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Josh Allen in concussion protocol: Update cleared 10/5


YoloinOhio

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14 hours ago, Kelly the Dog said:

In one of the clips of Josh today, he is rolling out slowly, they roll a giant blue plastic ball at him, he has to hop up over and out of the way of the ball, (a very simple move) then throw. Don’t think they would be doing that if they had any worry whatsoever about his head. 
 

 

 

Um, no, the drill isn't to hop over the ball.  In the first clip, he actually starts to try which is the wrong reaction.  It's a footwork drill, and the right reaction is to use normal QB footwork and adjust out of the way.  They're trying to train the "hop over" reaction out of him and help him retain proper footwork in  a muddy pocket.

 

I kind of agree that isn't a "worried about his haid" drill but it's also all about the independent neurologist.

 

8 hours ago, JESSEFEFFER said:

I had to do a search on a "dirty martini" and have to admit that it is not what I was hoping it might be.

 

Does not appeal to me at all.

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10 hours ago, JESSEFEFFER said:

If the limitation is no contact and contact is never part of a QB's practice anyways, then what is the restriction?  I suspect he's a full participant with a meaningless restriction.

 

Marcel what’s his name, our new ESPN beat guy pointed that out on twitter yesterday. The team can play a little gamesmanship with the QB in concussion protocol, because QBs are always “limited/no contact” in practice anyway, so why not drag out the time the other team has to prepare for two different QBs. What will be telling is if Webb is brought up to the 53 by the roster deadline of 4pm Saturday. 

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Watching these videos....he looks sluggish.

 

Im sitting him this week. He will get two weeks off and most likely be back to normal. 

 

If you think for 1 second he will run and slide every time Sunday, you are nuts. Titans defense can get pressure and get a hit. 

 

I dont want to be saying by the end of the year "Yeah....he hasnt looked the same since he got knocked out of two games in a row."

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2 minutes ago, Wayne Cubed said:

If he clears protocol, which means he is fine, why would you sit him? He represents the Bills best chance of wining.

 

There is no risk if he clears protocol, people understand that right?

 

If he is cleared he will play. It isn't even a question.

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1 hour ago, jimmy10 said:

 

Marcel what’s his name, our new ESPN beat guy pointed that out on twitter yesterday. The team can play a little gamesmanship with the QB in concussion protocol, because QBs are always “limited/no contact” in practice anyway, so why not drag out the time the other team has to prepare for two different QBs. What will be telling is if Webb is brought up to the 53 by the roster deadline of 4pm Saturday. 

 

So despite the concussion protocol being in the final hands of a "independent neurological consultant", Marcel Louis-Jacques raises the point that the team physician signs off first, the INC confirms.  So if the team physician drags his feet....the player's time in concussion protocol can be extended.

 

Interesting.  Of course, that does have its risks....if the team physician sends the player to the INC at the last moment and the INC doesn't concur, there might not be time for a rest and do-over.  Could backfire.

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3 minutes ago, Hapless Bills Fan said:

 

So despite the concussion protocol being in the final hands of a "independent neurological consultant", Marcel Louis-Jacques raises the point that the team physician signs off first, the INC confirms.  So if the team physician drags his feet....the player's time in concussion protocol can be extended.

 

Interesting.  Of course, that does have its risks....if the team physician sends the player to the INC at the last moment and the INC doesn't concur, there might not be time for a rest and do-over.  Could backfire.

 

The INC can clear him verbally and not sign off

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15 minutes ago, Wayne Cubed said:

If he clears protocol, which means he is fine, why would you sit him? He represents the Bills best chance of wining.

 

There is no risk if he clears protocol, people understand that right?

 

In case you've missed it, there is a claque here which believes Barkley is a better QB than Allen at this point because Reasons.

 

Not entirely sure what those Reasons are - my kindest interpretation is they believe Barkley is more careful with the ball, better able to read defenses, and has a quicker release and that this is more important than Allen's undeniably greater physical talents.  The basis for this belief is apparently last year's Jets win is believed to represent the real Barkley, while his 6 2016 starts in Chicago (8 TD, 14 INT, 4 fumbles) somehow represent an aberration that need not be considered.  The fact that in 1 Q of play vs NE, he was on track for something like 4 INTs and 4 fumbles when projected to an entire game also need not be considered.

 

It's true that Barkley is better able to read defenses at this point, and thus makes quicker decisions, but his arm strength is strictly limited.  Defenses are better able to read him, too.  I like Barkley, but anyone who thinks it's a Good Plan to sit Allen (if he's available) so Barkley can get it done is being selective with their cold hard football facts.

 

6 minutes ago, thebandit27 said:

 

The INC can clear him verbally and not sign off

 

If the INC is truly independent, why would they buy in to gaming the system like that?

