Utility of a Postural Stability/Perceptual Inhibition Dual Task for Identifying Concussion in Adolescents
| Autor: | Hannah B. Bitzer, Abdulaziz A. Alkathiry, Shawn R. Eagle, Joseph M. Furman, Anthony P. Kontos, Patrick J. Sparto, Cynthia L. Holland, Michael W. Collins, Nicholas A. Blaney |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Adolescent genetic structures media_common.quotation_subject Adolescent athletes Biophysics Physical Therapy Sports Therapy and Rehabilitation Context (language use) Logistic regression Task (project management) Cognition Physical medicine and rehabilitation Perception Concussion medicine Humans Orthopedics and Sports Medicine Postural Balance Brain Concussion media_common business.industry Rehabilitation Area under the curve medicine.disease Athletes Case-Control Studies Postural stability business psychological phenomena and processes |
| Zdroj: | Journal of Sport Rehabilitation. 30:1191-1196 |
| ISSN: | 1543-3072 1056-6716 |
| Popis: | Context: Research in the area of dual-task paradigms to assess sport-related concussion (SRC) status is growing, but additional assessment of this paradigm in adolescents is warranted. Design: This case-control study compared 49 adolescent athletes aged 12–20 years with diagnosed SRC to 49 age- and sex-matched controls on visual–spatial discrimination and perceptual inhibition (PIT) reaction time tasks performed while balancing on floor/foam pad conditions. Methods: The SRC group completed measures at a single time point between 1 and 10 days postinjury. Primary outcomes were dual-task reaction time, accuracy, and sway. General linear models evaluated differences between groups (P Results: Results supported significantly higher anterior–posterior (AP) sway values in concussed participants for visual–spatial discrimination and PIT when balancing on the floor (P = .03) and foam pad (P = .03), as well as mediolateral sway values on the floor during visual–spatial discrimination (P = .01). Logistic regression analysis (R2 = .15; P = .001) of all dual-task outcomes identified AP postural sway during the PIT foam dual task as the only significant predictor of concussed status (ß = −2.4; P = .004). Total symptoms (area under the curve = 0.87; P P = .001) differentiated concussed from controls. Conclusion: The AP postural sway on foam during a postural stability/PIT dual task can identify concussion in adolescents between 1 and 10 days from injury. |
| Databáze: | OpenAIRE |
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