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This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and universities.

Rule 4734-8-09 | Concussion management.


(A) General population.

(1) Assessment, diagnosis and/or treatment of concussed patients shall be conducted in accordance with nationally accepted standards and guidelines. The licensee shall maintain a level of continuing education that keeps pace with the evolving topic of concussion management.

(2) A licensee 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 athletes.

(1) As used in section 3313.535 of the Revised Code, "interscholastic extracurricular activity" means a pupil activity program that a school or school district sponsors or participates in and that includes participants from more than one school or school district. Interscholastic athletics apply to public schools, including schools operated by school districts, community schools, and science, technology, engineering, and math (STEM) schools and private schools, including both chartered and non-chartered public schools.

(2) 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.

(3) As used in this rule, "youth athlete" means a participant in an interscholastic extracurricular activity under section 3313.539 of the Revised Code or a participant in a youth sports organization under section 3707.511 of the Revised Code.

(4) "Physician" means a person authorized under Chapter 4731. of the Revised Code to practice medicine and surgery or osteopathic medicine and surgery.

(5) Diagnosis and treatment of concussed youth athletes.

(a) Youth athletes shall be diagnosed and treated 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: or with nationally accepted standards and guidelines consistent with that statement.

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

(6) Assessment and clearance of concussed youth athletes.

(a) Subject to the exemptions provided in paragraph (B)(7) of this rule, licensees shall only make an assessment and/or grant clearance to a concussed youth athlete to return to play:

(i) In consultation with a physician;

(ii) Pursuant to the referral of a physician;

(iii) In collaboration with a physician;

(iv) Under the supervision of a physician.

(7) Exemptions.

(a) A licensee with one or more of the following current credentials is exempt from the provisions of paragraph (B)(6) of this rule and may assess and/or grant a clearance to return to play to a concussed youth athlete:

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

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

(iii) 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.

Supplemental Information

Authorized By: 3707.521, 4734.10
Amplifies: 3313.539, 3707.511
Five Year Review Date: 1/20/2026
Prior Effective Dates: 11/19/2015, 1/1/2019