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NVU-Lyndon Concussion Protocol

Northern Vermont University-Lyndon goes through great lengths to ensure the safe return of all student-athletes after a concussion has been sustained.  Even though an athlete may feel 100%, there could still be some physical test results which are not equal to their baseline.  For this reason all sports with risk of contact go through multiple tests to form a baseline.

Academic Support:  Once a concussion has been determined, athlete will see Academic Support to ensure accommodations and proper tracking of academics while the healing process occurs.

ALL MISSED ACADEMIC WORK WILL NEED TO BE MADE UP!

  • If symptoms last greater than 5 days, athlete will be referred to Health Services, or another medical provider (athlete may choose who they see), for further evaluation.
  • Must receive clearance from Health Services, or another MD, for final clearance prior to contact.

Return to Play Guidelines have been agreed upon by the Centers for Disease Control and Prevention, National Athletic Training Association and other neurologists and sports specialists throughout the country.  All tests must be back to, or greater, than baseline test before contact is allowed for athlete.

Return to Play Progression

Athletic trainer will be in charge of this process.

If symptoms occur during progression, Return to Play Progression will begin back at Step 1!

Step 1:  Aerobic conditioning – Walking / jogging, swimming, rowing, or stationary cycling.

  • Intensity: 40%
  • Duration: no more than 30 minutes.
  • If symptoms return, wait until you are symptom free for 24 hours then repeat Step 1.
  • No symptoms for 24 hours move to Step 2.

Step 2:  Sports specific drills – running drills in soccer/lacrosse or exertion deemed appropriate by athletic trainer or strength and conditioning staff (agility, strength, spinning workout…)

  • Intensity: 50-60%
  • Duration: no more than 60 minutes.
  • No head impact activities. No scrimmages/potential for contact.
  • If symptoms return, wait until symptom free for 24 hours then repeat Step 1.
  • No symptoms for 24 hours move to Step 3.

Step 3:  Non-contact training drills – include more complex training drills (passing in soccer/lacrosse. Running specific pattern plays, etc).

  • No head contact, or potential for body impact.
  • OK to begin resistance training.
  • Intensity: 70%
  • Duration: no more than 90 minutes.
  • If symptoms return, stop activity and wait until symptom free for 24 hours then repeat Step 2.
  • No symptoms for 24 hours move to Step 4.

Step 4:  Full contact practice with caution placed on impact.

  • Only after medical clearance: must be cleared by Athletic Training staff – Must also be cleared by MD if symptoms lasted longer than 5 days.
  • No intensity/duration restrictions.
  • If symptoms return, wait until you are symptom free for 24 hours and repeat Step 3.
  • No symptoms for 24 hours, move to Step 5

Step 5: Full clearance for return to play competition.

**If athlete has a history of concussions, Return to Play Progression may be drawn out longer than 5 days to ensure athlete’s safe return.  Athletic training staff reserves the right to refer to MD at any point during Return to Play Progression.**

**Athletic Training staff may over rule a physician’s clearance for an athlete if athletic training staff does not feel athlete is ready for participation.**