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Concussion. 2015 Aug 6;1(1):CNC4. doi: 10.2217/cnc.15.4. eCollection 2016 Mar.

Returning the student to school after concussion: what do clinicians need to know?

Rose SC1,2,1,2, McNally KA3,4,3,4, Heyer GL1,2,1,2.

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Division of Pediatric Neurology, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
Department of Neurology, The Ohio State University, Columbus, OH, USA.
Division of Pediatric Psychology & Neuropsychology, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
Department of Pediatrics, The Ohio State University, Columbus, OH, USA.


Participation in school is vital to a child's academic and social development. Following concussion, returning the student to school can pose several challenges for families, healthcare providers and school personnel. The complex constellation of postconcussion symptoms can impair learning and can make the school environment intolerable. Research evidence to guide the return to school process is lacking, but protocols have been proposed that outline a gradual reintroduction to school with academic accommodations tailored to the student's specific symptoms. Key medical and school personnel must understand their respective roles to optimize the process. This review of the current literature examines the available data and expert recommendations that can support a student's successful return to school following concussion.


TBI; academic accommodations; adolescent; concussion; mild traumatic brain injury; pediatric; school

Conflict of interest statement

Financial & competing interests disclosure The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending or royalties. No writing assistance was utilized in the production of this manuscript.

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