When can my child return to physical activity (contact sports and play)? Most return-to-play protocols are similar to those in the Consensus Statement on Concussion in Sport guidelines, which outline a progressive increase in physical activity if the individual is at baseline before starting the protocol and remains at baseline throughout each step of the protocol. Concussion symptoms should not come back during or after any of the exercises or activities during these return to play stages. The cornerstone of concussion management is physical and cognitive rest until symptom resolution.11 Activities that should be limited include scholastic activity, video games, computer usage, text messaging, television screen time, etc. Once an athlete is asymptomatic, graduated … You can promote recovery and prevent ongoing symptoms by following a “return to play” plan like the one below. Ohio’s Return-to-Play law (ORC 3313.539 or ORC 3314.03) requires that Ohio youth athletes who are suspected of sustaining a concussion, MUST be removed from practice or play.Ohio laws prohibit a child to return to play (practice or competition) on the same day that he/she is removed on suspicion of having sustained a concussion. It is important for an athlete’s parent(s) and coach(es) to watch for concussion symptoms after each day’s return to play progression activity. It will depend on your child. Graduated Return To Play (GRTP) The IRFU Graduated Return To Play (GRTP) protocol guides the player through the rehabilitation stages following a concussion or suspected concussion. An Acute Concussion Care (ACE) Plan from the CDC can help to make sure you and your child, teachers, and coaches understand all of the steps involved in getting your child back to school and back into sports. An athlete should only move to the next step if they do not have any new symptoms at the current step. 6-Step Return to Play Progression. Re-injury can make a concussion worse and cause long-term disability.