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McNair: Cushing "ahead of schedule"

CloakNNNdagger

Hall of Fame
Potentially, positive news.
Nick Scurfield Nick Scurfield ‏@NickScurfield

Bob McNair cautioned that ACL injuries take time to fully heal but said @briancushing56 is “ahead of schedule“ in his rehab #Texans
 

HJam72

Hall of Fame
@hjam72 says: I don't trust anything the Texans say regarding injured players that are supposedly ahead of schedule with their recovery....and I've never heard of @briancushing56, but I'd sure like to have a healthy Brian Cushing on the roster.
 

Hervoyel

BUENO!
At some point wasn't Dominck Davis ahead of schedule?

I'm pretty sure Tony Boselli was ahead of schedule for a while too.
 

CloakNNNdagger

Hall of Fame
At some point wasn't Dominck Davis ahead of schedule?

I'm pretty sure Tony Boselli was ahead of schedule for a while too.
Early status seldom gives you the most important information. With this injury, it will be closer to the 6-9 month period in the rehab when more grounded information going to the state of performance recovery will become "legitimate."

If there is genuine truth to this report, at ~3 months, all it could mean is that he has had not complications such as infection or inordinate scar formation, and that the range of motion in his knee has been managed to return to pretty well back to normal. At this point in time rehab would be concentrating on strengthening all the muscle groups around the knee joint, as the muscles would not now be expected to be back more than 60-75% under the best of circumstances.
 

b0ng

Bad Hombre
So is this going to turn into another "***** about how the Texans report on injuries" thread, because it seems to be heading that direction. Especially regarding the 2nd post.
 

GP

Go Texans!
At some point wasn't Dominck Davis ahead of schedule?

I'm pretty sure Tony Boselli was ahead of schedule for a while too.
Should be able to go after the bye week. Everything is checking out, able to go in practice, but just want to make sure they're 100%.
 

CloakNNNdagger

Hall of Fame
At some point wasn't Dominck Davis ahead of schedule?

I'm pretty sure Tony Boselli was ahead of schedule for a while too.
Memory Lane:

Texans | D. Davis placed on IR

Sat, 02 Sep 2006 10:57:15 -0700

HoustonTexans.com reports the Houston Texans have placed RB Domanick Davis (knee) on Injured Reserve, ending his 2006 season.


Texans | D. Davis changes name

Mon, 01 Jan 2007 21:41:31 -0800

The Associated Press reports Houston Texans RB Domanick Davis (knee) has changed his name to Domanick Williams. Davis was the last name of the father of his older brother and he said he never felt right about having the name. "I had to do it and it was time. I didn't want my kids to grow up carrying something else that I'm really not. I felt like it was the perfect time for me to do it. Come back fresh, come back new," he said. He chose Williams because it was his mother's maiden name. He will also change numbers from No. 47 to No. 31. Williams, who is recovering from a knee injury, said he is not 100 percent yet. "I wouldn't say I'm 100 percent, but it's close. It's on its way and it's going real good. My knee is allowing me to lift heavy weight without swelling up and that was the biggest problem I had."

Texans | D. Williams injury update

Thu, 22 Feb 2007 11:26:05 -0800

Houston Texans general manager Rick Smith, during the NFL Combine, said RB Domanick Williams (knee) is entering the strengthening phase of his rehabilitation process. Williams spent the 2006 season on Injured Reserve.
link

One month later he was released by the Texans due to a "setback" that would require further surgery.
 

Tailgate

Fall of Hame
The doom and gloom. Lets just take it at face value. Getting him back 100% is the most important "aquisition" of the offseason. When Cush says he will be back better than ever, I believe him.
 

steelbtexan

King of the W. B. Club
Contributor's Club
At some point wasn't Dominck Davis ahead of schedule?

I'm pretty sure Tony Boselli was ahead of schedule for a while too.
Want to bet that Poseys surgery went well and soon he will be ahead of schedule as well.

BTW, Schaub is a top 10 QB according to BoB. LOL
 

CloakNNNdagger

Hall of Fame
The doom and gloom. Lets just take it at face value. Getting him back 100% is the most important "aquisition" of the offseason. When Cush says he will be back better than ever, I believe him.
I'll settle for an honest "on schedule." I wouldn't want him pushed too hard into a "setback." If anyone can make a strong ultimate recovery, I wouldn't put down a bet against Cushing. ;)
 

CloakNNNdagger

Hall of Fame
Cushing has definitely lost significant weight [see video].........a natural consequence of not being able to fully exercise with possibly some intentional weight loss to facilitate his rehab. It's still hard to accept that he is "ahead of schedule" when most ACL patients will be participating in light running by the 3rd month or 4th month postop , and he began running at the 5th month. At least, there have been no reported "setbacks."

