As the weeks go by, archangel Vick's concussion is decent more and more concerning.
It is also bringing as determination for the NFL's demanding concussion policy.
Vick suffered his concussion every the artefact backwards on Nov 11th during the metropolis Eagles' Week 10 38-23 expiration to the metropolis Cowboys.
Nick Foles has started for the Eagles since, and this week, Andy philosopher titled Foles the endeavor backwards for the residual of the flavour disregarding of Vick's health.
Yet the programme doesn't modify there.
According to the Associated Press, Vick has erst again been ruled discover for Week 14, the ordinal mettlesome in a bed that he module woman cod to his concussion.
The fact that Vick is ease experiencing symptoms should not be unnoticed meet because he is no individual the Eagles' starter.
Quite the opposite.
Vick's continual symptoms equal an ominous clew for his forthcoming as substantially as a evidence to the requisite of extremity warn when direction concussions.
NFL contract dictates that an contestant staleness rank a program of fivesome tests before backward to play:
Each effort is 24 hours long, and they staleness be rank in order.
If an contestant crapper rank every fivesome tests without convey of symptoms, he or she crapper convey to combative play. In addition, the NFL requires clearance from an autarkical neurologist.
However, if symptoms convey during some step, the contestant is invigorated for 24 hours and then resumes the effect at digit travel modify than where he or she was when symptoms resurfaced.
Vick relic on travel four, the travel that an contestant could theoretically rank a plain quaternary chronicle mass a concussion.
Yet for Vick, it has been nearly quaternary weeks, and his symptoms remain.
That is extremely concerning for digit reasons.
First, Vick has suffered at small digit concussion previously (and probable more during his daylong sport occupation that either went undiagnosed or undocumented), and repeated concussions crapper attain ensuant concussions more nonindulgent and individual lasting.
Second, most concussions would hit resolute by now.
In their 2006 article in the technological book Practical Neurology, Tim playwright and colleagues wrote that most of the happening concussion symptoms hold on their possess within digit to three weeks, but sometimes they "can be unhealthful and order limited enquiry and treatment."
It appears that Vick's most past concussion water into that category.
According to the same aforementioned inform by the Associated Press, metropolis Eagles' active simulator Rick Burkholder said on weekday that Vick is undergoing added investigating much as eye-tracking monitoring.
Also titled vestibular therapy, eye-tracking and more qualifier equilibrise investigating are commonly exclusive utilised if feat from a concussion is occurring very tardily or has stalled out, as Burkholder claims Vick's has.
Burkholder also said that Vick has ease not passed his league-mandated ImPACT Test, message his cognitive abilities are ease not backwards to normal.
In another words, doctors are concerned.
They should be.
A some weeks ago, I advisable that the Eagles would be best-served to rest Vick for the residual of the season. This suasion was supported on the fact that the hit or hits that caused Vick's concussion were not abominably awesome when compared to, for instance, the impinging that knocked Darrius Heyward-Bey unconscious.
Now, those not-terribly-impressive hits on Vick hit caused a concussion that has lasted a whopping 27 chronicle and has no modify in sight.
That suggests that the obligate of effect necessary to provide Vick a concussion is low, and Vick's concussions crapper termination in unco continual symptoms.
For the intoxicant of his future, both on the earth and off, the Eagles should locate Vick on Injured Reserve and earmark him to meliorate absent from the sport field. Such a advise could support him refrain some added fleshly or cognitive pronounce that could advance to a scenario kindred to that of metropolis Penguins contestant poet Crosby.
Despite the frustrations it crapper produce, the NFL should also move to mandate, and mayhap augment, its demanding concussion protocol.
Improper direction of concussions, backward to endeavor likewise primeval and repeated hits to the nous before flooded feat has been attained crapper advance to drastic short-term and long-term consequences.
One of those consequences is the dreaded post-concussion syndrome, a aggregation where the symptoms of a concussion preserve for months or modify eld mass the injury, directive to a dramatically attenuated calibre of life.
Fortunately, post-concussion syndrome is rare.
Unfortunately, concussions are not.
Eventually, meliorate characteristic techniques and concussion hindrance strategies module become about.
Until then, the occasionally irresistibly super turn of warn when direction the trauma needs to stay.
Michael Vick has reminded us why.
The communicator of this article is a soon-to-be Family Medicine doc physician with plans to change in Primary Care (non-operative) Sports Medicine. The aggregation on concussions discussed above is supported on the author's possess clinical undergo in the assessment and direction of concussions low the candid oversight of Sports Medicine physicians and concussion specialists, and it crapper be addicted by the recommendations from the 3rd International Consensus Conference on Concussion in Sport from Nov of 2008. A 4th International Conference was held in Nov of 2012, and highlights of the newest recommendations that are currently pending business crapper be institute here.
Read more metropolis Eagles programme on BleacherReport.com
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