Pediatric Concussions: Special Considerations for Children

Children are particularly vulnerable to concussions, whether from sports, playground incidents, or everyday accidents. Pediatric concussions require special consideration due to children’s developing brains and their different responses to injury compared to adults. At Revivo, our Toronto-based physiotherapy and neurology clinic, we emphasize the importance of recognizing, managing, and supporting recovery from concussions in children. This post explores the unique aspects of pediatric concussions, highlighting the critical considerations for ensuring the best outcomes for our youngest patients.

Recognizing Concussion Symptoms in Children

Children may not always be able to articulate how they feel, making it essential for parents, caregivers, and educators to be vigilant for signs of concussion, which may include:

  • Apparent dizziness or imbalance
  • Nausea or vomiting
  • Unusual irritability or crankiness
  • Changes in eating or sleeping patterns
  • Lack of interest in favorite toys or activities
  • Loss of new skills, such as toilet training
  • Excessive crying or comfort-seeking

Immediate Steps After a Suspected Concussion

  1. Remove the child from play or activity immediately. Continuing activities can worsen the injury.
  2. Seek medical evaluation as soon as possible. A healthcare professional can assess the severity of the concussion and provide guidance on the next steps.
  3. Follow a period of physical and cognitive rest, as recommended by a healthcare provider, allowing the child’s brain to heal.

The Importance of Gradual Return to Activities

Children should only return to their regular activities, including sports and school, according to a step-by-step plan overseen by a healthcare professional. This gradual approach helps prevent the worsening of symptoms and reduces the risk of a second concussion.

Communication with Schools

Effective communication with the child’s school is crucial for managing a concussion. Adjustments such as reduced homework, extended time for tests, or breaks during the day may be necessary. School personnel should be aware of the child’s condition to provide the appropriate support.

Monitoring and Managing Symptoms

Long-term monitoring is vital, as symptoms can evolve or persist. Parents and caregivers should watch for any changes in behavior, academic performance, or physical abilities, indicating the need for further medical assessment or adjustments in the child’s recovery plan.

Emotional Support and Reassurance

Children may feel frustrated or upset about not being able to participate in their usual activities or struggling with symptoms. Providing emotional support and reassurance that they will get better is essential for their recovery.

Preventing Future Concussions

Educating children on safe play and sports practices can help prevent future concussions. Wearing the appropriate protective gear and ensuring that play areas are safe are also crucial steps in prevention.

Specialized Care for Pediatric Concussions

Children’s recovery from concussions can vary widely. Some may recover quickly, while others may experience symptoms for weeks or months. Accessing specialized care from professionals experienced in pediatric concussions can ensure that children receive the most appropriate treatment and support for their specific needs.


Pediatric concussions demand careful attention to ensure children’s safe and effective recovery. At Revivo, we are dedicated to providing specialized care for our youngest patients, supporting them and their families through the challenges of concussion recovery. By understanding the unique aspects of pediatric concussions, parents and caregivers can play a critical role in recognizing symptoms, seeking timely medical care, and supporting children through their recovery journey.

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