NBA releases summary of its concussion policy

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The NBA has had a concussion policy in place for the past 18 months, and while all teams have been made aware of the details, they haven’t been publicly available until now.

With the recent concussion that kept George Hill out of the Pacers’ Game 5 loss to the Knicks (and may sideline him even longer), Mike Wells of the Indianapolis Star requested the policy from the league, and he was provided with a summary.

You can read the entire thing for yourself below, and it’s pretty much as you’d expect. There are provisions for the types of examinations players must undergo who are experiencing symptoms, as well as for testing thresholds players need to meet before they are cleared to return to action.

What was most interesting was the baseline examinations that all players undergo before the season, because it allows doctors to compare current activity a player exhibits during recovery to what was seen in a completely healthy state prior to experiencing any injury.

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National Basketball Association Concussion Policy Summary

The National Basketball Association Concussion Policy is designed to maximize the neurological health of NBA players by providing a framework of education and clinical management. The policy was created under the core principle that each concussion, and each athlete, is unique. Optimum medical care depends on an individualized and comprehensive approach to concussion management.

1. Education: Every player and coach receives concussion education prior to the beginning of each season. Topics include information on the underlying mechanism of concussion, common and uncommon presentations of concussion, appropriate management strategies and possible complications or long-term manifestations of the injury.

2. Baseline Testing: Prior to each season, each player will undergo testing of baseline brain function, via a neurological and cognitive assessment.

3. Evaluation and Management:

a. If a player is suspected of having a concussion, or exhibits the signs or symptoms of concussion, they will be removed from participation and undergo evaluation by the medical staff in a quiet, distraction-free environment conducive to conducting a neurological evaluation.

b. If a player is diagnosed with concussion, he will not return to participation on that same day.

c. A player that is diagnosed with concussion should have their physical and cognitive exertion limited as much as possible while they are still experiencing symptoms of concussion.

4. Return to Participation Decisions:

a. Once a player is diagnosed with a concussion he is then held out of all activity until he is symptom-free at rest and until he has no appreciable difference from his baseline neurological exam and his baseline score on the computerized cognitive assessment test.

b. The concussed player may not return to participation until he is asymptomatic at rest and has successfully completed the NBA concussion return-to-participation exertion protocol.

5. Return to Participation Protocol:

a. The return to participation protocol involves several steps of increasing exertion — from a stationary bike, to jogging, to agility work, to non-contact team drills.

b. With each step, a player must be symptom free to move to the next step. If a player is not symptom free after a step, he stops until he is symptom free and begins again at the previous step of the protocol (i.e., the last step he passed without any symptoms).

c. While the final return-to participation decision is to be made by the player’s team physician, the team physician must discuss the return-to-participation process and decision with Dr. Jeffrey Kutcher, the Director of the NBA’s Concussion Program, prior to the player being cleared for full participation in NBA Basketball.

d. It’s important to note that there is no timeframe to complete the protocol. Each injury and player is different and recovery time can vary in each case.

MVP James Harden, dominant Rockets show up in second half, crush Timberwolves

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We had to wait three-and-a-half games for it.

We had seen James Harden play like an MVP all season. We had seen the Rockets bury threes at a record rate all season. We had seen Houston’s switching defense impress all season (sixth best in the NBA). We had seen Houston rack up 65 wins and make it look easy.

Then we got to the playoffs and the Rockets couldn’t put it all together at once. Harden struggled after Game 1, including going 0-of-7 in the first quarter Monday night. The defense was inconsistent and the threes were not falling. All of it let the Timberwolves hang around in the series — down 2-1 — and the same in Game 4, down just a point at halftime.

Then the Harden and Rockets we all expected showed up.

Houston put up 50 points in the third quarter alone, shooting 61 percent overall and 9-of-13 from three, plus they got to the line 13 times and made every shot. The Rockets opened the second half on an 11-0 run that extended all the way to 25-4, with almost all of the damage from Harden, who had 22 in the quarter.

The Rockets pulled away and cruised from there to an easy 119-100 win.

