Comparison of Concurrent and Same-Day Balance Measurement Approaches in a Large Sample of Uninjured Collegiate Athletes.
accelerometry
balance
force plate
postural stability
Journal
International journal of sports physical therapy
ISSN: 2159-2896
Titre abrégé: Int J Sports Phys Ther
Pays: United States
ID NLM: 101553140
Informations de publication
Date de publication:
2022
2022
Historique:
received:
18
06
2021
accepted:
23
11
2021
entrez:
9
2
2022
pubmed:
10
2
2022
medline:
10
2
2022
Statut:
epublish
Résumé
Measures of postural stability are useful in assisting the diagnosing and managing of athlete concussion. Error counting using the Balance Error Scoring System (BESS) is the clinical standard, but has notable limitations. New technologies offer the potential to increase precision and optimize testing protocols; however, whether these devices enhance clinical assessment remains unclear. To examine the relationships between metrics of balance performance using different measurement systems in uninjured, healthy collegiate athletes. Cross-sectional. Five hundred and thirty uninjured collegiate athletes were tested using the C3Logix app, which computes ellipsoid volume as a measure of postural stability during the six standard BESS conditions, while concurrently, errors were manually counted during each condition per standard BESS protocols. The association between concurrently measured ellipsoid volumes and error counts were examined with Spearman's correlations. From this sample, 177 participants also performed two double-leg conditions on the Biodex BioSway force plate system on the same day. This system computes Sway Index as a measure of postural stability. The association of ellipsoid volume (C3Logix) and Sway Index (Biodex) was examined with Spearman's correlations. Individual-level data were plotted to visually depict the relationships. C3Logix ellipsoid volume and concurrently recorded error counts were significantly correlated in five of the six BESS conditions (rs:.22-.62; p< 0.0001). C3Logix ellipsoid volume and Biodex Sway Index were significantly correlated in both conditions (rs=.22-.27, p< 0.004). However, substantial variability was shown in postural stability across all three measurement approaches. Modest correlation coefficients between simultaneous and same-day balance assessments in uninjured collegiate athletes suggest a need to further optimize clinical protocols for concussion diagnosis. 2b.
Sections du résumé
BACKGROUND
BACKGROUND
Measures of postural stability are useful in assisting the diagnosing and managing of athlete concussion. Error counting using the Balance Error Scoring System (BESS) is the clinical standard, but has notable limitations. New technologies offer the potential to increase precision and optimize testing protocols; however, whether these devices enhance clinical assessment remains unclear.
PURPOSE
OBJECTIVE
To examine the relationships between metrics of balance performance using different measurement systems in uninjured, healthy collegiate athletes.
STUDY DESIGN
METHODS
Cross-sectional.
METHODS
METHODS
Five hundred and thirty uninjured collegiate athletes were tested using the C3Logix app, which computes ellipsoid volume as a measure of postural stability during the six standard BESS conditions, while concurrently, errors were manually counted during each condition per standard BESS protocols. The association between concurrently measured ellipsoid volumes and error counts were examined with Spearman's correlations. From this sample, 177 participants also performed two double-leg conditions on the Biodex BioSway force plate system on the same day. This system computes Sway Index as a measure of postural stability. The association of ellipsoid volume (C3Logix) and Sway Index (Biodex) was examined with Spearman's correlations. Individual-level data were plotted to visually depict the relationships.
RESULTS
RESULTS
C3Logix ellipsoid volume and concurrently recorded error counts were significantly correlated in five of the six BESS conditions (rs:.22-.62; p< 0.0001). C3Logix ellipsoid volume and Biodex Sway Index were significantly correlated in both conditions (rs=.22-.27, p< 0.004). However, substantial variability was shown in postural stability across all three measurement approaches.
CONCLUSION
CONCLUSIONS
Modest correlation coefficients between simultaneous and same-day balance assessments in uninjured collegiate athletes suggest a need to further optimize clinical protocols for concussion diagnosis.
LEVEL OF EVIDENCE
METHODS
2b.
Identifiants
pubmed: 35136692
doi: 10.26603/001c.31178
pii: 31178
pmc: PMC8805106
doi:
Types de publication
Journal Article
Langues
eng
Pagination
228-236Déclaration de conflit d'intérêts
None of the authors declare a conflict of interest.
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