Concussion Management

Board Rule 4734-8-09 governs Concussion Management. The rule places concussed individuals into two categories:

General Population

Any individual who does not meet the definition of a youth sports participant.

Concussion Management of the General  Population

Any licensed chiropractic physician who assesses, diagnoses, and/or treats any member of the general population must do so in accordance with nationally accepted standards and guidelines and must maintain a level of continuing education that keeps pace with the evolving topic of concussion management.

General Population FAQs

Youth Sports Participants

Individuals who participate in sports activities organized by a youth sports organization.

Youth sports organization is a public or nonpublic entity that organizes an athletic activity in which 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.

Concussion Management of Youth Sports Participants

*Ohio licensed chiropractic physicians may only make assessments and/or grant clearance to a youth sports participant to return to play under the following conditions:

  • In consultation with an MD or DO;
  • Pursuant to the referral of an MD or DO;
  • In collaboration with an MD or DO;
  • Under the supervision of an MD or DO.

*A licensee is exempt from the MD/DO consultation, referral, collaboration and supervision requirements if he or she currently possesses any of the following credentials:

  • Diplomate in chiropractic neurology recognized by the American Chiropractic Neurology Board (DACNB);
  • Diplomate in chiropractic sports medicine recognized by the American Chiropractic Board of Sports Physicians (DACBSP);
  • 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 (CCSP/ACR).

Youth Sports Participants FAQs

Important Links

      • Ohio Youth Sports Concussion and Head Injury Guidelines Committee
      • Ohio Department of Health Concussion Information Sheet
      • Online Concussion Management Training
      • Ohio’s Return to Play Law: Frequently Asked Questions 
      • Ohio’s Return to Play Law: What Coaches and Referees Need to Know 
      • Ohio’s Return to Play Law: What Parent/Guardians Need to Know 
      • Link to CDC’s HEADS UP to Health Care Providers
      • Additional Concussion Resources 
The state of Ohio is not responsible for the content of external websites. A link to a non-governmental website does not constitute endorsement. 


Kelly Caudill, Executive Director
77 South High Street, 16th Floor
Columbus, OH 43215
614-644-7032 | 888-772-1384
Fax 614-752-2539