Tuesday, May 21, 2013
Tuesday, May 21, 2013

Don't rush, DeSean

Why Jackson's return from a concussion could take a while.

15 comments

Don't rush, DeSean

POSTED: Tuesday, October 26, 2010, 10:43 PM

DeSean Jackson, 9 days removed from the concussion he suffered in a horrific collision with the Falcons' Dunta Robinson, was on Comcast SportsNet's "Daily News Live" on Tuesday afternoon. It was the first interview he had done, post-concussion. In the middle of the interview, it dawned on me that Jackson had not yet been asked if he'd been knocked out on the field. Well, he said he was.

That changes things. For everyone who seems so certain that Jackson will be returning to the field for the Eagles' next game against Indianapolis (following this Sunday's bye week), I say maybe. I say maybe at best.

Much was made on Monday night of coach Andy Reid saying that Jackson had passed a concussion test. Well, after probing Jackson a little bit on DNL, it sounds as if he passed the very preliminary baseline test that is just the beginning of the stringent protocol for returning that Eagles head athletic trainer Rick Burkholder has devised. And it took 8 days for Jackson to pass that test. By comparison, after their recent concussions, quarterback Kevin Kolb and linebacker Stewart Bradley both passed much more quickly, in a day or 2.

Jackson was asked if he had yet been on a treadmill during the DNL interview. He said he had not, that he had just done some weight lifting so far and that he was taking it slowly because there is so much time before the next game. And that's all fine. But after passing that baseline test, there are five stages of activity tests that the player must pass, symptom-free, under Burkholder's protocol. Getting on the treadmill is the second step. This suggests Jackson is only at the start of the process.

From a column this summer in which I interviewed Burkholder:

The first phase involves easy exercise in a quiet room, with no impact. So the player rides a bicycle slowly, raising his heart level to only 30 or 40 percent of its maximum. Then he sits on a table and does leg lifts and some stretching. If he can do that and remain symptom-free for 24 hours, the player moves to the next phase. The 24 hours is required at the end of each step. If a symptom pops up, he repeats the previous step.

In the next phase, the heart rate is raised higher, the bicycle is exchanged for a run or walk on a treadmill, some additional strength training is attempted, and the quiet room is now the team's gym (but when it is relatively empty). The third phase ups the ante further with more work in a normal gym environment, adding in video-game playing and also exercises that involve more head movement.

"On average, it takes 3 or 4 days to get through the first phase, then a day or 2 to get through the second," Burkholder said. "Then, the third phase, when you start moving their head, can be a while. That can mess them up. The fourth phase is more sports-specific stuff: run pass routes, pass sets [for linemen], get their heart rate up, more weightlifting. The fifth phase, we put them into a bit of contact - maybe a drill where they're butting up against each other, but not tackling. Late in the season, I have to hit them myself with [padded] clubs, just to jar them a little bit, just to see how they do."

All of which means, Jackson has a way to go. And while every player is different and every concussion is different -- and if we have not learned that in the last few years, we have not learned anything -- we now know that Jackson was knocked cold and so was Brian Westbrook, last year. Westbrook came back in 20 days and suffered a second concussion in his first game back. And, well, the Indianapolis game would be 21 days after Jackson was knocked out.

Again, every concussion is different and Burkholder's protocol is relatively new. If Jackson were to come back for the Indianapolis game, he would have passed a more rigorous set of tests than Westbrook did. All of that is good.

But we should all stop predicting. DeSean Jackson will be back when he is ready to be back -- and hopefully not a moment sooner.

