Concussion Return-to-Play Protocols: Baseball


Spend 1-2 days at each level before moving to the next. You should take approximately 1 week to complete the protocol.

If you develop symptoms, NOTIFY YOUR COACH OR TRAINER IMMEDIATELY. Rest one day, then resume at previous level

  • LEVEL 1 - Light aerobic exercise (increase heart rate); begin running, < 70% effort. Begin with 5-10 minutes, 10 min of rest, then another 5-10 minutes. Following days, gradually increase time up to 30 minutes continuous. Include upper and lower body stretching.

  • LEVEL 2 - Sport specific exercise (add movement); Advance to full speed running. Begin skills practice (running, throwing, catching, outfield fielding). No in-field, pitcher, or catcher position practice.

  • LEVEL 3 - Progress to Non-contact training drills (exertion, coordination, cognitive load); Advanced drills; batting cage or coach pitch, throwing from the mound (pitchers), base running, In-field practice & catcher practice. Multiple player (2 or more) drills. May begin resistance exercise (push-ups, sit-ups, weights).

  • LEVEL 4 - Full contact training after medical clearance; live drills, full team scrimmage, hitting live pitches. If you are able to train at Level 4 without symptoms, you may proceed to Level 5.

  • LEVEL 5 - Game play (may return to full participation)

Note: These return to play protocols are patterned after the generic return to play protocol proposed by the 4th International Conference on Concussion(1), and may differ from the UIL recommended protocol.

(1) McCrory P, Meeuwisse WH, Aubry M, et al.  Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012.  Br J Sports Med 2013; 47: 250-258.