Following a concussion, it is common for children and adolescents to experience difficulties in the school setting. Cognitive difficulties, such as learning new tasks or remembering previously learned material, may pose challenges in the classroom. The school environment may also increase symptoms with exposure to bright lights and screens or noisy cafeterias and hallways. Unfortunately, because most children and adolescents look physically normal after a concussion, school officials often fail to recognize the need for academic or environmental adjustments. Appropriate guidance and recommendations from the pediatrician may ease the transition back to the school environment and facilitate the recovery of the child or adolescent. This report serves to provide a better understanding of possible factors that may contribute to difficulties in a school environment after a concussion and serves as a framework for the medical home, the educational home, and the family home to guide the student to a successful and safe return to learning.
1.Pediatrics. 2013 Nov;132(5):948-57. doi: 10.1542/peds.2013-2867. Epub 2013 Oct 27.
Halstead ME, McAvoy K, Devore CD, Carl R, Lee M, Logan K; Council on Sports Medicine and Fitness; Council on School Health.
Collaborators: Brenner JS, Demorest RA, Halstead ME, Kelly AK, Koutures CG, LaBella CR, LaBotz M, Loud KJ, Moffatt KA, Brooks M, Martin SS, Gregory A, Kluchurosky LK, Philpott JF, Emanuel A, Devore CD, Allison MA, Ancona R, Attisha E, Barnett S, Holmes BW, Kjolhede C, Lerner M, Minier M, Okamoto J, Young T, Duff C, Grant LM, Johnson V, Vernon-Smiley M, Giola G, Pengel K, Yeates K, Guinn-Jones M.