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Clin Sports Med. 1998 Jan;17(1):45-60.

Return to play guidelines after a head injury.

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Neurosurgery Service, Emerson Hospital, Concord, Massachusetts, USA.


Presently there are no universally accepted definitions of the grades of concussion or criteria for when to allow the athlete to return to competition after a head injury. What is agreed upon is that in order to avoid cumulative brain damage and the second impact syndrome, no athlete still suffering post-concussion symptoms should return to competition. This article is meant to serve only as a guideline as the final decision in every instance is a clinical judgement.

[Indexed for MEDLINE]

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