What advice should I provide to patients regarding return-to-play protocols after a concussion?

When advising patients on return-to-play protocols following a concussion, you should provide the following information:

• Resolution of Symptoms and Protocol Completion: Patients should be informed that return to contact or high-risk activities, including sports, should only occur after all concussion symptoms have completely resolved [Halstead, 2018]. It is also essential that a specific return-to-sport protocol has been completed [Halstead, 2018].
• Risks of Early Return: Emphasise that an early return to play increases the risk of more severe injury and prolonged recovery [NICE, 2019].
• Gradual Return to Activities: Advise patients to gradually return to normal activities, encouraging a regular schedule of activity and sleep [SIGN, 2013; Mott, 2012]. This includes a gradual return to everyday activities such as school, work, and sports [NICE, 2019].
• Specific Guidance and Resources: Make patients aware that specific guidelines exist for the timing of return to sport [NICE, 2019]. For detailed return-to-play protocols, patients can be directed to resources from organisations like England Rugby and the Football Association [NICE, 2019].
• Information Provision: This advice should be given to the patient and/or their family/carers both verbally and in writing [NICE, 2019]. Ensure that any printed advice is age-appropriate and includes information about returning to everyday activities, including sports [NICE, 2014, amended 2023].