What is the first step in the process of returning after a concussion or injury?

The first step in the process of returning after a concussion or injury is to safely reintegrate the individual into their academic environment. This step, often referred to as a "return to school," is crucial because it allows the person to gradually re-engage with cognitive demands in a controlled manner, which is essential after experiencing a concussion.

Returning to school helps monitor symptoms in an environment where these symptoms can be assessed in relation to academic tasks. It provides a structured setting where adjustments can be made based on the individual’s tolerance to cognitive work. This phase also ensures that the individual can manage the cognitive stress before advancing to more physically demanding activities, such as lite exercise or practice.

Assessing academic performance and symptom management during this phase prepares the student for subsequent steps in the recovery process, such as physical activity and competitive sports. Without this initial step, there is a risk of exacerbating the injury or delaying recovery, potentially leading to more severe complications.