What is the return-to-sport process after a concussion?

Rugby Canada's Concussion Policy sets a graduated return-to-sport strategy:

1. Symptom-limited activity (can start within 24 hours of injury)
2. Light aerobic exercise, then moderate (up to about 55%, then about 70% of max heart rate)
3. Sport-specific exercise away from the team, with no activities at risk of head impact
4. Non-contact training drills
5. Full contact practice, after medical clearance
6. Return to sport (normal participation)

• Allow at least 24 hours (or longer) for each step. If symptoms return or worsen, go back to the previous step; if they persist, see a physician again.
• Steps 4 to 6 begin only after symptoms and any cognitive or clinical findings have resolved, including with and after exertion.
• You must give Rugby Canada a medical clearance form signed by a physician after Stage 5 and before Stage 6.
• The policy says to expect a minimum of 1 week to complete the strategy, and unrestricted return typically takes up to 1 month after the concussion.
• Student athletes should complete a full return to learn (school) strategy before unrestricted return to sport.

Source: Rugby Canada Concussion Policy and Code (April 2025 Sport Integrity Policy Suite).