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New guidelines recommend kids who suffer sport-related concussion wait three weeks before returning to competitive sport.

Released by the Australian Institute of Sport (AIS) today, the guidelines also recommend children need to symptom-free for 14 days before returning to contact training, after a sport-related concussion.

The Youth and Community Sport Guidelines align with guidelines that have been adopted in the UK and New Zealand, and have been developed along with Sports Medicine Australia, doctors and physiotherapists.

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The AIS has also recommended that clubs and schools introduce a concussion officer, to ensure that anyone with concussion follows agreed protocols.

“This multi-national approach to the Youth and Community Sport Guidelines provides all Australians with a clear, consistent, and strong message on how to manage concussion in sport,” said AIS Chief Medical Officer Dr David Hughes AM.

“It’s important to manage all instances of concussion with an abundance of caution and make it clear that a conservative management approach is needed for people aged under 19 who have growing brains and are at risk of prolonged recovery times, as well as for community sport where advanced health care support is often not available.

“The AIS wants everyone involved in sport to remember, when considering an athlete with possible concussion, ‘if in doubt, sit them out’.”

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The AIS return to sport protocol for community and youth sport includes;

  • Introduction of light exercise after an initial 24-48 hours of relative rest.
  • Several checkpoints to be cleared prior to progression.
  • Gradual reintroduction of learning and work activities. As with physical activity, cognitive stimulation such as using screens, reading, undertaking learning activities should be gradually introduced after 48 hours.
  • At least 14 days symptom free (at rest) before return to contact/collision training. The temporary exacerbation of mild symptoms with exercise is acceptable, as long as the symptoms quickly resolve at the completion of exercise, and as long as the exercise-related symptoms have completely resolved before resumption of contact training.
  • A minimum period of 21 days until the resumption of competitive contact/collision sport.
  • Consideration of all symptom domains (physical, cognitive, emotional, fatigue, sleep) throughout the recovery process.
  • Return to learn and work activities should take priority over return to sport. That is, while graduated return to learn/work activities and sport activities can occur simultaneously, the athlete should not return to full contact sport activities until they have successfully completed a fully return to learn/work activities.

Have your kids ever suffered concussion while playing sport? How long did they wait before returning to competitive play?

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  • My son was hit in the mouth by a hockey stick in one of his games when he was young. The person broke his 2 front teeth in half. The coach and the umpire were going to let him keep playing but he started to feel sick, so I took him to the local hospital and they said he was fine so took him home and kept eye on him. Next morning I drove him to our dentist, he took one look at my son and then asked me if I knew he was suffering from concussion. What ticked me off was 2 nurses couldn’t tell but the dentist could. I felt guilty but was told I did the right thing. Wasn’t my fault the hospital didn’t recognise concussion. I’m glad they’re are doing more now to protect the kids and have more hands on people who know what to look for. He wasn’t wearing a mouthguard because it wasn’t recommended and it was a player from his own team who swung the hockey stick. This happened 32 years ago and it took a long time for all of the issues to be righted.

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  • Great to keep updated on the concussion guidelines, such serious consequences.

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  • Glad to hear health and safety come before winning. Some coaches forget that things like this can have life long implications

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  • I used to play girls soccer and am glad there is an emphasis on how to prevent and treat concussion.

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  • About time changes were made. The safety and health of the young ones involved in risky physical sports is paramount.

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  • I know concussions can happen in any sport (or accident). Perhaps we all need to choose less contact sports for our kids. Read too many horrific stories of irreversible damage done.

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  • Really great information, professional and casual sport needs to take risks into consideration.

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  • Yes. My son is 22 and was told by his Dr at age 17 (after a sneaky king hit/coward’s punch left him unconcious on the ground) not to play football anymore. He had ongoing side-effects during his final year of school that required days off. He couldn’t focus, had headaches, etc. It was his third concussion/head injury, each time just brutal and shocking for a child to receive. He played a 2 or 3 games last year (age 22), his first since his last concussion. I beg him never to play again.

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  • This is great to know. So far we haven’t had to deal with a concussion as yet and I hope we don’t have to.

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  • Good to know for the future. Thanks for the article.

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  • This is a great article. So many people don’t take concussion seriously enough.

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  • Really important issue. Good to see them reviewing and updating the guidelines to make sure kids are safe to continue playing sport.

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  • This is really good to see. So many sportspeople with head injuries have been put back to play too quickly in the past.


    • I agree; the brain is so precious and needs care.

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  • A sensible guiline indeed ! Thanks for sharing

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  • Great to have these guidelines and so sensible.

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