Injury Report: Trouba - returned from concussion 03/31

[Jetsfan79]

He was back in game action after what, 15-18 days roughly? Skating even sooner.

Given how hard of a hit he took and how he was unconscious and all, I think it's safe to say that's far too early. They may not have "rushed" him in the sense that they took shortcuts to get him back in the lineup, they were just following the league protocol after all. What I am saying though, is that the league is still not 100% up to date with it's view and action on concussions so by that stance, due to their so called ignorance compared to the latest medical studies, I would consider it rushing players back who may not be ready.

You just contradicted yourself. When asked to name a player the Jets rushed you said Patrick Laine. Now you say you believe the NHL standard of protocol could be faulty and the Jets simply followed it. If the standard is at fault, you cannot specifically blame the Jets for" rushing him". So yeah your back-pedalling here. But even at that, how can you be sure 15-18 days was not enough?. Not everyone recovers at the same rate. For all we know, he checked all the protocol boxes after 10 days and was sheltered a few days more just to be safe. Your not a doctor, you are not in his body, you don't know what tests were done. Very presumptuous to assume Laine was rushed as a matter of fact..

 

[bustamente]

Wheeler. Guy could get run over by the Zamboni and start the next period.

 

[KingBogo]

You just contradicted yourself. When asked to name a player the Jets rushed you said Patrick Laine. Now you say you believe the NHL standard of protocol could be faulty and Jets simply followed it. If the standard is at fault, you cannot specifically blame the Jets. So yeah your back-pedalling here. But even at that, how can you be sure 15-18 days was enough?. Not everyone recovers at the same rate. For all we know, he checked all the protocol boxes after 10 days and was sheltered a few days more just to be safe. Your not a doctor, you are not in his body, you don't know what tests were done. Very presumptuous to assume Laine was rushed and it is a matter of fact..

You add in the fact it has now been over a full calendar year without any subsequent concussion concerns there is nothing that would support he was rushed back.

 

[Peggy]

IMO it gets pretty old all this "rushing back players" and "hold the player out as a precaution" arguments. The Jets work with some of the most respected doctors in Winnipeg's medical community. People who would not be associated with risking further injury by being pressured by a sports organization to clear a player who wasn't medically fit. I think it is safe to say when the Jets clear players they have met industry standards for good medical care.

I've already stated that I never said the jets players do rush them. all I said is they shouldn't

I also said that I kind of forgot that trouba's original injury was an ankle injury
so that was my mistake

^

Ok @portamoral and @Peggy are two separate people right? I feel there is some confusing on some posts.

 

[KingBogo]

I've already stated that I never said the jets players do rush them. all I said is they shouldn't

I also said that I kind of forgot that trouba's original injury was an ankle injury

^

This wasn't directed at you. It was an overall impression from several posters across more than 1 thread.

 

[nobody important]

So tomorrow night is Jacob Trouba bobble head night....... I know it's too soon, but......... Oh come on, that's kind of funny!
Go Jets Go and get better Jacob!

Never too soon for black humour, but I freely admit to being somewhat of a twisted individual.

 

[EastRiver]

Anyone have a link to this minimum 7 days concussion protocol thing? Is this a Jets organization rule? I haven't been able to find the protocol anywhere.

Edit:

This is why I ask:

"There is no mandatory period of time that a Player must be withheld from play following a concussion, as the return to play decision is based on the individual circumstances of that Player." So just wondering if that is something the Jets staff has laid out?

I cannot find the original paper on the concussion protocol, with the accompanying evidence behind the 7 day protocol, but here is the link to the latest paper (Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016). The 7 day protocol is based on empirical evidence that has been collected over the years about the brain and its recovery from injury. Also the 7 day protocol incorporates seven stages (from no activity to light aerobic activity to full sport activity) each of which require one day to complete to monitor for the return of symptoms. Hope this answers your question, if not I can try to explain it more.

 

[Heldig]

The problem with concussions is the medical community dont have definitive treatments yet. Different sport organizations have adopted their own protocols.

From the International Conference on Concussions in Sports:

"Most consensus and agreement statements for managing SRC recommend that athletes rest until they become symptom-free. Accordingly, prescribed rest is one of the most widely used interventions in this population. The basis for recommending physical and cognitive rest is that rest may ease discomfort during the acute recovery period by mitigating post-concussion symptoms and/or that rest may promote recovery by minimizing brain energy demands following concussion.

There is currently insufficient evidence that prescribing complete rest achieves these objectives. After a brief period of rest during the acute phase (24–48 hours) after injury, patients can be encouraged to become gradually and progressively more active while staying below their cognitive and physical symptom-exacerbation thresholds (ie, activity level should not bring on or worsen their symptoms). It is reasonable for athletes to avoid vigorous exertion while they are recovering. The exact amount and duration of rest is not yet well defined in the literature and requires further study."

In other words, it really is a case by case basis. The NHL has a protocol (someone mentioned 7 days?). If the player can gradually increase his exercise levels symptom free until he is exercising at full speed then he gets cleared. At any point in the recovery if the athlete exhibits symptoms the protocol reverts to step 1 ie 24 to 48 hrs rest and the process repeats.

