Opener Chris Rogers is still dealing with the symptoms of concussion and has been ruled out of the second Test against the West Indies in Kingston, starting on Thursday.

Shaun Marsh is set to replace Rogers at the top of the order for the match at Sabina Park, as he did in the first Test.

Rogers was struck on the helmet at training in Dominica nine days ago before he experienced dizzy spells and a headache later that evening. He was subsequently ruled out of the first Test by the Bupa Support Team doctor Peter Brukner, a decision made in line with Cricket Australia's policy on concussion.

Video: Rogers ruled out of Dominica Test

At the time, Brukner said Rogers' symptoms were expected to subside in a few days and it was likely he would recover in time for the second Test.

But in an update provided on Sunday, Brukner said Rogers was still experiencing symptoms and today it was decided that the opener would again miss out.

"Chris has improved but he is still not 100 per cent so we are restricting his training (and) therefore he is unavailable for selection for the second Test," Brukner said.

"While most concussions resolve within a week there is a significant number who remain symptomatic and require a longer period of recovery. Unfortunately Chris is in this category.

"We will continue to monitor his progress and hopefully it will not be too long before he is back to full training."

Rogers with team doctor Brukner, coach Lehmann and captain Clarke // Getty Images

Speaking when Rogers was ruled out of the first Test, Brukner said cricket and most others sports are now taking a more conservative line in regards to concussions.

"I think most sporting organisations now have reviewed their concussion guidelines and we're certainly taking a much stricter approach than we did," Brukner said.

"This is consistent with the Cricket Australia approach to concussion.

"Concussion is a significant injury. We know that if the symptoms and the various tests that we've done are indicators that someone's not fully recovered then they shouldn't return to sport and that's the situation with Chris.

"And I know it's not an insignificant thing to rule someone out of a Test match. We don't do this lightly.

"But my first priority and Cricket Australia's first priority is to the individual player and his health. And that's why we've made the decision."