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Return-to-Play Concussion Protocol in Roseau, MN

At Erickson Family Chiropractic Center, we provide comprehensive concussion assessment, monitoring, and clearance services for student-athletes. We strictly follow the stepwise protocol required by the Minnesota State High School League (MSHSL) and high school administration, ensuring athletes recover safely and return to sports with full medical clearance.

 

Our process includes:

  • Immediate removal from play or practice if any concussion symptoms are present — no same-day return to competition.

  • Regular monitoring after injury to watch for worsening symptoms.

  • Evaluation by a qualified medical provider familiar with current concussion treatment guidelines.

  • A medically supervised 6-step return-to-sport process, with required school attendance and clearance before resuming competition.

 

MSHSL Stepwise Return-to-Sport Protocol:
24 hours is recommended at steps 1–3 and required at steps 4–6. Full school attendance is required at Step 4 and beyond.

  1. Very Light Activity – Symptom-limited activities such as walking; no symptom aggravation.

  2. Light Aerobic Exercise – Stationary cycling or brisk walking; no resistance training.

  3. Sport-Specific Exercise – Non-contact drills away from the team; light resistance training.

  4. Non-Contact Training Drills – High-intensity drills in a team environment; no contact.

  5. Full Contact Practice – Normal training activities with contact.

  6. Return to Game Play – Full competition participation.​

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If symptoms return at any step, the athlete moves back to the previous step until symptoms resolve. Final return to play requires written medical clearance from a licensed healthcare provider trained in concussion management.

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We partner with athletes, parents, coaches, and schools to ensure compliance with Minnesota State Statute 121A.38 and all MSHSL safety guidelines.

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