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12 hours ago, DrPJax said:

I think you are right , there is really no diff between stage 4 or 5 for a QB , except that stage 5 would imply a second day of full practice , followed by a computer test called the IMPACT test the next day to be sure josh has reached his baseline scores ( prior to the injury) and that his scores remain stable. If his score regressed tomorrow it would probably mean another day in stage 4 of the protocol which really only means he would be retested on computer again on Saturday.  I believe if his score is stable tomorrow ( test done after sleeping after having finished a full practice ; the normal sleep part is important as many times patients with lingering symptoms or post concussion syndrome will have difficulty sleeping after exertion ) theoretically he would no longer need to be tested past Friday.   The IMPACT test is the only FDA approved protocol for management of concussion and used by the NFL, olympics , FIFA,  most high school athletic associations across the country and many colleges as well. 
Here is a link to the impact test site with a short video explaining its use. https://impactconcussion.com/?utm_source=google&utm_medium=paid_search&utm_campaign=impactproduct&ads_cmpid=6549852907&ads_adid=76904728725&ads_matchtype=b&ads_network=g&ads_creative=385367805553&utm_term=impact concussion&ads_targetid=kwd-314225683657&utm_campaign=&utm_source=adwords&utm_medium=ppc&ttv=2&gclid=Cj0KCQjwuNbsBRC-ARIsAAzITufx6xQwglg6Gk2R2C4wShszuAnxePkx9hEGac068cFN6ezuZRApp5gaAuudEALw_wcB   ( hope that works ) .

 

Here is a link for the SCAT5  (  sport concussion assessment tool version 5 ) that has a really nice handout used by clinicians and the last two pages really define the protocol stages for progressive return to exercise , school and studying that is a nice resource and defines what a concussion is and what cardinal signs to look for. This is used for quick ( ten min test Immediately after a witnessed possible concussion or brain injury) on the field ; sideline assessment for initial screening, then formal IMPACT testing occurs later or 24 hours after injury and compared to baseline. https://bjsm.bmj.com/content/bjsports/early/2017/04/26/bjsports-2017-097506SCAT5.full.pdf

The following is the actual consensus statement on concussion in sport that was published from the conference in Berlin in 2016 and shows the multitude of experts brought together to develop the protocol or concussion policy that is in use today by the NFL. Don’t be put off by now formal it looks. It is nicely summed up in italics as you scroll thru the short paper. Pretty ingesting to see the actual report that was the basis for everything. 
https://bjsm.bmj.com/content/bjsports/51/11/838.full.pdf.   Hope  that is helpful. I think you are spot on tho that for a qb there is no function diff between stage 4 or 5 , except for just an additional 24 hours to show stability and no regression post exertion. ?

 


 

 

 

I would legitimately struggle with the concentration test under any circumstance. 

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12 minutes ago, Hapless Bills Fan said:

 

In case you've missed it, there is a claque here which believes Barkley is a better QB than Allen at this point because Reasons.

 

Not entirely sure what those Reasons are - my kindest interpretation is they believe Barkley is more careful with the ball, better able to read defenses, and has a quicker release and that this is more important than Allen's undeniably greater physical talents.  The basis for this belief is apparently last year's Jets win is believed to represent the real Barkley, while his 6 2016 starts in Chicago (8 TD, 14 INT, 4 fumbles) somehow represent an aberration that need not be considered.  The fact that in 1 Q of play vs NE, he was on track for something like 4 INTs and 4 fumbles when projected to an entire game also need not be considered.

 

It's true that Barkley is better able to read defenses at this point, and thus makes quicker decisions, but his arm strength is strictly limited.  Defenses are better able to read him, too.  I like Barkley, but anyone who thinks it's a Good Plan to sit Allen (if he's available) so Barkley can get it done is being selective with their cold hard football facts.

 

 

If the INC is truly independent, why would they buy in to gaming the system like that?

 

It definitely happens.

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14 minutes ago, Johnnycage46 said:

If Allen is cleared...do you think he should still sit?  If so, why don't we just cut him...what is the point of sitting him if he is cleared?  Isn't the point of drafting him to play him?

You would have thought so. It all depends on how McDermott wants to manage the concussion/ development. 

 

If he's fine does McDermott want to let him ponder for a couple weeks. If it's close does McDermott air on the side of caution. If he's fine does McDermott believe the best way is for him to play.

Just now, thebandit27 said:

 

It definitely happens.

I don't think it's that people believe Barkley is better per se, I think it's to do with what in the bigger picture develops Allen more. Another two week gap watching and learning and back for the dolphins, or to play straight away and learn by doing.

 

No concussion and there wouldn't be a conversation.

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