Frequently Asked Questions

What is concussion?

Concussion is a brain injury on the metabolic level that occurs during an impact where the neurons in the brain are stretched.

How does concussion occur?

Impact to the head either from contact with another person, a ball, a stick, or contact with the ground.

What are the symptoms?

Symptoms can be physical and cognitive. They can affect how you work, learn, and play. A few common symptoms for concussion include:

  • Headache
  • Nausea
  • Sensitivity to light and sound
  • Dizziness
  • Trouble sleeping
  • Confusion
  • Feeling in a fog

Should I go to the hospital?

Most concussions do not require a trip to the emergency room. Diagnostic imaging cannot diagnose a concussion because it is an injury that occurs to the brain on a metabolic level. However, there are some red flag signs that you and your athletic trainer will look out for that may suggest there is a secondary brain injury that needs emergency medical care. They are as follows:

  • Unconsciousness
  • Pupils that do not respond to light
  • Pupils that are two different sizes (one dilated and one constricted)
  • Memory regression that happens rapidly
  • Vomiting
  • Loss of motor skills

Who is most at risk?

Athletes who participate in sports that are mid to high impact or those in collision sports. Male athletes also have a higher instance of concussion. Athletes who have had previous concussions.

How do I decrease the risk of concussion?

  • Wear protective headgear
  • Wear a mouth guard during play and practice
  • Neck strengthening exercise program

Who do I report my concussion to?

As soon as you begin to feel concussion symptoms notify those who can help.

  • Athletic trainer
  • Club Sport Assistants
  • Coaching Staff/Dance faculty
  • Safety officers
  • Teammates (look out for each other)

What steps do I take if I have a concussion?

  • If the athletic trainer is not present once you experience symptoms remove yourself from play.
  • If an athletic trainer is present inform them of your condition and they will perform a sideline concussion evaluation.
  • Once it is confirmed that you have a concussion you will be held out of participation until concussion return to play (RTP) protocol is completed.
  • Performing arts majors will need to complete a return to dance (RTD) protocol before returning to class or rehearsals
  • The next business day you will follow up with your athletic trainer and perform a SCAT5 (soon to be SCAT6).
  • Each day after that you will complete a symptom checklist until you have zero symptoms.

What does Return to Play Protocol look like?

  • Once you have no symptoms you will start with light cardiovascular activity. This could be walking to class and walking leisurely with friends
  • Next you will do supervised exercise in the athletic training clinic on a stationary bike. This will consist of steady stated and short sprints to increase your heart rate.
  • If resistance training is a part of your regular routine, then we will slowly reintroduce that to you. If it is not, this step can be skipped.
  • Integrating you back into play begins with a non-contact practice. A practice consisting of running and passing drills without the risk of falls or collisions. No headers for soccer athletes as well.
  • For Dancers: You will rejoin class but will be performing warm up, beginner turns, and beginner jumps. No floor work, partnering, or complex combinations. Do not perform choreography with fast neck and head movements.
  • If you have completed the previous steps without recurring symptoms, then your last step is full contact practice.
  • For Dancers: Full class participation with floor work, jumps, partnering, and complex combinations. Neck and head movements are allowed but be aware of recurring symptoms.
  • Before you are cleared, you must meet with your athletic trainer to discuss how your full contact practice or dance class went. Your athletic trainer will speak with the supervising physician and then you will be notified about your updated status.

Concussion Protocol Follow Up Checklist

After a suspected or confirmed concussion, symptoms may change from day to day. Some symptoms appear immediately, while others may develop or worsen over time. Daily symptom monitoring is a required part of Elon University’s concussion management process for Club Sports and Performing Arts participants.

The Concussion Protocol Follow-Up Checklist is used to track symptoms during recovery and to support safe decisions about physical activity and return to play or performance.

Download the Printable Checklist

A printable version of the Concussion Protocol Follow-Up Checklist is available for download. Students may print and complete the form by hand or use it to guide daily symptom reporting.

Purpose of the Checklist

This checklist is designed to:

  • Monitor concussion symptoms on a daily basis following injury
  • Document symptom presence and severity over time
  • Help identify patterns, improvement, or worsening symptoms
  • Support communication between the student, athletic trainer, and supervising medical staff
  • Ensure a safe and gradual return to physical activity, sport, or dance

Completing the checklist consistently helps protect student health and reduces the risk of returning to activity too soon.

When the Checklist is Used

The checklist should be completed:

  • Daily after a concussion, beginning the day following injury
  • Until the student reports zero symptoms
  • Any time symptoms worsen or reappear

Students are expected to complete the checklist as part of the concussion return-to-play or return-to-dance process.

How to Complete the Checklist

  • Rate each symptom honestly. Symptoms are rated using a numerical scale from 0 (none) to 6 (severe).
  • Complete all sections. This includes symptom severity, activity-related symptom changes, and overall percent of normal feeling.
  • Track changes day to day. The total number of symptoms and severity score help athletic trainers assess recovery progress.
  • Share the form as directed. The completed checklist is reviewed by the athletic trainer and may be shared with supervising medical staff.
  • Do not return to activity without clearance. Advancement through return-to-play or return-to-dance steps occurs only after symptoms have resolved and clearance is given.

Important Reminders

  • This checklist does not replace medical evaluation.
  • If symptoms worsen, new symptoms appear, or red flag signs are present, medical attention should be sought immediately.
  • Returning to play or performance too early increases the risk of prolonged recovery or additional injury.