The Combat Sports Concussion Protocol is a structured, stepwise approach designed to protect athletes who sustain concussions in high-impact sports such as boxing, mixed martial arts (MMA), and wrestling. These sports carry a significant risk of head injuries due to the nature of direct blows and physical contact. Proper management of concussions in combat sports is essential to minimize the risk of further injury and promote safe recovery.

The first crucial step in the protocol is the immediate removal of the athlete from all competition or training activities once a concussion is suspected. Continuing to participate while symptomatic can exacerbate brain injury and lead to prolonged recovery or more severe complications. Following removal, a thorough medical evaluation is essential. A qualified healthcare professional experienced in concussion management assesses the injury's severity and guides the athlete through the recovery process.

Once a concussion is confirmed, the athlete begins a carefully phased return-to-play plan. This stepwise progression starts with complete rest, allowing the brain time to heal without additional stress. The athlete then gradually advances through stages that progressively increase physical and cognitive demands. Early stages may include light aerobic exercise and simple movement drills that do not provoke symptoms. As recovery continues, the athlete is reintroduced to sport-specific training at low intensity, focusing on controlled techniques and non-contact drills.

The final phases involve gradually increasing intensity and complexity of training, ultimately leading to full participation in combat activities, including sparring and competition. Crucially, each stage requires the athlete to be symptom-free for at least 24 hours before progressing. If any symptoms return, the athlete must step back to the previous phase to allow further healing.

This protocol’s gradual and monitored approach prioritizes the athlete’s long-term brain health and safety. By ensuring a full recovery before resuming high-impact activities, it reduces the risk of repeat concussions and other complications. Following the Combat Sports Concussion Protocol helps athletes return to their sport confidently and safely, preserving their health and athletic careers.