“We hit the switch, the switch we’ve been trying to hit since the beginning of the playoffs on both ends of the floor,” Harden said postgame. “It’s pretty scary what we’re capable of when defensively we’re locked in like that, and offensively we got rolling.”

Houston now leads the series 3-1 and can close it out at home in Game 5 Wednesday night.

In the first half this looked nothing like something that would end with a comfortable Rockets win. Houston struggled at the start of Game 4, opening 0-of-5 in the paint, including Harden missing an open layup. As a team, the Rockets started the game 4-of-16 from three, and a lot of those were uncontested looks. The Rockets play a lot of isolation, but even for them the ball seemed to stick in the first half. If not for Trevor Ariza knocking down three from beyond the arc, the Timberwolves might have been able to pull away.

The fact they didn’t was a blown opportunity for the Timberwolves, something they just can’t do in this series. It was a one-point Rockets lead, 50-49, at the half.

Minnesota had some moments on offense in the game, usually when attacking quickly off the Rockets switch. Derrick Rose had some moments and finished the game with 17 points. Karl-Anthony Towns had 22 points and 15 rebounds, Jimmy Butler had 19 points on 17 shots.

But that was no match for the Rockets when they flipped the switch.

It was a barrage of threes that we have waited for all season, and it all started with Harden and Chris Paul, they had all of the first 15 points of the second half for Houston. Harden finished with 36 points and hit 5-of-11 from three. CP3 had 25 points and six assists, Eric Gordon finally woke up in this series with 18, and Ariza finished with 15.

Minnesota is a talented team, but they are learning fast what a contender can do — even not at their peak the Rockets had taken two of the first three in the series, and when they did flip the switch it was another level. A level the Timberwolves want to get to, there are just some rough lessons along the road to getting there.

James Harden puts on show to start second half vs. Timberwolves

Associated Press
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James Harden started Game 4 0-of-7 from the floor, including missing a lay-up. It was an extension of Game 3, and it let the Timberwolves hang around for a half despite their own offensive woes.

Then in the second half the MVP Harden showed up.

Houston started the second half on an 11-0 run that extended all the way to 25-4, and a lot of it was Harden (with a little help from Chris Paul). Harden had 22 points in the third (with 4:30 left in the quarter). After a couple rough games the Timberwolves were going under the pick when Harden had the ball, and suddenly he made them pay.

Or, he was just stepping back.

With all the buckets the Rockets turned a close game into a 25 point lead.

Tyronn Lue doesn’t hold back with retort to heckling Pacers’ fan

Associated Press
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It’s a part of the NBA experience that most fans don’t get to hear — some fans courtside heckling opposing players and coaches, and those guys occasionally firing back. We only tend to hear about it when things cross a line.

Sometimes the interactions are just funny, such as this one passed along by J. Michael of the Indy Star.

Well played, Lue.

Although is Cleveland really a city at the forefront of fashion? Well, I suppose if you went to college in Nebraska…

Report: Pelicans picked up Alvin Gentry’s option for next season before sweep

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Last summer the buzz was all over the league: Pelicans GM Dell Demps and coach Alvin Gentry were given a “playoffs or bust” mandate by management. If the Pelicans were not in the postseason — and just barely getting in and then blown out in the first round might be good enough — there was going to be a housecleaning.

The Pelicans made the playoffs as the six seed with 48 wins despite losing DeMarcus Cousins to a torn Achilles midway through the season.

That alone was good enough to get Gentry another season in New Orleans, reports Adrian Wojnarowski of ESPN.

As noted, this happened before the Pelicans swept the Trail Blazers out of the first round and into a summer of re-evaluation. This option season is the last of Gentry’s original deal with the Pelicans.

Gentry has the Pelicans playing fast, using the elite defense of Anthony Davis and Jrue Holiday to get stops, and right now Davis is leading an offense that is just getting it done, with guys such as Nikola Mirotic stepping up. Gentry has earned another year, and a shot to integrate Cousins into this style and level of play, to see where that could take New Orleans next season.

It will be interesting to see if Demps can add more shooting and versatility with a capped out roster.