Cushing trying to reach Peterson’s ACL bar
 

Nawzer

Alienz
The doom and gloom. Lets just take it at face value. Getting him back 100% is the most important "aquisition" of the offseason. When Cush says he will be back better than ever, I believe him.
There's good reason to feel doom and gloom. I don't expect Cushing to be 100% this coming season and he may never be 100% as a matter of fact. Even with Cushing back I think ILB is the weakest position on defense and we need to seriously address it this year. Texans can't rely on Cushing to carry the full load and he shouldn't honestly.
 

Brisco_County

Apples and roadmaps
He's a good interview. He's seems to have matured even more.

He also looks like he's around 230 lbs. He'll probably be 245 by the start of the season.
 

CloakNNNdagger

Hall of Fame
He's a good interview. He's seems to have matured even more.

He also looks like he's around 230 lbs. He'll probably be 245 by the start of the season.

If he makes it to 245 by then, that would still be 10-15 lbs under what he normally plays the position. An ILB especially needs to maintain his "normal" playing weight/muscle to be optimally effective.
 

thunderkyss

Just win baby!!!
Staff member
Contributor's Club
There's good reason to feel doom and gloom. I don't expect Cushing to be 100% this coming season and he may never be 100% as a matter of fact. Even with Cushing back I think ILB is the weakest position on defense and we need to seriously address it this year. Texans can't rely on Cushing to carry the full load and he shouldn't honestly.
I believe that is a legitimate concern. I also believe moving Brooks to ILB addresses that concern. If Cushing can't be that guy we need him to be & Brooks doesn't appear to be capable... we'll draft a guy in next year's draft.
 

CloakNNNdagger

Hall of Fame
I believe that is a legitimate concern. I also believe moving Brooks to ILB addresses that concern. If Cushing can't be that guy we need him to be & Brooks doesn't appear to be capable... we'll draft a guy in next year's draft.
I'm not sure that the Texans would trust Reed as a THREE down ILB with his coverage skills being quite suspect.
 

Brisco_County

Apples and roadmaps
If he makes it to 245 by then, that would still be 10-15 lbs under what he normally plays the position. An ILB especially needs to maintain his "normal" playing weight/muscle to be optimally effective.
This is why comparing his recovery to Peterson and Charles is the wrong gauge. A runningback has attributes other than strength and mass to rely upon. An ILB requires those attributes to be a flying brick wall.
 

amazing80

Hall of Fame
I think its pretty hard to accurately say how much he weighs bases on that video.....he was in dress clothes and long sleeves, its not like he was this bulging freak in street clothes before


 

JimBaker488

Waterboy
I'm thinking Cushing was in the low 260s his rookie year when he was playing in the 4-3 as the SAM, but he was probably 15 lbs lighter playing in Wade's defense.
 

GP

Go Texans!
This is why comparing his recovery to Peterson and Charles is the wrong gauge. A runningback has attributes other than strength and mass to rely upon. An ILB requires those attributes to be a flying brick wall.
I disagree.

I think they're the same, actually.

You have two "trenches" in terms of an OL and a DL....

Behind an OL you've got a RB who makes a lot of contact on every play except the rare time when they flare out to the sideline and never get touched.

Behind a DL you've got LBs who make a lot of contact on every play, except the times when they are in zone and are staying home to patrol and area.

Then you've got WRs and DBs who compare to one another, probably making the least amount of contact other than perhaps the QB.

I think LBs and RBs actually compare fairly well to one another. Sure, one is trying to NOT get hit and the other is trying to DO the hitting...but the fact remains that they both start off at the snap by being behind a trench of bigger guys and they're on a collision course with one another. A LB has to have the same off-the-snap explosion and agility as a RB does, IMO.
 

CloakNNNdagger

Hall of Fame
Just as an aside reference for typical rehab running schedule from a USA TODAY article written about Adrian Peterson.
Adrian Peterson leads way in ACL recovery in NFL
3:39a.m. EST December 7, 2012

Prehab and rehab


Surgeons typically don't reconstruct ACLs until a week or two after the injury. That interim is for the prehab.

"The best thing to do before surgery is to get as much swelling out of the joint as possible to get their range of motion back," said Anna Hartman, a physical therapist and Director of Physical Performance Therapy at Phoenix-based Athletes' Performance, a training/rehab center for elite athletes.

"The more range of motion they go into surgery with and the less swelling … the better the outcomes they have."

That means ice and elevation, massage and manipulation of the knee and exercising muscles of the hip that shut down after a leg injury. Hartman also has her patients work on range of motion in a pool with his or her body unweighted.

After surgery, Hartman said the doctors typically have the athletes stay home for 2-3 days. The knee is in an immobilizer (a type of brace that can be adjusted to allow for varying degrees of knee bending), and the athlete is on crutches.

