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- Title
Use of Reactive Balance Assessments With Clinical Baseline Concussion Assessments in Collegiate Athletes.
- Authors
Morris, Amanda; Petersell, Tessa L.; Pelo, Ryan; Hill, Sarah; Cassidy, Benjamin; Jameson, Trevor; Iriye, Tom; Burke, Jon; Dibble, Leland E.; Fino, Peter C.
- Abstract
Current clinical concussion evaluations assess balance deficits using static or dynamic balance tasks while largely ignoring reactive balance. Including a reactive balance assessment might provide a more comprehensive concussion evaluation. To identify redundancy in current clinical baseline assessments of concussion and determine whether reactive balance adds unique information to these evaluations. Cross-sectional study. Clinical assessment. A total of 279 healthy National Collegiate Athletic Association Division I athletes. Two cohorts of data were collected at the beginning of the athletic season. For cohort 1 (n = 191), the Immediate Post-Concussion Assessment and Cognitive Tool, instrumented modified push and release (I-mP&R), and Balance Error Scoring System (BESS) were administered. For cohort 2 (n = 88), the I-mP&R, BESS, timed tandem gait, walking with eyes closed, and clinical reaction time were administered. The strengths of the relationships between the Immediate Post-Concussion Assessment and Cognitive Tool cognitive indices, mP&R clinical score, instrumented measures (BESS sway; I-mP&R time to stability, latency, and step length), BESS score, timed tandem gait, walking time to completion, and clinical reaction time were characterized. The strongest interinstrument correlation value was between single-task time to stability from the I-mP&R and clinical reaction time but was considered weak (r = 0.35, P =.001). The mP&R and I-mP&R clinical scores were weakly associated with the other assessments. Weak correlations between interassessment variables indicated that little redundancy was present in the current clinical evaluations. Furthermore, reactive balance represents a unique domain of function that may improve the comprehensiveness of clinical assessments.
- Subjects
BRAIN concussion diagnosis; WALKING speed; POSTURAL balance; CROSS-sectional method; GAIT in humans; SPORTS injuries; COMPARATIVE studies; NEUROPSYCHOLOGICAL tests; DIAGNOSIS; DESCRIPTIVE statistics; RESEARCH funding; REACTION time; LONGITUDINAL method
- Publication
Journal of Athletic Training (Allen Press), 2024, Vol 59, Issue 1, p39
- ISSN
1062-6050
- Publication type
Article
- DOI
10.4085/1062-6050-0231.22