Enhancing Concussion Care in Community Sports: A Call for Better Return-to-Play Protocols

As awareness about sport-related concussions continues to grow worldwide, researchers from the University of South Australia are emphasizing the importance of improving concussion management for non-professional athletes. Their recent study highlights that current return-to-play guidelines, especially in semi-elite and community sports, may not be sufficient to ensure the full recovery and safety of athletes following a concussion.

The research, published in Exercise and Sport Sciences Reviews, indicates that while professional sports organizations often have strict protocols, community and school sports lack consistent and comprehensive assessment processes. A concussion, which results from a sudden impact to the head, neck, or body causing a jolt to the brain, can lead to a variety of symptoms—including dizziness, balance issues, memory problems, and impaired reaction times. If athletes return to play prematurely, they risk aggravating the injury and experiencing long-term health consequences.

Dr. Hunter Bennett, the lead author of the study, warns about the risks of repeated concussions, which can have serious long-term effects such as cognitive impairment, neurodegenerative conditions like Parkinson's and Alzheimer's, and chronic traumatic encephalopathy. He stresses that community sportspeople, including children, are particularly vulnerable since they often lack access to immediate medical support akin to that available for professional athletes.

Current guidelines suggest a minimum recovery period—such as 21 days for non-professional players and 12 days for elite athletes in sports like AFL or rugby—but these timelines may not adequately account for individual differences in recovery. Dr. Bennett advocates for more nuanced return-to-play assessments that go beyond simple symptom checks. He recommends incorporating testing of key functions affected by concussions—such as balance, memory, and coordination—alongside personalized rehabilitation programs.

Furthermore, the study emphasizes the necessity of educating coaches, sports clubs, and schools on concussion recognition and management. The goal is to foster a safer sporting environment that prioritizes players’ long-term brain health, reducing pressure on athletes to return prematurely. Despite pressures from athletes and coaches to resume activity quickly, a cautious, individualized approach is essential.

Ultimately, enhancing concussion protocols in community sports involves not only stricter adherence to assessment standards but also a cultural shift towards prioritizing long-term neurological well-being over short-term participation. Protecting athletes now ensures healthier brains in the future.

Source: https://medicalxpress.com/news/2025-06-big-leagues-concussion-community-sports.html