Infection with the novel SARS-Coronavirus-2 (COVID-19) has halted virtually all formal participation in sport and exercise. At long last, public health guidelines have begun releasing timelines for a graded reintroduction of both recreational and competitive athletics. However, questions remain for those individuals with prior COVID-19 exposure/infection regarding the safety of returning to exercise.​ The “new normal” is one of the many terms we hear repeatedly as the country begins its return to normal activities from the COVID-19 pandemic. Keeping 6 feet apart from other people, wearing a mask and frequent washing of hands are three of those important warnings.  


Click on information below for more information regarding the return of athletics during this pandemic.



UPDATED RETURN TO PLAY PROTOCOL COVID-19

AYSMPTOMATIC or MILD CASES:

  • Symptoms: <4 days of fever, >100.4°F, <1 week of myalgia, chills, and lethargy
  • Perform Minimum 7- Days Graduated Return to Play in 5 Stages


MODERATE CASES:

  • Symptoms: ≥4 days of fever, >100.4°F,  ≥1 week of myalgia, chills, or lethargy
  • Non-ICU hospital stay and no evidence of multisystem inflammatory syndrome in children [MIS-C])
  • Athletes with High-Risk Conditions (Cardiac, Asthma, Obesity, etc.)
  • Evaluation by their primary care physician (PCP) is recommended and MD note to return to activities.
  • Gradual return to physical activity may be initiated after 10 days have passed from the date of the positive test result, and a minimum of 10 days of symptom resolution has occurred off fever-reducing medicine.


SEVERE CASES:

  • For children and adolescents with severe COVID-19 symptoms (ICU stay and/or intubation) or MIS-C, it is recommended they be restricted from exercise for a minimum of 3 to 6 months and obtain cardiology clearance prior to resuming training or competition. Coordination of follow-up cardiology care should be arranged prior to hospital discharge. Other testing may be ordered based on the child or adolescent’s sign and symptoms.


GRADUATED RETURN TO PLAY

​Stage 1: Day 1 and Day 2 - (2 Days Minimum) - 15 minutes or less: Light activity (walking, jogging, stationary bike), intensity no greater than 70% of maximum heart rate. NO resistance training.

Stage 2: Day 3
- (1 Day Minimum) - 30 minutes or less: Add simple movement activities (eg. running drills) - intensity no greater than 80% of maximum heart rate.

Stage 3: Day 4 - (1 Day Minimum)
- 45 minutes or less- Progress to more complex training - intensity no greater than 80% maximum heart rate. May add light resistance training.

Stage 4: Day 5 and Day 6
- (2 Days Minimum) - 60 minutes - Normal training activity - intensity no greater than 80% maximum heart rate.

Stage 5: Day 7
- Return to full activity/participation (ie, contests/competitions).

Smitty's Plan for O​rthopedic Rehabilitation & Training