How is a concussion typically managed regarding activity progression?

• A. Stepwise return-to-activity protocol, symptom-free at each stage before advancing, under medical supervision
• B. Return-to-play immediately if pain-free
• C. Return-to-play after imaging shows healing
• D. Complete rest for two weeks before any activity

Answer: (A)

Managing a concussion centers on a gradual, symptom-guided return to activity. The recommended approach is a stepwise protocol where you start with light, non-contact activity and only advance if you remain symptom-free at each stage, ideally under medical supervision. If symptoms recur, you stop advancing, rest until they resolve, and then try the next lower level of activity again. This careful pacing helps protect the brain from further injury and supports a safer, quicker recovery.

Imaging isn’t used to decide when to return to play; scans can appear normal even while symptoms persist, so clearance is based on how you feel and clinical checks, not on imaging results. Also, complete rest for an extended period isn’t the standard anymore—after a brief initial rest, gradually reintroducing activity supports recovery.