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What is a Concussion?



New Guidelines for Pediatric Concussion:



What to do if you think you have a concussion:

  1. Medical Assessment
    Evaluation by medical professional trained in concussion management

  2. Rest
    24-48 hours, depending on symptoms

  3. Symptom-Limited Activity
    Easy walk, nothing that makes symptoms worse, or causes new symptoms to appear

  4. Light Exercise
    Medium effort, light sweat, about 20 minutes

  5. Sport-Specific Activity
    Agility drills, ball-handling, no contact, general conditioning; about 30 minutes

  6. Non-Contact Training
    Resistance training, increased aerobic activity, complex sport skills, no contact; about 60 minutes

  7. Written Medical Clearance
    To begin contact activities; start with limited contact first

  8. Full contact practice
    Full practice, no restrictions. Should complete full contact practice before returning to competition

  9. Full return to competition
    No restrictions

McCrory P., et al BJSM 2017
Collins MW, et al Neurosurgery 2016
Valovich-McLeod, TC, etc al JAT 2017

Concussion Rehab Services We Offer:

  • Evaluation/testing
  • Vestibular therapy
  • Cervical therapy
  • Post-traumatic migraine treatment
  • Graduated Return-to-Play protocol
  • Sports-specific training/reconditioning

More Resources:

ImPACT Concussion Education:

State Interscholastic Athletics Associations:

National Athletic Trainers Assocation (NATA):

Center for Disease Control (CDC):



  • Concussion rehab-trained PTs at each clinic
    • Candler
      • Jim Gregory, PT, DPT, OCS, MTC, CSCS, USAW
    • North Asheville
      • Taylor Leiby, PT, DPT, OCS
    • South Asheville
      • Sean Simonds, PT, DPT, OCS, CSCS, CKTP
    • Hendersonville
      • Andrew Grissom, PT, DPT, TPI
  • Insurance Information (concussion rehab covered by many insurances)
    • Contact our Front Office team at the clinic closet to you for insurance information
  • For provider education:

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