15 comments
Comments  (15)
  • 0 like this / 0 don't   •   Posted 12:52 AM, 10/27/2010
    That hit was brutal. I don't know, mebbe the best thing to do is shelf him for the season, hate to say. Another pop anytime soon and he's Westbrook.
    hallux
  • 1 like this / 0 don't   •   Posted 1:38 AM, 10/27/2010
    Rich, I couldn't agree more. It's one thing to play through a soft tissue injury that you can't injure more. This is something that has unquantified, but documented lifelong effects. Hallux, I agree 100% with what you're saying. If this was as bad as it looked- and thanks to Rich's questioning, apparently it was- then I have no problem with Desean taking the rest of the year off. Honestly, if he retired tomorrow, I could understand the decision.
    maximusud
  • 0 like this / 0 don't   •   Posted 2:10 AM, 10/27/2010
    Reids solution: give him a cheesesteak and send him back in immediately.
  • 0 like this / 0 don't   •   Posted 4:57 AM, 10/27/2010
    This is a good lesson for the Eagles, don't send he skinny guy across the middle on short routes.
    Ken B
  • 0 like this / 0 don't   •   Posted 7:45 AM, 10/27/2010
    If ever there was a pass that should have been thrown into the ground.
    Dexter
  • 0 like this / 0 don't   •   Posted 7:51 AM, 10/27/2010
    Or don't hang the skinny guy out to get rocked when a CB is sitting right there...
    EaglesBleedMoney
  • 0 like this / 0 don't   •   Posted 8:38 AM, 10/27/2010
    No reason to rush him back - the Eagles are going nowhere. Best thing is to lose every game and draft a big DT. No more of the shrimps AR likes.
    4thand10
  • 0 like this / 0 don't   •   Posted 8:52 AM, 10/27/2010
    Ken b...yep sending a skinng guy across the middle dosen't work. That's why welker has been such a failure in New England. What dosen't work is having your QB hang a guy out to dry.
    oldeaglesfan
  • Comment removed.
  • 0 like this / 0 don't   •   Posted 9:59 AM, 10/27/2010
    Rich doesn't even know AP style... spell out "two."
    pmoehrle5
  • 0 like this / 0 don't   •   Posted 10:12 AM, 10/27/2010
    jet3to - let me applaud you in trying to label football players as soft, but instead make yourself sound like an abosulte idiot. Exhibit A - ice hockey players are tougher? What exactly is your basis for this statement? Last time I checked hockey players are covered from head to toe in pads, yes even shoulder pads. I am pretty sure Syndey Crosby would struggle to run a slant with Brian Dawkins coming right at him. Exhibit B - did you really reference A.I? I believe he plays basketball, not football. That was just a stupid comment. Exhibit C - See Exhibit A, hockey players wear shoulder pads as well moron. Exhibit D - Rugby is 100 times different than football. Rugby players don't spread out and throw the ball, they bunch up and run taking out any high speed collisions. Like comparing apples to oranges. Learn some things before you try and rip football players fool.
    EaglesBleedMoney
  • 0 like this / 0 don't   •   Posted 10:15 AM, 10/27/2010
    @ pmoehrle5

    It's disgraceful, isn't it? I'm scarred for life. How about you?
    thejimmylegs
  • 0 like this / 0 don't   •   Posted 11:23 AM, 10/27/2010
    Horrific-->>SPEARING, ASSAULT WITH INTENT TO INJURE<<---where's your sense, Rich. Did you ever get hit like that? DeSean willl never be the same. Better check yourself sometime.
    ItalianSausage
  • 0 like this / 0 don't   •   Posted 1:22 PM, 10/27/2010
    Hey Rich, please stop with the drama. And Sausage, "Desean will never be the same?" Really? Reading between the lines, I think he's fine right now, if anything, his shoulder is hurting him. Desean has been wary of big hits since getting plastered his junior year against USC. He actually plays a timid, defensive style of football which is why it was so odd seeing him get blind-sided that way. Anyway, he's not Westbrook who is expected to run the ball between the tackles 15-20 times per game. He just needs to play the way he normally does and chances are he won't ever get squared up like that again. It was a freak occurrence and thank God, not even a helmet to helmet hit. Desean has to understand that it's not in his interest to say to a town crier like Mr. Hoffman that he was "out on the field." Evidently, it will only lead to dire projections, hand-wringing, and epic fulminations about the hazards of professional football. After all, these kinds of articles allow Rich to believe that he's making a difference and not just opining about professional recreation. So strap it on and go play, you've got a few more of these before you need to worry.
    auntesther
  • 0 like this / 0 don't   •   Posted 2:09 PM, 10/27/2010
    DeSean Jackson was irresponsible and foolish for stepping on the field once this year without at least an $8 million check in the bank from the Eagles and the Eagles are completely classless for making him risk his livelihood without compensating him fairly. There is no cap, nothing but their own immorality, to stop them from cutting him an $8 million check for this season tomorrow. He should use the concussion to sit out until he has a new deal.
    jtj06


About this blog
Rich Hofmann arrived at the Daily News in 1980 for a job whose status was officially designated as "full-time, temporary." A senior at Penn at the time, he was hired to fill in on the copy desk during a staff illness. The notion of him covering the Eagles or being a columnist did not exist in anyone's imagination. It was supposed to be six weeks and out, but he never left. It is only one of the reasons why so many people have concerns about him as a potential house guest. Rich has blogged the postseasons of the Flyers and Eagles. E-mail Rich at hofmanr@phillynews.com Reach Rich at hofmanr@phillynews.com.

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