ImPACT Concussion Information

Please see the following information and helpful links regarding the ImPACT concussion testing.

Information from New York State Education Department
§136.5 Concussion Management and Awareness

ImPACT Concussion Testing
The Pavilion Central School Athletic Department will begin our first year of our
Concussion Management Protocol. Proper and SAFE management of student athletes
who have sustained a concussion is the primary focus of this protocol and it follows
guidelines established by the New York State Public High School Athletic Association
(NYSPHSAA), the New York State Athletic Administrators Association (NYSAAA), the
National Federation of State high School Associations, and the International Conferences
on Concussion in Sport in 1999, 2004 and 2009.

Concussion is any change in mental status caused by a blow to the head or upper body.
The proper medical term for concussion is traumatic brain injury, no matter how
minor. Symptoms can include headache, amnesia, dizziness, confusion, lack of hand-eye
coordination, and, in some cases, loss of consciousness. Generally, an athlete can safely
recover from a first concussion as long as the brain has had sufficient time to heal. The
goal is to prevent a second injury. Second Impact Syndrome, which can occur when an
athlete returns to play too soon. Second Impact Syndrome can have severe, potentially
fatal consequences for the concussed student athlete.

It is imperative that the concussed student athlete be identified, treated and referred
appropriately, receive medical follow-up and be fully-recovered before returning to
play. The Return to Play Protocol (RTP) is a six step progression of activities (see next
page) that will ensure that a concussed athlete will be completely symptom-free and fully
recovered before they return to their respective sport.

Part of the Concussion Management Protocol is the requirement that all students in 6th through 12th grade take a computerized neuro-cognitive test. This test, called ImPACT, is
administered as a baseline, and every two years. ImPACT is also repeated at intervals
when an student has been diagnosed with a concussion. ImPACT is a very useful tool in
safely managing an student’s progress and safe return to play as well.

Please take time to consult the many resources available to help you understand
concussion management, including the CDC website, 

The following protocol will follow guidelines established by the New York State Public
High School Athletic Association (NYSPHSAA), the New York State Athletic
Administrators Association (NYSAAA), the National Federation of State High School
Associations and the International Conference on Concussion in Sport, Prague 2004.

An athlete who has been diagnosed with a concussion must be medically cleared, in
writing, to return to play. When the concussed athlete is cleared to return, they must
follow the Six Step Return-to-Play processes outlined below:

1. No exertional activity until asymptomatic and cleared to return by physician.
2. Light aerobic exercise such as walking or stationary bike, etc. No resistance training.
3. Sport specific exercise such as skating, running, etc.
 Progressive addition of resistance training may begin.
4. Non-contact training/skill drills.
5. Full contact training in practice setting (following medical clearance).
6. Return to competition/play.

The cornerstone of proper concussion management is rest until all symptoms resolve and
then a graded program of exertion before return to sport. The program is broken down
into six steps in which only one step is covered a day.

If any concussion symptoms recur, the athlete should drop back to the previous level and
try to progress after 24 hours of rest.

The student-athlete should also be monitored for recurrence of symptoms due to mental
exertion, such as reading, working on a computer, or taking a test.
The ultimate decision for return to play for a concussed athlete, if deemed
necessary, will be made by Pavilion Central School’s physician.