10-03-2022, 11:15 AM
(09-29-2022, 05:46 PM)fredtoast Wrote: Explain this.
If a concussion can be diagnosed just from watching TV then why would the NFL waste time with all these doctors and tests?
And why haven't the Dolphins been punished by the NFL? Law suits over head injuries could coat the league millions. So why is The NFL letting the Dolphins get away with violating the rules?
Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016 | British Journal of Sports Medicine (bmj.com)
If you have questions about concussions that consensus statement is an essential reference.
The definition includes "SRC typically results in the rapid onset of short-lived impairment of neurological function that resolves spontaneously." SRC=Sports Related Concussion
Observable neurological abnormalities usually don't last long and the quickly go away on their own with mild concussions. Seeing a player stumble after a blow to the head then not show observable signs in the second half is consistent with the definition. That's what I would expect to see.
Sideline evaluation, "Players manifesting clear on-field signs of SRC (eg, loss of consciousness*, tonic posturing, balance disturbance) should immediately be removed from sporting participation."
If a player can't control his balance and equilibrium after a blow to the head that is a "clear on-field sign of" a sports related concussion. Just like seeing tonic posturing during Thursday night's game was a clear on-field sign of a concussion.
Regarding video:
"In cases where the physician may have been concerned about a possible concussion, but after the sideline assessment (including additional information from the athlete, the assessment itself and/or inspection of videotape of the incident) concussion is no longer suspected, then the physician can determine the disposition and timing of return to play for that athlete."
"Additional domains that may add to the clinical utility of the SCAT tool include clinical reaction time, gait/balance assessment, video-observable signs and oculomotor screening."
"The addition of sideline video review offers a promising approach to improving identification and evaluation of significant head-impact events, and a serial SRC evaluation process appears to be important to detect delayed-onset SRC."
So despite your skepticism, I can diagnose some concussions from watching my TV if I observe a temporary disruption of normal neurological function. Because if it is abnormal, it is abnormal if I observe it in person or video replay. Observing the abnormal sign matters, not my location.
Remember when you said you never had a concussion, but got knocked unconscious* by a shot put hitting you in the head? That was a concussion due to a temporary disruption of normal neurological function that also resulted in a LOC (loss of consciousness), decreased awareness, and I'll bet you don't remember what happened immediately after you were hit in the head so probably amnesia as well.
