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department of athletics policies & procedures - UNC Wilmington ...

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Post-Concussion Exertional Testing Protocol<br />

Guidelines<br />

All testing is to be done in a controlled setting and under the direct supervision <strong>of</strong> a<br />

certified athletic trainer<br />

Student-athlete should progress through each level continuously with minimal rest<br />

between levels unless symptoms develop<br />

Monitor symptomology<br />

o If the student-athlete self-reports asymptomatic, proceed to the next level.<br />

o If the student-athlete reports symptoms at any time:<br />

• STOP THE TESTING PROTOCOL<br />

• Rest for a minimum <strong>of</strong> 24 hours and until asymptomatic<br />

• After the minimum 24 hour rest period and when asymptomatic,<br />

resume testing at the beginning <strong>of</strong> the last asymptomatic level.<br />

Exertional Testing Protocol<br />

Level 1 (Sub-Maximal Cardiovascular Training)<br />

Non-impact cardiovascular implement <strong>of</strong> choice (e.g. bike, Stairmaster, elliptical<br />

trainer, etc.)<br />

Duration—10 minutes<br />

65% maximal heart rate<br />

Level 2 (Maximal Cardiovascular Training)<br />

Non-impact cardiovascular implement <strong>of</strong> choice (e.g. bike, Stairmaster, elliptical<br />

trainer, etc.)<br />

Duration—15 minutes<br />

85% maximal heart rate<br />

Level 3 (Sub-Maximal Anaerobic Training)<br />

Sit-ups and/or crunches<br />

One (1) minute continuous exercise<br />

Level 4 (Maximal Effort Anaerobic Training)<br />

300 yard shuttle run (weather and facility permitting)<br />

OR<br />

Treadmill Interval Run<br />

o Duration—5 minutes<br />

o 15 second sprint // 45 second job<br />

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