The Cheerleading (Flyer) Concussion Return-to-Play (RTP) Protocol is a specialized recovery plan designed specifically for flyers—athletes who perform high-flying stunts and aerial maneuvers in cheerleading—who have sustained a concussion. Flyers face unique physical and cognitive challenges due to their role involving lifts, tosses, balance at height, and rapid mid-air adjustments, making a tailored concussion recovery essential for safe return.

This protocol follows a carefully staged progression to ensure flyers recover fully before resuming high-risk stunting activities. It begins with symptom-limited rest and light daily activity, progressing to low-impact aerobic exercise to support brain healing without exacerbating symptoms. As the flyer improves, the protocol introduces balance and coordination exercises off the mat to rebuild neuromuscular control critical for aerial stability.

Next, the flyer engages in dryland drills that simulate stunt positions and movements without actual lifts or tosses. Controlled on-mat activities without partner interaction follow, focusing on body control and core strength. The protocol then gradually reintroduces partner stunts starting with simple lifts at low height and limited complexity, progressing only after being symptom-free.

The final phase allows full participation in all stunt activities, including high tosses and complex aerial maneuvers, once the flyer is cleared by a healthcare professional and demonstrates complete symptom resolution at rest and during exertion.

At every stage, the flyer must be symptom-free for at least 24 hours before advancing, with any symptom recurrence requiring a step back for additional rest. This stepwise approach reduces risk of reinjury and ensures physical and cognitive readiness for the demanding flyer role.

Designed for flyers, coaches, trainers, and healthcare providers, this RTP protocol prioritizes safety and long-term brain health, offering a structured and sport-specific path for concussion recovery and confident return to high-flying cheerleading performance.