 

[ulf]

The problem with concussions is the medical community dont have definitive treatments yet. Different sport organizations have adopted their own protocols.

From the International Conference on Concussions in Sports:

"Most consensus and agreement statements for managing SRC recommend that athletes rest until they become symptom-free. Accordingly, prescribed rest is one of the most widely used interventions in this population. The basis for recommending physical and cognitive rest is that rest may ease discomfort during the acute recovery period by mitigating post-concussion symptoms and/or that rest may promote recovery by minimizing brain energy demands following concussion.

There is currently insufficient evidence that prescribing complete rest achieves these objectives. After a brief period of rest during the acute phase (24–48 hours) after injury, patients can be encouraged to become gradually and progressively more active while staying below their cognitive and physical symptom-exacerbation thresholds (ie, activity level should not bring on or worsen their symptoms). It is reasonable for athletes to avoid vigorous exertion while they are recovering. The exact amount and duration of rest is not yet well defined in the literature and requires further study."

In other words, it really is a case by case basis. The NHL has a protocol (someone mentioned 7 days?). If the player can gradually increase his exercise levels symptom free until he is exercising at full speed then he gets cleared. At any point in the recovery if the athlete exhibits symptoms the protocol reverts to step 1 ie 24 to 48 hrs rest and the process repeats.

And in Good Judgement we trust......that the player not rush himself back nor any member of any team encourage an early return.
Do you think this injury had an effect on Kulikovs decision to not have surgery just yet?

 

[Trilliann]

Wheeler. Guy could get run over by the Zamboni and start the next period.

 

[Channelcat]

This wasn't directed at you. It was an overall impression from several posters across more than 1 thread.

All this concussion hysteria is getting annoying. If you are suggesting that we can trust the Jets medical staff and processes, I agree! The 1290 guys are running with this narrative about the Jets being irresponsible or dishonest..... It's just laughable. C'mon guys, it's been all of 36 hours?

 

[YWGinYYZ]

The 1290 guys are running with this narrative about the Jets being irresponsible or dishonest...

I decided to check on coverage for the game tonight, and had to turn it off after 5m of Westwood's ranting. They're following proscribed concussion protocols, but Westy doesn't think this is enough, or that they're somehow being dishonest in their reporting of his condition?

What a shit-show. I remember why I don't listen - his rambling is incredibly annoying. I miss the days when the morning show was funny, and a nice diversion. Now it's a bunch of idiots with an opinion who take themselves far too seriously. I think I'll just tune in prior to game time from now on, like I've been doing.

 

[Aavco Cup]

I decided to check on coverage for the game tonight, and had to turn it off after 5m of Westwood's ranting. They're following proscribed concussion protocols, but Westy doesn't think this is enough, or that they're somehow being dishonest in their reporting of his condition?

What a ****-show. I remember why I don't listen - his rambling is incredibly annoying. I miss the days when the morning show was funny, and a nice diversion. Now it's a bunch of idiots with an opinion who take themselves far too seriously. I think I'll just tune in prior to game time from now on, like I've been doing.

I delay my gym time now until that show is over. Listen to the round table now instead. Less stress that way

 

[Channelcat]

And Ralph has been even worse. Nobody is jeopardizing Troubas health right now. People can relax, perhaps worry about their own blood pressure and mental health

 

[Koonta]

The only time I listen to 1290 now is on the bus coming home from a game on iheart radio and only after a win. Need something to pass the time but I still find myself muting the volume when certain callers phone in.

 

[Jets2point0]

Trying to filter through all the arguing here - is there an updated status and timeline for his return?

 

[Aavco Cup]

Trying to filter through all the arguing here - is there an updated status and timeline for his return?

No......

Latest from Maurice yesterday was he was feeling "pretty darn good" Trouba was in concussion protocol, was to see a specialist and they would have a better idea of things in a few days.

 

[GNP]

After watching the video, I'd say Trouba will be fine to go-- soon. He just got knocked down, and lost his balance getting back up. He got his bell rung, just like a lot of boxers who get knocked down in a fight--but many come back, and win the fight.

He was not laying on the ice like Laine, or other guys that I've seen take a wicked hit. Some of these guys are laying on the ice for 5 minutes.It looks to me like he'll be back in 7- 10 days ( if that) He got up right after he was hit, but lost his balance, but made it to the bench, and walked off thru the tunnel on his own steam-- he'll be fine. My opinion.

 

[Jet]

After watching the video, I'd say Trouba will be fine to go-- soon. He just got knocked down, and lost his balance getting back up. He got his bell rung, just like a lot of boxers who get knocked down in a fight--but many come back, and win the fight.
He was not laying on the ice like Laine, or other guys that I've seen take a wicked hit. Some of these guys are laying on the ice for 5 minutes.It looks to me like he'll be back in 7- 10 days ( if that) He got up right after he was hit, but lost his balance, but made it to the bench, and walked off thru the tunnel on his own steam-- he'll be fine. My opinion.

