Table 4.

Accommodations for Post-Concussion Physical Symptoms Affecting School

Post-Concussion Effect	Functional School Problem	Accommodation/Management Strategy
Headaches	Interferes with concentration, increased irritability	Rest breaks, short nap
Light/Noise Sensitivity	Symptoms worsen in bright or loud environments	Wear sunglasses, seating away from bright sunlight or other light.Avoid noisy/crowded environments such as lunchroom, assemblies, hallways.
Dizziness/Balance Problems	Unsteadiness when walking	Elevator pass, class transition prior to bell
Sleep Disturbance	Decreased arousal, shifted sleep schedule	Later start time, shortened day
Symptom Sensitivity (exertional effects)	Symptoms worsen with over-activity, resulting in any of the above problems	Reduce cognitive or physical demands below symptom threshold; provide rest breaks; complete work in small increments until symptom threshold increases