Overview of updates

Major updates to clinical care and return to sports and school protocols:

-Major update and clarification on how much rest is required and what activities are permitted immediately after a concussion
-Strengthened guidance on the role of early aerobic exercise as therapy for treating concussion
-Change in timing of clearance for return to full-contact sports
-Major updates and clarifications to the return to school and return to sports and activity steps
-Updated advice on maintaining social networks and interactions during recovery
-Strengthened guidance on use of devices with screens after a concussion
-Updated list of tools that are available for recognizing, diagnosing, and managing concussion (CRT6, ACRM diagnostic criteria, SCAT6, SCOAT6)

Updates to Clinical Care and Tools:

Tools for recognizing and diagnosing concussion

Concussion Recognition Tool (CRT) 6 (updated from CRT5)
Sport Concussion Assessment Tool 6 – SCAT6 and SCAT6-Child
Sport Concussion Office Assessment Tool 6- SCOAT6 and SCOAT6-Child
Diagnostic criteria: 2023 American Congress of Rehabilitation Medicine Diagnostic Criteria for Mild Traumatic Brain Injury (Figure 2 and box 1 and 2)
Link to 6th Consensus Statement on Concussion in Sport definition of sport-related concussion
Sport Concussion Assessment Tool 6 (SCAT6 13+yrs and Child SCAT6 8-12yrs)
Sport Concussion Office Assessment Tool (SCOAT6 13+ yrs and Child SCOAT6 8-12 yrs)
Living Guideline Patient Information Sheet (updated)
Living Guideline Return to Activity and Sports Protocol
Living Guideline Return to School and Learn Protocol

Domain 1: Concussion Recognition and Directing to Care

1.3

Domain 2: Initial medical assessment and management

2.1

2.2

2.3

2.4

Domain 3: Medical follow-up and persisting concussion symptoms

3.2

Domain 4: Medical clearance and sport related concussion considerations

Domain 12: Return to school