What Athletes, Parents, and Coaches Should Know About Concussions


A concussion is a bump, blow, or jolt to the body that causes bruising to the brain when it hits the skull. Any one of the following symptoms is enough to suspect a concussion:

  • Headache, nausea, or vomiting
  • Balance problems, dizziness, blurry or double vision
  • Sensitivity to light or noise
  • Feeling sluggish, hazy, foggy, or groggy
  • Confusion, problems with concentration or memory
  • Does not “feel right” or “feeling down”

McDonogh School’s Concussion Management Program

Concussions are extremely serious. When a student sustains a concussion or MTBI (mild traumatic brain injury), McDonogh School requires the student to complete a step-by-step recovery process before he or she may resume normal academic work, physical activity, and school life. Returning to any of these activities too soon may cause concussion symptoms to return. The brain needs time to heal.

This process is managed by McDonogh’s Concussion Management Team (school physician, athletic trainers, class deans, school counselors, a consulting neuropsychologist, and learning specialists). Teachers will be informed of the student’s progress and notified when that student is able catch up academically. Parents are encouraged to log on to XLNTbrain to track their child’s progress using the Guardian Instructions.

As long as a student has concussion symptoms, full cognitive and physical rest is expected. NO exercising the body and brain. NO computer screens. NO television. NO homework. NO reading.

Concussion Management System

McDonogh’s Concussion Management System (CMS) tracks injured students and serves as the primary means of communication among all constituents. The CMS provides a record of assessments, treatments, and recommendations, as well as a timeline for "return to learn" and "return to play."

  • Baseline Testing All student-athletes are required to take a neurocognitive baseline assessment from XLNTbrain to assist the athletic training staff in evaluating concussions. If a student suffers from a concussion, the test is given again as a means of comparison and to help determine when the student can "return to learn" and "return to play."
  • Post Concussion Once a student is symptom free, the XLNTbrain test is administered again. Post concussion scores must be equal to or better than baseline testing scores prior to starting McDonogh’s "return to play" protocol.
  • Return To Play Protocol Students must be symptom-free for 48 hours prior to starting the following "return to play" protocol. If at any stage of the five day program the student becomes symptomatic, he or she must go back to the previous stage and start from there.
    • Day 1: sustained cardiac activity for 20-30 minutes on bike
    • Day 2: higher intensity cardiovascular sprint workout
    • Day 3: run, sprint, and sport-specific activity for 30-60 minutes
    • Day 4: full non-contact practice
    • Day 5: full practice
    A final XLNTbrain test is given on the fifth or sixth day. Post-concussion scores must be the same or better than the baseline scores in order to return to play.

    Questions and More Information

    If you have any questions about XLNTbrain or McDonogh School’s Concussion Management Program, contact Head Athletic Trainer Marty Sataloff, ATC, LAT at msataloff@mcdonogh.org or 443-544-7147.

    For additional information, view the video Concussion Management and Return to Learn by Dr. Mike Evans.


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McDonogh School | 410.363.0600 |
8600 McDonogh Road | Owings Mills | Maryland | 21117