The Role of Rest and Gradual Return to Activities Post-Concussion

After a concussion, the path to recovery often begins with rest, followed by a carefully managed, gradual return to daily activities and sports. This approach is crucial to prevent the worsening of symptoms and to ensure a safe and effective recovery. At Revivo, our physiotherapy and neurology clinic in Toronto, we emphasize the importance of adhering to a structured rehabilitation process for individuals recovering from concussions. This post outlines the critical role of rest and a gradual return to activities post-concussion, offering guidance to patients and their families on navigating this essential phase of recovery.

The Initial Rest Period

Why Rest is Important: In the immediate aftermath of a concussion, the brain requires time to heal. Physical and cognitive rest helps minimize brain strain, reducing the risk of symptom exacerbation. This rest period involves limiting activities that require mental concentration and physical effort, including screen time, reading, and even some types of work or school tasks.

Duration of Rest: The optimal duration of rest varies, with recommendations typically ranging from 24 to 48 hours up to a few days after the injury, depending on the individual’s symptoms and medical advice. It’s crucial to follow the guidance of a healthcare professional who can tailor the rest period to the patient’s specific needs.

Gradual Return to Activities

After an initial period of rest, patients should not rush back into their usual routines. Instead, a step-wise approach to resuming activities is recommended, carefully monitoring symptoms at each stage.

Phases of a Gradual Return:

  1. Light Activity: Begin with light physical and cognitive activities that do not worsen symptoms, such as short walks or minimal school/work tasks.
  2. Moderate Activity: If light activities don’t exacerbate symptoms, gradually increase the intensity, incorporating more substantial cognitive tasks or moderate physical exercise.
  3. Return to Regular Activities: Progress to more regular activities, still avoiding contact sports or activities that pose a risk of head injury.
  4. Full Return: The final step is a return to all regular activities, including sports, once medically cleared.

Monitoring Symptoms

Throughout the recovery process, it’s vital to monitor symptoms closely. Any increase in symptoms or the emergence of new symptoms during the gradual return to activities should prompt a reevaluation by a healthcare professional. This might necessitate a return to an earlier phase of the recovery process or additional rest.

The Role of Healthcare Professionals

Guidance from healthcare professionals, including physicians, physiotherapists, and neurologists, is essential throughout the recovery process. They can provide personalized advice on the duration of rest, the pacing of activity resumption, and symptom management strategies.

Special Considerations for Children and Adolescents

Younger individuals often require a more cautious approach to returning to activities, particularly sports and school. Communication with educators and coaches is crucial to ensure that the gradual return to activities is managed appropriately, accommodating any necessary adjustments or accommodations.


Rest and a gradual return to activities are foundational elements of concussion recovery, emphasizing the need for patience and careful management to ensure the brain’s safe healing. At Revivo, we are dedicated to guiding our patients through this recovery process, providing support and expert care every step of the way. By adhering to a structured approach to rest and activity resumption, patients can achieve the best possible outcomes in their journey back to health and well-being post-concussion.

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