Injured Seahawk will play



Shaun Alexander, who suffered a concussion, has been cleared for action.
KIRKLAND, Wash. (AP) -- A pencil. A piece of paper. Abstract designs.
Those could be the keys to the NFC championship game.
Because those are what NFL MVP Shaun Alexander of the Seattle Seahawks used to get clearances from doctors to play against the Carolina Panthers on Sunday -- just eight days after he sustained a concussion in Seattle's win over Washington.
"I am feeling blessed," the league's leading rusher said. "I didn't think that I would be able to heal that fast."
Alexander didn't have to have wires strapped to his head, like a modern-day Frankenstein, to pass a four-day battery of tests through Tuesday that convinced the Seahawks' medical staff he was ready to return.
Those doctors also didn't use the results of CT brain scans or MRIs to decide Alexander was OK to get hit by the Panthers -- though those tests assured doctors he had no further, potentially critical head injuries.
Instead, Alexander went to school. Old school.
Tests
No computers. No televisions. Just a desk and his slab of wood-wrapped lead, which he used to scribble lists of words in a test of his short-term memory. He viewed abstract designs to test comprehension. He filled in symbols as quickly as he could to test his mental speed.
It's simply called the "paper-and-pencil" test. Most NFL teams have adopted it to assess concussions since the Pittsburgh Steelers first started using it in 1994, after it was developed across town at the University of Pittsburgh Medical Center.
"I think in this day and age we're being more careful with that type of injury. And that's the right thing to do," said Seahawks coach Mike Holmgren, who estimates he has had six players with concussions of varying degrees over his 14 years as an NFL head coach.
The Seahawks were one of the first NFL teams to adopt standardized concussion assessments, one year after the Steelers did.
Alexander was also playing the right sport to be able to come back so quickly. If he were a boxer in Washington state, he'd be unable to compete for at least 60 days after a concussion, and likely indefinitely beyond that, said Randy Renfrow of the state's professional athletics licensing program.
If he were hurt in Nevada, the center of U.S. professional boxing, he'd also likely be out for at least 60 days, said Marc Ratner, executive director of the Nevada State Athletic Commission.
Never heard of it
When asked Thursday if he had ever heard of a boxer in his state returning in a week, Ratner said, "Not after a concussion, no."
That leaves the appearance Alexander might be rushing back too soon. Is boxing, of all sports, more prudent and thoughtful than the NFL?
Not so, said Dr. Mark Lovell of the University of Pittsburgh, who is also the NFL's director of neuro-psychological testing and the developer of the "paper-and-pencil test."
"Actually, the NFL is probably more standardized than boxing on concussion management," Lovell said Thursday from his office, which is next to the Steelers' practice facility on Pittsburgh's south side. "We developed testing protocols for the league, rather than using, 'He looks OK to me.' "
How it happened
Alexander said he was unconscious while face down on the field immediately after he was hit in the back of the helmet by Washington's LaVar Arrington during the first quarter Saturday. He said he spent another 20 minutes not knowing where he was. He still doesn't remember getting hit or being helped off the field.
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