What is a concussion? Does my child have to be knocked out to have one?
Guideline- USA
- CDC HEADS UP
- NFHS concussion guidelines
- Youth sports
- Ages 5-17
- Middle school
- High school
- 2025 guidance
- Parents
- Coaches
A concussion is a type of traumatic brain injury. CDC HEADS UP says it's caused by a bump, blow or jolt to the head, or a hit to the body that makes the head and brain move quickly back and forth. It can change how a child thinks, learns, feels, acts and sleeps.
No, they don't have to be knocked out. NFHS guidance (2023) notes that fewer than 5% of athletes with a concussion lose consciousness.
Other key facts:
- The athlete doesn't have to be hit directly on the head.
- A concussion usually doesn't show up on a CT or MRI scan, because it affects how the brain works rather than its structure.
- There's no such thing as a minor brain injury. Don't call it a "ding" or getting your "bell rung".
- Every suspected concussion should be taken seriously, and the child should be seen by a health care provider.
Added 21 Oct 2026