Return to Play Home Program
Begin the following exercises after ______________ of rest. If any symptoms return, discontinue these exercises and
contact your physician immediately.
Day 1: Light Aerobic Exercise
Day 2: Light Aerobic Exercise
The Goal: Minimal increase in heart rate or perceived exertion
The Time: 5-10 minutes
The Activities: Stationary bike, walking, or light jogging; no weight lifting,
jumping or hard running
The Goal: Minimal increase in heart rate or perceived exertion
The Time: 15-20 minutes
The Activities: Stationary bike, walking, or light jogging; no weight lifting,
jumping or hard running
Day 3: Moderate Exercise
The Goal: Introduce sport-specific activities
The Time: 15-30 minutes
The Activities: Moderate jogging, moderate-intensity stationary bike or
moderate-intensity weight lifting
Day 4: Moderate Exercise
Day 5: Noncontact Exercise
Full Equipment
The Goal: Continue sport-specific activities
The Time: Up to 30-45 minutes
The Activities: Moderate jogging, moderate-intensity stationary bike or
moderate-intensity weightlifting
The Goal: More intense sport-specific exercise, but noncontact,
performed in full equipment
The Time: Close to typical routine
The Activities: Running, high-intensity stationary bike, regular weight-lifting routine,
noncontact sport-specific drills
Day 6: Practice
The Goal: Reintegrate into full contact practice
Day 7: Play
The Goal: Return to competition
Notes: ______________________________________________________________________________________________
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For questions, please contact The Comprehensive Concussion Center at Nemours Children’s Hospital at (407) 650-7250.
Nemours.org
© 2013. The Nemours Foundation. Nemours is a registered trademark of the Nemours Foundation. NCH 2147.
Today’s Goal Met?
Day
Exercises Performed
Time spent
Intensity
Symptoms? If yes, explain.
Day 1
Yes/No
Day 2
Yes/No
Day 3
Yes/No
Day 4
Yes/No
Day 5
Yes/No
Day 6
Yes/No
Day 7
Yes/No
Day 8
Yes/No
Day 9
Yes/No
Day 10
Yes/No
Day 11
Yes/No
Day 12
Yes/No
Day 13
Yes/No
Day 14
Yes/No
Notes: ______________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
Nemours.org
© 2013. The Nemours Foundation. Nemours is a registered trademark of the Nemours Foundation. NCH 2147.