After that, the rehab moves into full swing. Hartman said athletes usually are off crutches in two weeks, although the immobilizer will stay on for about four weeks.

From five weeks to 16 weeks, she said, the athlete does exercises to strengthen the muscles of the hip, thigh and calves. "Typically around 12 weeks, we'll clear them to start running straight ahead," she said.

The cutting and running come between 4-6 months.

"Six months, usually, the doctor will clear them to return to sports-specific activities," Hartman said.

She added, "I won't allow somebody to cut until they've shown me they have good strength and hip stability and are tolerating things well."

The emphasis is on the quality, not the quickness, of the recovery.

"In the early 2000s, there were a lot of people pushing -- without any science -- returning in like 2-4 months," Harner said. "Many of these athletes weren't ready. They didn't have the muscle power. They didn't have the balance. ... Their knee would fatigue, and they'd blow the graft out again.

Now, the rehab is more carefully monitored, Harner said: "We're now looking at what is the function of the knee and the leg and the lower extremity. Can they do a shuttle drill (changes of direction around cones)? Can they do one-legged hops and can they run on a treadmill for 15 minutes and then stand on a single leg without having it wobble?"

Peterson rehabbed at the Vikings complex and near his Houston home, at Memorial Hermann Sports Medicine Institute, where he worked with physical therapist Russ Paine.

"The things you guys don't see is how much I work and grind and fought through different situations to get back," Peterson said. "Mentally, I was able to push through when I was tired and didn't want to do anything. I definitely give credit to the things I put into my off-season."

The patella tendon is still sore after games, but it's a small price to pay for Peterson to return to the form that makes a 2,000-yard season possible to him.
FOR ALL OF THE STORY

Simply stated, although Cushing may be doing well, beginning to run at 5 months......., i.e., at 20 weeks......doing so can in no way be interpreted as being "ahead of schedule."
 
Last edited:

76Texan

Hall of Fame
Just as an aside reference for typical rehab running schedule from a USA TODAY article written about Adrian Peterson.
FOR ALL OF THE STORY

Simply stated, although Cushing may be doing well, beginning to run at 5 months......., i.e., at 20 weeks......doing so can in no way be interpreted as being "ahead of schedule."
Well, as long as he's on schedule, I'll take it as a positive.
Should I ?
 

CloakNNNdagger

Hall of Fame
Well, as long as he's on schedule, I'll take it as a positive.
Should I ?
I don't believe that with what we know, it is a negative. However, it is way too early to be discussing "outlook." If he sustained other significant ligament or cartilage tears of the knee besides an ACL (which unfortunately is not so uncommon), it could explain the 20 week period rather than the 12 or 16 week run start time. On the other hand, it could also give greater reason to be somewhat concerned over the ultimate prognosis for ability to return, time of return, potential later setbacks and level of final performance attainable. Meanwhile, let's just say we'll all try to stay optimistic.
 

76Texan

Hall of Fame
I don't believe that with what we know, it is a negative. However, it is way too early to be discussing "outlook." If he sustained other significant ligament or cartilage tears of the knee besides an ACL (which unfortunately is not so uncommon), it could explain the 20 week period rather than the 12 or 16 week run start time. On the other hand, it could also give greater reason to be somewhat concerned over the ultimate prognosis for ability to return, time of return, potential later setbacks and level of final performance attainable. Meanwhile, let's just say we'll all try to stay optimistic.
You just made me turn around 180% :vincepalm:
 

IDEXAN

Hall of Fame
Contributor's Club
Brian Cushing told the Houston Texans' team website in mid-April that he is preparing to be "110 percent" in time to have a career-best season after tearing his anterior cruciate ligament early last October.
So far, so good. Owner Bob McNair said in February that the team's best linebacker was "ahead of schedule" in his rehabilitation. Now, head coach Gary Kubiak says Cushing is "champing at the bit" to get back on the field.

"I'm watching him today, he sure looks like he's ready to go," Kubiak said Monday, via HoustonTexans.com. "I know that it's not time to turn him loose yet, but he's come a long way."

The Texans will continue to exercise caution with Cushing's knee throughout the offseason, but he's on track to participate in training camp. He will be nine months removed from surgery by early August. Minnesota Vikings running back Adrian Peterson needed just eight months of rehabilitation before the start of his historic 2012 season.

Texans defensive coordinator Wade Phillips desperately needs his defensive leader back at full strength this season. Phillips' defense fell off sharply when Cushing went down, surrendering 25-plus points in five of the last 11 games after not allowing it to happen once in the first five.
http://www.nfl.com/news/story/0ap1000000167692/article/brian-cushing-looks-like-hes-ready-gary-kubiak-says
 

Nawzer

Alienz
Counting on Cushing to be 100% is naive imho. He's coming off a major surgery, a surgery we know sometimes take 2 years to fully heal if it ever does. I expect him to play but I don't expect him to be what he was. I'm worried that the Texans are not apparently worried about him. That's why I'm surprised that the Texans didn't go after a couple of veteran ILBs. Maybe they will before training camp opens and after the teams cut some of their vets.
 

