'MCguidance said:
'Scooby1974 said:
'Sweet Love said:
'unckeyherb said:
McCoy to see a Concussion Specialist in Pittsburgh...
Link
Still in Phase 4 of the concussion program, LeSean McCoy and Michael Vick have been ruled out for Week 14.
McCoy was sent to the concussion center in Pittsburgh, which is never a good sign. He's been very tired at night and still has symptoms when active. Neither player has passed his ImPACT test, though both are taking it again on Friday. Vick is working out at a high level, but his reaction time is still an issue. We wouldn't expect either player to be available for Week 15. Dec 7 - 1:09 PM
Did McCoy take a step back? Not sure whether it was a mistake in the article/tweet, but I thought he was in phase 3?
FYI. If he was in stage 3 and now he's in stage 4...that would be progress.
I thought I read somewhere that even though it might seem like progress, the later stages are the ones where progression occurs more slowly. 1-3 are quicker than 4-5. Not sure, though.
I was researching this and I posted most of an article and a link below that details a lot of Vick's rehab but in general sheds light on the concussion protocol process.I bolded the part that discusses the phases. Maybe I'm wrong on how I'm interpreting this article and if so I welcome people telling me that but it sounds to me like the phases are just a part of the rehab process and these "rehab phases" are really just one of a 4 part process. Judging from the article an increase in phases simply means putting in a symptom free workout at higher heart rates. I'm not sure if a player can even regress in his phases but I think a lot us assumed when a player increased his phases he was passing baseline tests or getting positive results back from his exams but I'm not sure that has anything to do with it.
http://www.bostonglobe.com/sports/2012/12/02/nfl-teams-have-strict-protocols-players-returning-after-concussions/CoKuuuNf8AivtGFFEDCqVO/story.html
There are basically four components: the baseline cognitive test, a rehab program, the independent neurologist, and the team physician. A player may pass most of the criteria, but he will not be cleared until he passes all of it.
■ Baseline: The Eagles use the ImPACT Test, which is short for Immediate Post-Concussion Assessment and Cognitive Testing. Each player is given a baseline brain test before the season starts. He will not clear the ImPACT test until his postconcussion baseline test is close enough to the preseason exam.
“It’s sensitive enough that you know that they can’t fudge it,” Burkholder said. “We’re dealing with symptoms, and when we’re dealing with symptoms, the players have to tell me what they are and I have to believe them.
“On this ImPACT test, there’s enough sensitivity in the test that they can’t fudge it. They can’t get away [with it]. It’s matching and matching designs and looking at and recognizing colors and stuff like that that they can’t hide.”
■ Re
hab: There are five phases, in which the heart rate is increased each time, and the player has to go through it without showing symptoms — 30 to 40 percent of target heart rate; 40 to 60 percent (including some dumbbell and balance work); 80 percent with sprint work, full weight work in a noisy environment; return to football activity with non-contact skill work; and finally contact football work.
Usually, 24 hours of recovery is given between each phase, and the players must emerge asymptomatic from each one.
■ Team physician: He or she will see the player a handful of times, and improvement is sought with each checkup.
■ Independent neurologist: Usually the final hurdle to make sure everything has checked out and that the player is ready to return to the field.
As far as Vick (left), he has been having trouble getting past the ImPACT test.
“He has not gotten back to baseline on that,” Burkholder said. “He’s still off in a few areas.
“That’s not alarming to us. It happens, and he will not return to total football practice until I can get him to do a little better on that ImPACT test, and that’s what I was telling you guys last week.
“None of this stuff is like, ‘Well, if he passed the ImPACT, does he do this?’ No, they’re all independent of each other. He’s got to fulfill this criteria.
“
Some guys pass the ImPACT right away and can’t get through the rehab program. Some guys get through the rehab program but can’t do the ImPACT test. Some of them do everything and won’t get cleared by the neurologist. Some won’t get cleared by [team doctor Gary] Dorshimer.
“That’s why I tell you that every day we take it day by day. In reality, he hasn’t checked anything off of his sheet yet except the first three phases of rehab.