Signs point against Westbrook's return

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Signs point against Westbrook's return

Andy Reid said last night that he was "counting on" Brian Westbrook to be ready when the Eagles play the New York Giants in an NFC East showdown Sunday at Lincoln Financial Field.

Based on medical guidelines for dealing with a concussion, however, that scenario seemed unlikely.

Brian Westbrook is helped off the field in Washington.
STEVEN M. FALK / Staff Photographer
Brian Westbrook is helped off the field in Washington.

"Right now, I'm counting on he'll be there, and I know he'll want to be there, so there is a fine line there because this guy is so competitive that he wants to be out there every minute," Reid said during his radio show on WIP-AM (610).

"We just have to make sure the tests come back and he's OK to play," the coach said.

Pennsylvania Hospital's Art Bartolozzi, the former team physician for the Eagles and Flyers, indicated that Westbrook would probably not be able to play Sunday or the following week, when the Eagles are at home against the Dallas Cowboys.

"If he was unconscious, he is probably out at least a few weeks," Bartolozzi said. "The brain is like a computer. Amnesia means the hard drive has been shaken. If you lose data, it tells you something is wrong with the computer."

Reid confirmed that Westbrook was both unconscious and experienced memory loss after taking a knee to the head from Washington Redskins linebacker London Fletcher midway through the first quarter of Monday night's game at FedEx Field.

The coach said it was a frightening moment, but he was relieved that his star running back was unconscious rather than paralyzed.

"That is scary," Reid said. "I think we all felt that. You don't want anybody to get hurt, but you'd rather have a knockout than somebody be paralyzed. Actually, by the time he came back [to the sideline] for the second half, he was really coherent and kind of with things. He didn't remember a thing, but he was with it at that moment."

Reid said Westbrook would undergo a battery of tests from trainer Rick Burkholder that would then be sent to Pittsburgh and eventually evaluated by the Eagles' team physicians. Bartolozzi said the University of Pittsburgh had computer-generated tests to measure the impact of a concussion.

According to the American Academy of Neurology's guidelines, Westbrook suffered a Grade 3 concussion because he lost consciousness and memory. That is the most severe level of concussion, according to the academy.

The Academy's Web site suggests that a player sit out one week after losing consciousness for a brief period (seconds) and two weeks after losing consciousness for a prolonged period (minutes). It appeared as if Westbrook had lost consciousness for at least a few minutes.

"He's OK," Reid said. "He's going to be OK, so . . . it's a matter of time now. We'll see where he's at as we get closer to the end of the week."

Westbrook, of course, has had to deal with his share of injuries during his career, but this is believed to be the first time he has had a concussion. Players that have experienced multiple Grade 3 concussions can be sidelined for as long as a month. Westbrook missed the Eagles' third game of the season, against Kansas City, because he sprained his surgically repaired right ankle.

It appeared as if Westbrook was about to become the focal point of the Eagles' offense again before Monday night's injury. After he accounted for a season high of 141 yards from scrimmage against Oakland, the Eagles called Westbrook's number three times on the first 10 plays against the Redskins. He picked up 13 yards on three running plays.

Rookie LeSean McCoy replaced Westbrook as the primary running back and did not have nearly as much success, running 14 times for 37 yards. Reid said McCoy would start against the Giants if Westbrook was unable to play.

Bartolozzi said it was difficult for players who suffered concussions to maintain their physical condition while they were recovering.

"One of the things that happens with a head injury is that, unlike other parts of the body, exercise does not help the recovery," Bartolozzi said. "It's tough to maintain the fitness because the brain doesn't like a lot of conditioning exercises."

 


Contact staff writer Bob Brookover at 215-854-2577 or bbrookover@phillynews.com.

