After a head injury, your child may wish to return to sport and physical activity as soon as possible. It is important to ensure the return to sport is done safely and in a gradual manner. Always ask the rehabilitation team or consult your doctor for help making decisions regarding return to recreational activities.

Repeated injuries

Recurrent head injuries (even mild ones) are more likely to lead to long-term problems in concentration, memory and learning. Returning to sport and activity too early may place your child at greater risk of repeated injury.

Factors to consider

When a child can safely return to sport depends on many factors including:

• Age, previous medical history or learning problems
• Type and severity of head injury
• Problems or impairments from the injury such as:
  • muscle weakness or tightness
  • coordination and balance
  • vision and visual perception
  • judgement and impulsiveness
  • fatigue — physical and mental
• Type of sport and risk for further injury:
  • lower risk activities—walking, jogging, supervised swimming, yoga, non-contact martial arts.
  • higher risk activities—contact sports (rugby, AFL, soccer, netball, basketball) and high speed activities (trampolining, skateboarding, motorbike riding).
  • Remember that team sports can become more competitive with age and may pose a greater risk of further If in doubt please ask your doctor and treating team.

When can my child return to sport?

For mild head injuries

For children with mild head injuries (concussion, brief loss of consciousness, brief loss of memory after the accident, uncomplicated skull fracture) we recommend the following:

• Return to non-contact and low-risk activities only when symptoms (such as headache and fatigue) have settled.
• Take normal safety precautions (i.e. wearing helmets).
• Children should not return to sports until they have successfully returned to school.
• Contact sports should be avoided after a head injury until given clearance by your doctor.

Refer to the below table to guide your child’s safe return to sport once all symptoms have cleared. Once your child is fit to start sport again, return should be gradual. Each stage should take at least 24 hours.

Gradual return

• Day 1 – Light aerobic exercise — walking, supervised swimming, exercise bikes. No resistance training.
• Day 2 – Basic sports exercises—running drills, ball skills. No activities that could involve head impact.
• Day 3 – Non-contact training drills — passing drills, progressive resistance training.
• Day 4 – Full-contact practice — normal training activities.
• Day 5 – Return to play — back to normal game play.

Note: If symptoms recur at any stage, return to the previous step.

For severe head injuries

For children who have suffered a more severe head injury we recommend a longer period away from activities that place a child at risk.

When to seek help

In an emergency, call Triple Zero (000) and ask for an ambulance.

If you're not sure whether to go to an emergency department, call 13 HEALTH (13 43 25 84) and speak to a registered nurse.

Developed by the Queensland Paediatric Rehabilitation Service, Queensland Children’s Hospital. We acknowledge the input of consumers and carers.

Resource ID: FS063. Reviewed: February 2015.

Disclaimer: This information has been produced by healthcare professionals as a guideline only and is intended to support, not replace, discussion with your child’s doctor or healthcare professionals. Information is updated regularly, so please check you are referring to the most recent version. Seek medical advice, as appropriate, for concerns regarding your child’s health.