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Balance error scoring system

Philip W Cameron, Noelle C Soltero, Justin Byers
Mild traumatic brain injuries (mTBIs) are common in contact sports. There is an association between mTBIs and altered motor function. BioSway technology measures individuals' balance using the Balance Error Scoring System (BESS). Prior to incorporating BESS testing in concussion protocol, other variables that influence the BESS test require review. The objective of this study is to determine if game fatigue in hockey players also influences the BESS score. 23 male (21.08 ± 1.09) National Collegiate Athletic Association (NCAA) athletes were tested using the BioSway™ (Biodex, USA)...
2018: International Journal of Exercise Science
Anna Lina Rahlf, Klaus-Michael Braumann, Astrid Zech
CONTEXT: Although increasingly used for therapeutic treatment only limited evidence exists regarding the effects of kinesio taping on patients with knee osteoarthritis. OBJECTIVE: To determine the effects of kinesio taping on pain, function, gait and neuromuscular control concerning patients with knee osteoarthritis (OA). DESIGN: Randomized sham-controlled trial. SETTING: University laboratory. PARTICIPANTS: 141 Patients (65...
February 21, 2018: Journal of Sport Rehabilitation
Savannah V Wooten, Joseph F Signorile, Sohil S Desai, Amelia K Paine, Kiersten Mooney
OBJECTIVE: Yoga has been shown to improve muscle strength, flexibility, and balance. However, the impact of meditation on dynamic factors such as gait, reactive balance and proprioception has yet to be examined. The purpose of this study was to test if a novel yoga meditation program (YoMed) is as effective as a standard proprioceptive training in improving proprioception, balance and power in older individuals who have fallen. DESIGN: Sixteen older persons were randomly assigned to either the YoMed Group (YM) or Proprioception Training Group (PT)...
February 2018: Complementary Therapies in Medicine
Daniel Cushman, John Hendrick, Masaru Teramoto, Benjamin Fogg, Sean Bradley, Colby Hansen
OBJECTIVE: This study aimed to identify the Balance Error Scoring System's (BESS) intraclass reliability in a cohort of patients with prolonged symptoms using variance component analysis and intraclass correlation coefficient (ICC). SETTING: Outpatient sports medicine/concussion clinic. PARTICIPANTS: A total of 241 paediatric and 102 adult patients with symptoms lasting longer than 10 days. INTERVENTIONS: BESS testing...
February 2, 2018: Brain Injury: [BI]
Jason Curran, Rachel Cliff, Nadine Sinnen, Michael Koehle, Chris Carlsten
Recent epidemiological evidence connects ambient air pollutants to adverse neurobehavioural effects in adults. In animal models, subchronic controlled exposures to diesel exhaust (DE) have also showed evidence of neuroinflammation. Evidence suggests that DE not only affects outcomes commonly associated with cognitive dysfunction, but also balance impairment. We conducted a controlled human exposure experiment with 28 healthy subjects (average age = 28 years (SD = 7.1; range = 21-49); and 40% female) who were exposed to two conditions, filtered air (FA) and DE (300 μg PM2...
2018: Journal of Occupational Medicine and Toxicology
Cathy C Harro, Chelsea Garascia
BACKGROUND AND PURPOSE: Postural control declines with aging and is an independent risk factor for falls in older adults. Objective examination of balance function is warranted to direct fall prevention strategies. Force platform (FP) systems provide quantitative measures of postural control and analysis of different aspects of balance. The purpose of this study was to examine the reliability and validity of FP measures in healthy older adults. METHODS: This study enrolled 46 healthy elderly adults, mean age 67...
January 10, 2018: Journal of Geriatric Physical Therapy
Jessie R Oldham, Melissa S DiFabio, Thomas W Kaminski, Ryan M DeWolf, David R Howell, Thomas A Buckley
PURPOSE: The purpose was to evaluate tandem gait (TG), Balance Error Scoring System (BESS), and modified Balance Error Scoring System (mBESS) performance acutely post-concussion in collegiate student-athletes. Additionally, we sought to evaluate the psychometric properties of TG, including minimal detectable change (MDC), sensitivity, and specificity. METHODS: Seventy-six NCAA student-athletes performed TG and BESS tests: 38 acutely post-concussion and 38 controls...
