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Return to Physical Education Is Not the Same as Return to Play: Proposed Guidelines for Reintegrating Students Into Physical Education After Concussion

Brian P. Rieger, Matthew Murphy, Pamela Tucker & John Leddy

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Current guidelines for proper management of pediatric concussion include recommendations for return to sports and general suggestions for return to school (e.g., Baker et al., 2014; Iverson & Gioia, 2016; Patricios et al., 2023), but currently there are no specific recommendations for a safe and successful return to the physical education (PE) curriculum after concussion.

This article proposes a graduated return-to–physical education (RT-PE) plan that can be initiated as soon as the student is able to return to school, even while still experiencing concussion symptoms. This protocol is based in part on growing evidence that returning to exercise and physical activity before concussion symptoms have resolved is not only medically safe but can also promote recovery (Leddy et al., 2019, 2021).

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