After the initial rest period, what steps are taken before starting a graded return-to-play protocol?

After the initial rest period, what steps are taken before starting a graded return-to-play protocol?

• A. Imaging first
• B. Rest and no testing
• C. Immediate return-to-play
• D. Rest, then reevaluation with neurocognitive testing and postural stability testing before graded return-to-play

Answer: (D)

After the initial rest period, you reassess with objective measures before moving to a graded return-to-play plan. Neurocognitive testing evaluates memory, processing speed, and attention, while postural stability testing checks balance and vestibulo-ocular function. These tools provide a concrete picture of recovery and help guide safe progression. Only when symptoms are absent and these tests show stability should you begin a stepwise return-to-play sequence, advancing levels of activity while monitoring for any symptom return. Imaging isn’t routinely needed for uncomplicated concussions, and an immediate return-to-play isn’t appropriate.

After the initial rest period, you reassess with objective measures before moving to a graded return-to-play plan. Neurocognitive testing evaluates memory, processing speed, and attention, while postural stability testing checks balance and vestibulo-ocular function. These tools provide a concrete picture of recovery and help guide safe progression. Only when symptoms are absent and these tests show stability should you begin a stepwise return-to-play sequence, advancing levels of activity while monitoring for any symptom return. Imaging isn’t routinely needed for uncomplicated concussions, and an immediate return-to-play isn’t appropriate.