Albert Breer on Jaylon Smith

Plankton

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http://mmqb.si.com/mmqb/2017/03/06/myles-garrett-combine-cleveland-browns-nfl-draft

Jaylon Smith’s Drop Foot

mmqb-jaylonsmith.jpg

Photo: Max Faulkner/Fort Worth Star-Telegram/TNS via Getty Images
Cowboys linebacker Jaylon Smith is still recovering from the serious knee injury he suffered in his final collegiate game at Notre Dame.
Cowboys owner Jerry Jones told Dallas reporters on Saturday that 2016 second-round pick Jaylon Smith would be able to play in the fall with the help of an AFO (ankle/foot orthoses) brace.

Now, the whole truth, as I understand it: The team very much views any and everything it gets from Smith in 2017 as a bonus. In last year’s draft, nerve damage and a resulting case of drop foot knocked Smith, previously a potential top-5 pick, out of the first-round altogether. The nerve has started firing again, and he’s gained foot activation, but he’s nowhere close to full strength and may never get there.

Can he be effective playing with the brace? This sounds harsh, but it’s unlikely.

The brace is designed to allow the most basic of things—your foot to clear the ground when you take a step forward. It’s designed to stabilize but it doesn’t recreate the energy you normally generate when you push off your foot. And that’s why Dr. Thomas Gill, the former Patriots team doc who saw ex-New England RB Robert Edwards go through this scenario almost two decades ago, is skeptical on Smith.

“A hinged AFO will allow you to have your foot flex up, but not have it slap down,” Gill said over the weekend. “So basically you wear a brace so when you’re running or walking, your foot can have clearance when you swing your leg forward. But it’s not built for speed.

“Robert Edwards, he played with it for a while but lasted less than a season doing that. And he was a running back. You have to be a freakish athlete where you can afford to lose 20 or 25 percent of your speed, at least, and 45 percent of your power, and still be able to compete in the NFL.”

And playing with the ailment isn’t without risk, either.

“The risk is that you’re going to be more prone to injury. Your foot’s going to get caught in an awkward position,” Gill continued. “So if you’re in a pile-up, you know the classic high ankle sprain mechanism where the guy falls on the back of your leg? That leg’s going to be a lot more prone to getting caught in an awkward position, because he can’t point his toe.”

Now there’s a chance the nerve improves over time and Smith gets back to full speed down the line. But Dallas isn’t counting on anything like that in the short term.
 
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Interesting take and well explained.

The only comment I would make is that the technology of braces today is very likely far superior than the braces Edwards tried back in the day.

But he will never be the same playing with a brace. The best you can hope for is that he is an average player with the brace.
 

waldoputty

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Interesting take and well explained.

The only comment I would make is that the technology of braces today is very likely far superior than the braces Edwards tried back in the day.

But he will never be the same playing with a brace. The best you can hope for is that he is an average player with the brace.

does anyone know the difference between the braces of 20 years ago and now?
 

waldoputty

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Robert Edwards shredded his knee, where they almost had to amputate. Seems like another poor comparison.

the last relevant piece of news was the video of jaylon jumping up and down and running.
if only they would have given his timed 40 time, cone and shuttle.
or at least show him racing someone side by side in these activities...

all the positive and negative tweets seem like rehash of rehash of rehash of ...
 

revospeed

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I'd go forward in this draft as if he's not going to play at all. That means making LB a priority, maybe even above CB. Either Carr or Claiborne will be back, but our 3rd starting linebacker is a mystery right now. If Hasaan Reddick is there at 28 and is BPA, you gotta take him.
 

waldoputty

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I'll defer to the CowboysZone doctors. But I'm pretty confident that hte space age materials used today results in a far superior result than what Robert Edwards got.

well someone would have some info...
i am still curious how he did that video with no apparent brace on him.
or may be that is one of those space age materials brace, but it would almost have to be something from area 51...
 

CowboyStar88

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There you have it. Straight from one of the most respected reporters in he NFL. Heads need to roll over this. Either the doctor screwed up or he was pressured into a misdiagnosis.

How do you figure? We've heard nothing from smiths doctors and for good reason Hippa. So everyone is basing things off of opinions of others past experience. Nobody but Smiths Doctors and the team have smiths medical records.

Z I see nothing that would lead anyone to come to the conclusion that the one of the best sports medicine doctors misdiagnosed Smith or was pressured to do so. Not sure what was said in that article that hasn't been said before? If anything we now see the type of AFO he's been wearing and have confirmation the nerve is firing (but isn't up to speed with his body/mind). Nothing in that article should change anyone's mind one way or another IMO
 

Zimmy Lives

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How do you figure? We've heard nothing from smiths doctors and for good reason Hippa. So everyone is basing things off of opinions of others past experience. Nobody but Smiths Doctors and the team have smiths medical records.

Z I see nothing that would lead anyone to come to the conclusion that the one of the best sports medicine doctors misdiagnosed Smith or was pressured to do so. Not sure what was said in that article that hasn't been said before? If anything we now see the type of AFO he's been wearing and have confirmation the nerve is firing (but isn't up to speed with his body/mind). Nothing in that article should change anyone's mind one way or another IMO

The way I see it, the Cowboys, at worst, will have a very good player on the football field as opposed to a generational freak player. A very good player at LB is better than anyone not named Sean Lee. I'll take it.
 

CowboyStar88

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The way I see it, the Cowboys, at worst, will have a very good player on the football field as opposed to a generational freak player. A very good player at LB is better than anyone not named Sean Lee. I'll take it.

I think the kid recovers fully. He works hard things are starting to come together 15 months later and the nerve is firing to what degree we really have no idea because his dr hasn't spoken and he probably won't.
 
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Not built for speed, didn't he run a 4.5 ??

yes.......per the below article this past Jan, it was reported he ran a 4.5 40. I believe run times prior to his injury had him at 4.44

http://sportsday.***BANNED-URL***/d...-leg-regenerating-helped-playoffs-elite-level
 

JoeKing

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My daughter is a orthotic & prosthetic technology specialist. I just talked to her about this specific case and she confirmed to me that the materials they use now days are far superior in recreating realistic movement of human appendages. She is very familiar with the brace that athletes use to overcome "drop foot" and suggested to me that Jaylon should have no problem adapting to the device and resume being all he can be.
 

Verdict

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I think if the nerve is actually firing he will attain a full recovery. The biggest risk was that the nerve would never fire or innervate the muscle. Since the pathway has been established it should continue to get stronger.
 
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