Exercise Leader notes

Session set up

Have zoom fill up half of the screen and the exercise protocol on the other half so that you can always see what is next and monitor their HR. Have a timer running so that every 5 minutes you can ask for symptoms and RPE so that the SO can record.

Heart Rate

Make sure to look up the target HR before the session begins and keep the participant within that range.

Target HR for Aerobic

65-80% of their symptom threshold max HR. This is found during their fitness at the time they terminate the test. (Whether it’s due to symptoms +3, exhaustion, etc) If it begins to go up, have them take water and breathe before moving onto the next exercise.

Target HR for Balance

Below 65% of their symptom threshold max HR.

Movement

Make sure that they are not moving their head up and down or side to side this may exacerbate concussion symptoms

Cool Down

Make sure the participant has their HR coming back down and be able to see their breathing slow down.

Symptom Increases

If symptoms increase +3 above baseline (minute 0 of the session) 1-minute break and reduce to 60% ST. If symptoms increase again, 1 min break and reduce to 40% (~100-110 bpm). If symptoms still increase, stop the session.

Encouragement

Some positive encouragement statements, referring to them by name. Say at least 1 per exercise
- Great work, insert name! - Keep up the intensity insert name! (aerobic only) - Looking strong! (aerobic only) - Heart rate is looking strong! (aerobic only) - You are doing excellent! - Great form! - Great job with those insert exercise! - Great job engaging your core! (more geared for balance) - You are working so hard, insert name. - This is making you stronger! (especially if you see them struggling) - Finish these last # of seconds strong! You’ve got this!