From UofL General Peds
|Location||When to remove sutures|
|Trunk and upper extremities||7 days|
|Lower extremities||8-10 days|
Return to Play
|Stage||Aim||Activity||Goal of each step|
|1||Symptom-limited activity||Daily activities that do not provoke symptoms.||Gradual reintroduction of work/school activities.|
|2||Light aerobic exercise||Walking or stationary cycling at slow to medium pace. No resistance training.||Increase heart rate.|
|3||Sport-specific exercise||Running or skating drills. No head impact activities.||Add movement.|
|4||Non-contact training drills||Harder training drills, eg, passing drills. May start progressive resistance training.||Exercise, coordination and increased thinking.|
|5||Full contact practice||Following medical clearance, participate in normal training activities.||Restore confidence and assess functional skills by coaching staff.|
|6||Return to sport||Normal game play.|
- An initial period of 24 to 48 hours of physical and cognitive rest before beginning the RTS progression.
- Must stay at each step at least 24 hours before progressing.
- If symptoms worsen during exercise, go back to the previous step.
- Resistance training should be added only in the later stages (stage 3 or 4 at the earliest).
- If symptoms are persistent (eg, more than 10 to 14 days in adults or more than 1 month in children), refer to a specialist.