Concussions & Exercise: What You Need to Know
Written by Ariella Titman
Concussions are a type of traumatic brain injury caused by a sudden force to the head, neck, or even another part of the body that transfers impact to the brain. While often associated with sports injuries, concussions can happen to anyone—including individuals with neurological conditions who may be more vulnerable due to balance challenges, muscle weakness, or increased fall risk.
Understanding Concussions
A concussion results in short-term neurological impairment, meaning it can temporarily change how your brain functions. Symptoms may appear immediately or develop over 48 hours and can last from a few hours to several months.
Common Symptoms of Concussion
- Physical: Headaches, dizziness, nausea, vision changes, neck pain, seizures, or loss of consciousness.
- Cognitive: Feeling foggy, memory issues, difficulty concentrating.
- Emotional: Increased irritability, anxiety, sadness, or mood swings.
- Fatigue: Sleeping more or less than usual, low energy levels.
For individuals with neurological conditions such as cerebral palsy, multiple sclerosis, or stroke, concussion symptoms may overlap with existing challenges, making it harder to recognize.
If you experience any sudden changes in symptoms after a fall or impact, it’s important to seek medical advice.
How to Manage a Concussion
- Managing a concussion properly is crucial to avoid further complications. The key steps include:
- Recognize – Be aware of the symptoms and acknowledge when something doesn’t feel right.
- Remove – Stop any physical or cognitive activities that may worsen symptoms.
- Record – Keep track of symptoms to monitor any changes.
- Refer – Seek professional medical advice if symptoms persist or worsen.
Returning to Exercise After a Concussion
While rest is necessary after a concussion, prolonged inactivity can also slow recovery. A graded return to exercise is recommended, meaning a step-by-step approach to reintroducing movement and activity.
General Guidelines
- Initial Rest (24-48 hours): Avoid physical and mental exertion.
- Light Activity (After 48 Hours): Begin gentle movement such as stretching or slow-paced walking, but avoid activities that provoke symptoms.
- Gradual Increase in Intensity: Slowly reintroduce non-contact exercise (e.g., swimming, cycling, or light resistance training) under supervision.
- Return to Full Activity: Only resume full exercise, including strength training or contact sports, once symptom-free for at least 14 days.
Why This Matters for Neurological Conditions
For those with pre-existing neurological conditions, concussions can add an extra layer of complexity to daily function and rehabilitation. Symptoms like dizziness, fatigue, or cognitive fog may feel more intense or take longer to resolve. That’s why working with professionals like exercise physiologists is crucial—they can design a tailored recovery plan to help restore function safely.
The Risks of Multiple Concussions
If you experience multiple concussions (e.g., two within three months or three within a year), recovery should be approached with extra caution. A longer rest period (at least 28 days symptom-free) is recommended before returning to high-risk activities.
Key Takeaways
- Concussions can affect anyone, including those with neurological conditions.
- Symptoms may not always be obvious, so monitoring for changes is key.
- Proper management includes rest, gradual return to activity, and professional guidance.
- Exercise physiologists can help design safe recovery plans to support long-term health.
[lightweight-accordion title=”References“]
- Concussion – Diagnosis and treatment
- What to Do After a Mild TBI or Concussion
- What to Do If You Have a Concussion or Think You Might
- When Is It Safe to Work Out Following a Concussion?
- Exercise After a Concussion: What to Do if You Feel Worse
- What do we mean by “brain health” and why should you care about it?
- Understanding the Importance of Neurological Health
- Multiple Concussions: Long-Term Effects and Treatment Options
- About Repeated Head Impacts
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