The BRAIN-G Principle

February 6th, 2018
The Brain-G Principle:
Rest and Recovery This takes approximately 7-10 days. According to the NFL’s return-to-participation protocol, a player must rest “until his signs and symptoms and neurological examination, including cognitive and balance tests, return to baseline status.”
Bike- Once symptoms are controlled and tolerable, an athlete can begin like aerobic exercise. The load is slowly increased as a patient tolerates and if any symptoms increase, the athlete needs to rest and can not progress to the next level.
Run- Once an athlete is able to bike at a good cardiovascular level, an athlete can begin to run for endurance and cardiovascular training. This is challenging as this tests once balance, cardiovascular fitness, as well as ocular stability.
Agility- Progression after running without symptoms is speed and agility. This remains a non-contact progression and once again has to be asymptomatic to progress to the next phase.
In Red Once an athlete is symptom free during non-contact drills, they can go back to practice drills and play with the understanding that they can not take hits and can not give hits.
No Restrictions Return to practice without restrictions, let the athlete loose and see how they play.
Game Play At this time an athlete should have no restrictions and should be fully prepared and ready to return to full game play.
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Written by:
Mary Catherine casey, DPT
Concussion Management Specialist
Founder of The FIT Institute

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