 

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Posted 08:15 AM, 10/28/2009
dlscholt
Give him the two weeks off. I'd hate to lose to either the Giants or the Cowboys, but it's not worth B'West's long term health.
Posted 08:31 AM, 10/28/2009
azguz
don't bring him back too quick. we need him more for later in the year. Use desaunski and Maclin until then.
Posted 08:32 AM, 10/28/2009
mosquito killer
since we're pretending we're concussion experts, i'll give it a go too. there are 16 sets of guidelines for concussions, why did you choose the American Academy of Neurology guidelines, bob? the cantu guidelines for concussions call loss of consciousness for less than 5 minutes and amnesia up to 24 hours a grade 2 concussion. how long was westbrook out and how long was his amnesia. for that matter, how much longer to he feel symptoms of a concussion? sounded like he was ok after the game. most guidelines say that players can resume play DURING the game they were injured in if they are asymptomatic and it was their first concussion. how many concussions has westbrook had, bob? if you're going to pretend to know what you're talking about, you better to you're homework...
Posted 08:47 AM, 10/28/2009
sore richard
that hit scared me man - sit him out until its right for him to play... after watching some recent stuff on concussions (real sports), its just not worth it. Let the kid McCoy earn his stripes against the NFC east...
Posted 09:14 AM, 10/28/2009
babiesmakinbabies
If this was the flyers, they'd just say he got his bell rung and is experiencing concussion like symptoms...but it isn't a concussion.
Posted 09:20 AM, 10/28/2009
uncle doey
reality bites: the reporter here did his job and should be commended for putting two (amnesia) and two (unconscious) together to get four. as in four weeks minimum before brian can play. he took reid's own assessment and merely got an expert doc to comment.
Posted 10:25 AM, 10/28/2009
mosquito killer
uncle doey, bob put 2 and 2 together, he put 1 and 1 together and got a 1-sided story. bob wants to paint a dark cloud over the eagles, so he picks 1 concussion guideline (there are 16 different concussion guidelines) and 1 "expert" and shows us 1 side of the story; the gloom and doom side.
Posted 11:00 AM, 10/28/2009
Tom Man
ok - so rest him till ready - but Andy, that does not spell "go back to pass happy offense." Get these O-line guys to run block and use shady and buckley to drive them off the line - maybe even give play calling to Morningwheg - do something - cuz you know without westy you can't just drop back and pass all the time - the Giants will kill us!
Posted 11:26 AM, 10/28/2009
PatrickJG
Why would Fat E. Reid say he was counting on Westbrook, when he knows full well this is a level 3 concussion. All he cares about is getting him back, he could care less about his long term well being!
Posted 11:52 AM, 10/28/2009
tnjoe
the real question is " who is the running back that will play if mcCoy goes down? Just to show that management because of their goal to stay competive and sell tickets and jerseys" don't have a plan. Plans cost money!!!!
Posted 12:07 PM, 10/28/2009
philly499
Absolutely ridiculous for Reid to say he's "counting on his return" when he just had a major brain injury!!! Just be honest, man.....there's no way he's playing, this week or next. It would be dangerous.
Posted 12:09 PM, 10/28/2009
philly499
Switch Kolb to #2 and make Vick a RB.....that's where he belongs anyway.
Posted 01:48 PM, 10/28/2009
wickedworld
He should play when he is cleared to play, not when Reid wants him back. The reality is that the Eagles have real football teams to play for the rest of the year (aside from the 'Skins again). Couple the schedule along with consistently poor play from McNabb and the O-Line, the outlook for the season doesn't look that good with or without Westbrook.
Posted 04:24 PM, 10/28/2009
phila.atc
the important part is not what scale was used or what the grade of the concussion is. the important part is the symptoms he's experiencing. someone who actually went unconscious you're looking at a minimum of 3weeks (of no symptoms) before you can stress them to see if symptoms return. "counting on having him back next week"....this is why alzhemiers amongst other things are such a problem for retired NFL players!
Posted 04:34 PM, 10/28/2009
philly499
wickedworld....there's one thing to keep in mind, though....we all know Dmac has his "slump time" each year, and I'm thinking this is it. If he comes out and plays well Sunday, the slump may be out of the way and we go on a run. It can and should happen if he gets back the mojo right now. Westbrook is nowhere near as important as Dmac.
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