Use of Reactive Balance Assessments With Clinical Baseline Concussion Assessments in Collegiate Athletes.

Autor:	Morris A; Department of Health & Kinesiology, University of Utah, Salt Lake City., Petersell TL; Department of Health & Kinesiology, University of Utah, Salt Lake City., Pelo R; Department of Physical Therapy & Athletic Training, University of Utah, Salt Lake City., Hill S; Department of Health & Kinesiology, University of Utah, Salt Lake City., Cassidy B; Department of Health & Kinesiology, University of Utah, Salt Lake City., Jameson T; Department of Athletics, University of Utah, Salt Lake City., Iriye T; Department of Athletics, University of Utah, Salt Lake City., Burke J; Department of Athletics, University of Utah, Salt Lake City., Dibble LE; Department of Physical Therapy & Athletic Training, University of Utah, Salt Lake City., Fino PC; Department of Health & Kinesiology, University of Utah, Salt Lake City.
Jazyk:	angličtina
Zdroj:	Journal of athletic training [J Athl Train] 2024 Jan 01; Vol. 59 (1), pp. 39-48.
DOI:	10.4085/1062-6050-0231.22
Abstrakt:	Context: 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. Objectives: To identify redundancy in current clinical baseline assessments of concussion and determine whether reactive balance adds unique information to these evaluations. Design: Cross-sectional study. Setting: Clinical assessment. Patients or Other Participants: A total of 279 healthy National Collegiate Athletic Association Division I athletes. Intervention(s): 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. Main Outcome Measure(s): 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. Results: 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. Conclusions: 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. (© by the National Athletic Trainers’ Association, Inc.)
Databáze:	MEDLINE
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