Table 3.

Progressive return to play activities and progression criteria.

Stage	Stage 1	Stage 2	Stage 3	Stage 4	Stage 5	Stage 6
Activity	Complete rest	Symptom limited light activity (indoor trainer or non cycling activities) with added rehabilitation	Up to 70% of MHR or 50% of FTP power for up to 30min. Performed on indoor trainer.	Up to 90% of MHR or FTP power for up to 30 min. Performed on indoor trainer. Can follow with 30 min ride in the field with one rider as supervision or 30 min roller session with no errors.	No restriction of intensity or intensity	Return to normal training
Duration	24–48 h	Min 1 day	Min. 1 day	Min. 1 day	Min. 1 day	Min. 1 day
Progression to next stage	24–48 h	When symptom free and preferably only after repeat medical assessment	If no symptoms provoked by exercise (headache, dizziness, nausea)	If no symptoms provoked by exercise (headache, dizziness, nausea) and no roller error or technical error in the field	If no symptoms provoked by exercise (headache, dizziness, nausea) and no technical error in the field	If no symptoms provoked by exercise (headache, dizziness, nausea) and no technical error in the field