Brisco_County

Apples and roadmaps
It's not the injury recovery I'm worried about. It's his strength rehab. Cushing's game relies on speed and physical dominance. If his strength is off, he's off.
 

TheMatrix31

Hall of Fame
"This is a grown dog's game! Ain't no puppies out here!"

Man, I can't ****ing wait to see Cushing back out there.
 

bayoudreamn

Rookie
Super Bowl in New York this year? Cushing not ready??

I agree with the words from tombstone movie in the video about Cushing on the other message board:

"Make no mistake.....it's not revenge he's aftuh, it's a reckoning"
 

CloakNNNdagger

Hall of Fame
Counting on Cushing to be 100% is naive imho. He's coming off a major surgery, a surgery we know sometimes take 2 years to fully heal if it ever does. I expect him to play but I don't expect him to be what he was. I'm worried that the Texans are not apparently worried about him. That's why I'm surprised that the Texans didn't go after a couple of veteran ILBs. Maybe they will before training camp opens and after the teams cut some of their vets.
It's not the injury recovery I'm worried about. It's his strength rehab. Cushing's game relies on speed and physical dominance. If his strength is off, he's off.
The most cited NFL ACL arthroscopic repair study analyzed the data for 31 RBs and WRs with 33 ACL injuries. Of the injured players, 21% (7 of 33 ACL injuries) never returned to play in another regular season NFL game. Of those that did return, most players returned to action 9 to 12 months (not to peak performance) after an ACL injury.

For those players who returned to NFL action following an ACL injury, performance fell by 1/3. A "power rating" was assigned for every player in every season, defined as a weighted sum of total yards and touchdowns, likely the most important statistics of RB and WR performance. The power ratings for the 3 seasons prior to ACL injury were compared to the power ratings for the 3 seasons following ACL injury.Power rating per game played decreased from 9.9 pre-injury to 6.5 post-injury. This decline in player production was statistically significant when compared to the 146 players in the uninjured control group.

Knee pain, stiffness, loss of strength, deconditioning and reduced proprioception (the sense of knowing where your leg is) may all be factors explaining the loss of production in players after an ACL injury. Keep in mind, bottom line, no ACL reconstruction technique perfectly recreates the complex anatomy and composition of a person's ACL before injury, the most critical factor in the inability for most to return to pre-injury performance level. A player's recovery such as Adrian Peterson still remains very much the outlier.
 

thunderkyss

Just win baby!!!
Staff member
Contributor's Club
The most cited NFL ACL arthroscopic repair study analyzed the data for 31 RBs and WRs with 33 ACL injuries. Of the injured players, 21% (7 of 33 ACL injuries) never returned to play in another regular season NFL game. Of those that did return, most players returned to action 9 to 12 months (not to peak performance) after an ACL injury.
My daughter had her ACL replaced last year, by the Texans team doctor (or one of them). It was actually the second time she had it done as it was originally repaired 3 years prior.

According to the Doc, there had been improvements in the process which should increase success rates & help our athletes return to pre-injury form.

Of course, I thought he was just selling us a bill of goods. Man don't get paid unless we agree to re-do a procedure that just failed. However, when I saw AD go off in 2012, I started to believe there was some truth to what he told us.

Do you know of any improvements in reconstructive knee surgery?
 

CloakNNNdagger

Hall of Fame
My daughter had her ACL replaced last year, by the Texans team doctor (or one of them). It was actually the second time she had it done as it was originally repaired 3 years prior.

According to the Doc, there had been improvements in the process which should increase success rates & help our athletes return to pre-injury form.

Of course, I thought he was just selling us a bill of goods. Man don't get paid unless we agree to re-do a procedure that just failed. However, when I saw AD go off in 2012, I started to believe there was some truth to what he told us.

Do you know of any improvements in reconstructive knee surgery?
Some improvements have been made in rehab protocols. However, due to the unique shape of the ACL (it is not simply a straight strip like most ligaments), multiple attachments, and multi-directional functions of this ligament, there has never been developed ANY technique that has been able to recreate it anatomically in any true semblance. And there within lies the obstacle.

Also keep in mind, not all ACLs are the same. They can be partial or purely isolated complete. Or as many times is the case involve numerous other structures such as the collateral ligament(s).......medial (MCL) and/or lateral (LCL), posterior cruciate ligament (PCL), medial and/or lateral meniscus (cartilage)............all these factor into the difficulty and length of recovery as well as the ultimate level of recovery. Even if it were an isolated ACL, AD's recovery still remains remarkable and an exception. Hope this answers your question and doesn't confuse you more.
 
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