Concussion (Commotio Cerebri): Therapy

General measures

  • Monitoring in hospital (24-48 hours)
  • The most important measure after a concussion is rest, which means resting for 24-48 hours in the case of mild traumatic brain injury and, when symptoms are no longer present, gradually resuming usual activities.
  • Short-term bed rest may speed recovery.
  • After a concussion, brain-straining activities should be avoided at first: Sports, reading, television, computer games, etc., to ensure a quick recovery. After that, mental and physical activities can be gradually resumed and increased in duration and intensity. It should be noted that children and especially adolescents often need a longer recovery period than adults, because their brains are still growing.

Regular checkups

  • Regular medical checkups

Rehabilitation

  • Guidance in mild TBI for resumption of competitive sports (“return to play rule”) and school attendance (“return to learn rule”):
    • Athletes should not return to play the same day (“no return to play the same day”) unless they are symptom-free for more than 20 minutes and have an unremarkable examination result; the examiner should also be very experienced.
    • School attendance (“return to learn rule”):
      • Stage 1: physical and cognitive rest: no work, school or sportsScreening from stimuli: light, noise, television, PCFurther recommendation: plenty of sleep.
      • Stage 2: Gradual cognitive load: reading, television, smartphone, tablet PC, PC, etc.Light, short aerobic exercise (endurance training)Inclusion of other sports activities as follows:
        • Stage 3: sport-specific interval training.
        • Stage 4: team training without physical contact
        • Level 5: Normal team training
        • Level 6: Competition