology Usage Avoid Heavy Backpacks No Tests, PE, Band or Choir Monitor Symptoms REST at home RECOVERY STAGE 3 Continue Academic Accommodations Attend School Full Time if Possible Increase Work Load Gradually (testing, homework, etc) May Begin Graduated Return to Play Protocol Must Have Medical Clearance Incorporating Light Activity Monitor Symptoms RECOVERY STAGE 4 Full Recovery to Academics Attend School Full Time Self-Advocate at School (meet due dates, etc) Resume Normal Activities Continue Graduated Return to Play Protocol Monitor Symptoms Symptom Free for 24 Hours? YES: Begin Stage 2 NO: Continue Resting Symptom Free for Next 24 hours? Yes: Begin Stage 3 No: Rest Further until Symptom Free Symptom Free for Next 24 Hours? Yes: Begin Stage 4 No: Return to Stage 2 until Symptom Free Symptom Free for Next 24 Hours? Yes: Return to School No: Return to Stage 3 until Symptom Free