Return to Learn from the Concussions Awareness Training Tool.

From the Concussions Awareness Training Tool.

Return to Learn should be completed before Return to Play.

STAGE 1

STAGE 2

STAGE 3

Restricted cognitive activity

Cognitive rest at home

Restrict cognitive activities (i.e. schoolwork, reading, texting, video games, computer).

Gradual reintroduction of cognitive activity

Add cognitive activities. Start with 5-15 minutes at a time.  Build to a 60-minute session without a break.

Homework at home

Add homework. Start with 20 minute sessions. Work up to the equivalent of half a school day (3-4 hours).

Attend only quieter classes. No gym class, noisy locations, tests, or heavy backpacks. Start with half-day, work up to full day of quieter classes. 

At home, 15 minute homework blocks for up to 1 hour daily.

Recovery

Increase heart rate

Add movement

Symptom-free for 24 hours?

Yes: Begin Stage 2
No: Continue resting

Tolerates cognitive activity for 1 hour without a break?

Yes: Move to Stage 3
No: Return to Stage 1

Tolerates 3-4 hours of trial school schedule at home? 

Yes: Move to Stage 4
No: Return to Stage 2


STAGE 4

STAGE 5

STAGE 6

School part-time*  

Attend only quieter classes. No gym class, noisy locations, tests, or heavy backpacks. Start with half-day, work up to full day of quieter classes. 

Attend only quieter classes. No gym class, noisy locations, tests, or heavy backpacks. Start with half-day, work up to full day of quieter classes. 

Full days of school 

Do less than 5 days if needed.  Homework as tolerated.

Maximum one test per day, with option of extra time to complete.

No gym class.

School full-time

Resume full cognitive workload. Catch up with homework and tests.

Return to Learn completed. Focus on Return to Play.

 Exercise, coordination, cognitive lead

Restore confidence; assess functional skills

 

Tolerates a full day of school with modifications?

Yes: Move to Stage 5
No: Return to Stage 3

Tolerates a full school day and a normal work load?

Yes: Return to play
No: Return to Stage 4

 

If symptoms reappear at any stage, go back to the previous stage until symptom-free for 24 hours. You may need to move back a stage more than once during the recovery process.

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