He stumbled going down the tunnel. Definite cause for concern.

It's been stated a million times because it's true - every injury and every person is different. Some people pop back up and then have a concussion later (see Mason/ Hutch). There is no way to know how severe or long it will be. It just has to play out.

I hope you are right, but it's not based on any science or fact.

 

[GNP]

He stumbled going down the tunnel. Definite cause for concern.

It's been stated a million times because it's true - every injury and every person is different. Some people pop back up and then have a concussion later (see Mason/ Hutch). There is no way to know how severe or long it will be. It just has to play out.

I hope you are right, but it's not based on any science or fact.

________________________________________________________

Well, you are right--in that everyone is different, but it didn't look that serious to me. Let's hope it's not to bad, and he's back rather fast.

 

[sipowicz]

No......

Latest from Maurice yesterday was he was feeling "pretty darn good" Trouba was in concussion protocol, was to see a specialist and they would have a better idea of things in a few days.

 

[YWGinYYZ]

After watching the video, I'd say Trouba will be fine to go-- soon. He just got knocked down, and lost his balance getting back up. He got his bell rung, just like a lot of boxers who get knocked down in a fight--but many come back, and win the fight.

He was not laying on the ice like Laine, or other guys that I've seen take a wicked hit. Some of these guys are laying on the ice for 5 minutes.It looks to me like he'll be back in 7- 10 days ( if that) He got up right after he was hit, but lost his balance, but made it to the bench, and walked off thru the tunnel on his own steam-- he'll be fine. My opinion.

He suffered a concussion. This is a form of brain damage. You don't just "shrug" these things off - many boxers end up with CTE after their careers are done.

You can NOT tell how bad the concussion was via his on-ice behavior. See: Kariya.

 

[GNP]

He suffered a concussion. This is a form of brain damage. You don't just "shrug" these things off - many boxers end up with CTE after their careers are done.

You can NOT tell how bad the concussion was via his on-ice behavior. See: Kariya.

______________________________________________________

You could be right, but it didn't look that serious. I'm guessing more of a flash knockdown. I guess they'll take 3-5 days to evaluate his state.

As far as "boxers" go-- they probably all get frequent concussions, and the more they get hit in the head-- the more brain damage they incur. -- Mohamed Ali, is a good example of this, and many others as well.

 

[Aavco Cup]

 

[Arthur Fonzarelli]

After watching the video, I'd say Trouba will be fine to go-- soon. He just got knocked down, and lost his balance getting back up. He got his bell rung, just like a lot of boxers who get knocked down in a fight--but many come back, and win the fight.

He was not laying on the ice like Laine, or other guys that I've seen take a wicked hit. Some of these guys are laying on the ice for 5 minutes.It looks to me like he'll be back in 7- 10 days ( if that) He got up right after he was hit, but lost his balance, but made it to the bench, and walked off thru the tunnel on his own steam-- he'll be fine. My opinion.

I'll agree that in watching the video it doesn't look like much, so why did Trouba react like he did?

It appears this was a chin shot, something the boxers you reference in your post are often on the wrong end of. Your post hints that this is not severe & that boxers routinely get up & return to win fight afterwards. Although this has certainly happened it hasn't been often. I'd suggest you've seen Rocky a few too many times or recent St. Patricks day celebrations have had you listen to Chumpawamba on repeat. Those that get "knocked down" most often "don't get up again" & can't claim "you'll never gonna keep me down."

A chin shot is one of the most damaging punches. The knockout that occurs after landing one creates trauma that is the very definition of what a concussion is.

Displacement of Brain

A fighter who cannot sustain a powerful punch to the jaw and is easily knocked out is said to have no chin or a glass jaw, according to boxing and mixed martial arts trainer Ross Enamait. A knockout punch snaps the head to the back or side and smashes the brain against the skull. The impact may traumatize the brainstem, resulting in loss of motor control. Blood supply to the brain can be cut off.

Force of the Blow

Impact to the brain is determined by the acceleration of the head and how forcefully it is snapped. Any blow to the head can cause a knockout, not just a punch to the jaw. The greater the force, the more quickly the head will turn following impact and the more the brain will be displaced and blood vessels compressed to the point of causing immediate unconsciousness.

Neck & Jaw Muscles

When an opponent is surprised by a blow to the head, his neck and jaw muscles are loose. If he is braced for the impact, a fighter can better absorb the impact of the punch, lessening the force of displacement. Some fighters have more stable jaws due to the anatomy they inherit but strengthening the neck muscles may help better handle impact to the jaw, according to "Fight Magazine" author Mike Chiappetta.

Recovery

In boxing, a technical knockout usually requires 45 days off before a fighter returns to the ring, or he will be more susceptible to another knockout, according to Osric King, sports medicine physician and medical adviser for the New York State Athletic Commission. After a single knockout involving loss of consciousness, there needs to be a recovery period of at least 60 to 90 days. Chronic brain injury is more likely in cases of repeated blows to a boxer's head, according to the British Medical Association.