4734-8-09. Concussion management


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  • (A) General population.

    (1) Each licensee who assesses, diagnoses and/or treats concussed patients shall do so in accordance with nationally accepted standards and guidelines.

    (2) Each licensee who assesses, diagnoses and/or treats concussed patients shall maintain a level of continuing education that keeps pace with the evolving topic of concussion management.

    (3) Licensees may do all of the following in regard to concussion management:

    (a) Assess;

    (b) Diagnose;

    (c) Treat;

    (d) Grant clearance to return to activities of daily living;

    (e) Consult with, refer to, or collaborate with other licensed healthcare providers.

    (B) Youth sports participants.

    (1) As used in section 3707.51 of the Revised Code, "youth sports organization" means a public or nonpublic entity that organizes an athletic activity in which the athletes are not more than nineteen years of age and are required to pay a fee to participate in the athletic activity or whose cost to participate is sponsored by a business or nonprofit organization.

    (2) As used in this rule, "physician" means a person authorized under Chapter 4731. of the Revised Code to practice medicine and surgery or osteopathic medicine and surgery.

    (3) Diagnosis and treatment

    (a) Each licensee who treats youth sports participants shall diagnose and treat concussions in accordance with the "consensus statement on concussion in sport - the 5th international conference on concussion in sport held in Berlin, October 2016" and adopted on March 6, 2017. (available from the website of the state chiropractic board at: http://www.chirobd.ohio.gov) or with nationally accepted standards and guidelines consistent with that statement.

    (b) Each licensee who assesses, diagnoses and/or treats concussed patients shall maintain a level of continuing education that keeps pace with the evolving topic of concussion management.

    (4) Assessment and clearance

    Subject to the exemptions provided in paragraph (B)(5) of this rule, licensees shall only make an assessment and/or grant clearance to a youth sports participant to return to play:

    (a) In consultation with a physician;

    (b) Pursuant to the referral of a physician;

    (c) In collaboration with a physician;

    (d) Under the supervision of a physician.

    (5) A licensee with one or more of the following current credentials is exempt from the provisions of paragraph (B)(4) of this rule and may assess and/or grant a clearance to return to play to a youth sports participant:

    (a) Diplomate in chiropractic neurology recognized by the american chiropractic neurology board or the international board of chiropractic neurology;

    (b) Diplomate in chiropractic sports medicine recognized by the american chiropractic board of sports physicians;

    (c) Certified chiropractic sports physician recognized by the american chiropractic board of sports physicians and listed on the american chiropractic board of sports physicians national concussion registry.


Effective: 1/1/2019
Five Year Review (FYR) Dates: 11/19/2020
Promulgated Under: 119.03
Statutory Authority: 4734.10, 3707.521
Rule Amplifies: 3313.539, 3707.511
Prior Effective Dates: 11/19/2015