January 8, 2018: Medicine and Science in Sports and Exercise
David J Clark, Sudeshna A Chatterjee, Theresa E McGuirk, Eric C Porges, Emily J Fox, Chitralakshmi K Balasubramanian
BACKGROUND: Walking adaptability tasks are challenging for people with motor impairments. The construct of perceived challenge is typically measured by self-report assessments, which are susceptible to subjective measurement error. The development of an objective physiologically-based measure of challenge may help to improve the ability to assess this important aspect of mobility function. The objective of this study to investigate the use of sympathetic nervous system (SNS) activity measured by skin conductance to gauge the physiological stress response to challenging walking adaptability tasks in people post-stroke...
February 2018: Gait & Posture
James MacDonald, Neha Patel, Julie Young, Emily Stuart
OBJECTIVE: To determine which data collected on an initial patient clinic visit for a sports-related concussion (SRC) might influence physicians to clear an adolescent to return to drive (RTD) after injury. STUDY DESIGN: Retrospective cohort study of 189 adolescents with a SRC referred to a hospital-based concussion clinic between June 1, 2015, and May 31, 2016. Subjects were ≥16 years with a valid driver's license (median age = 16, IQR [16, 17]). Concussion evaluations included Post-Concussion Symptom Scale, modified Balance Error Scoring System, and postinjury computerized neurocognitive testing (CNT)...
March 2018: Journal of Pediatrics
Nicole L Hoffman, Michelle L Weber, Steven P Broglio, Michael McCrea, Thomas W McAllister, Julianne D Schmidt
OBJECTIVE: To determine whether decreased sleep duration postconcussion influences days to asymptomatic and assessment of performance throughout recovery. DESIGN: Prospective. SETTING: Institutional Clinical Research Laboratory. PATIENTS: Four hundred twenty-three collegiate athletes were diagnosed with concussion. INTERVENTIONS: Multidimensional concussion assessment battery was conducted at baseline, within 24 to 48 hours, daily [2-4 days postinjury (PI); symptoms only], once asymptomatic, and after return-to-play...
November 16, 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
Kelsey J Marshall, Tamra L Llewellyn
Good balance, flexibility, and strength are all required to maintain a steady stance during the kinematic chain to produce successful golf shots. When the body can produce more power, more club head speed is generated. This formation of power translates into greater distance and accuracy. Athletes today are seeking exercise programs to enhance these qualities of their golf swing. The purpose of this study is to investigate the correlations between flexibility and balance with club head speed and driving distance in the golf swing of male and female collegiate golfers...
2017: International Journal of Exercise Science
Ross E Mathiasen, Christopher P Hogrefe, Kari K Harland, Andrew Peterson, Kyle Smoot
INTRODUCTION: The Balance Error Scoring System (BESS) is a commonly used concussion assessment tool. Recent studies have questioned the stability and reliability of baseline BESS scores. The purpose of this longitudinal prospective cohort study is to examine differences in yearly baseline BESS scores in athletes participating on an NCAA Division-I football team. MATERIALS AND METHODS: NCAA Division-I freshman football athletes were videotaped performing the BESS test at matriculation and following one year of participation in the football program...
November 17, 2017: Journal of Neurotrauma
Lauren McIntyre, Marc Campo
CONTEXT:   Capturing baseline data before a concussion can be a valuable tool in individualized care. However, not all athletes, including dancers, have access to baseline testing. When baseline examinations were not performed, clinicians consult normative values. Dancers are unique athletes; therefore, describing values specific to dancers may assist those working with these athletes in making more informed decisions. OBJECTIVE:   To describe values for key concussion measures of dancers...
November 9, 2017: Journal of Athletic Training
Emily M Hartley, Matthew C Hoch, Michelle C Boling
OBJECTIVES: To determine if static balance, dynamic balance, ankle range of motion, body mass index (BMI), or history of an ankle sprain were associated with ankle sprain injuries within male and female collegiate athletes. DESIGN: Prospective cohort. METHODS: Three hundred and eighty-four male (age=19.79±1.80 years, height=178.02±10.39cm, mass=85.71±17.59kg) and one hundred and sixty seven female (age=19.80±1.52 years, height=165.61±7...
October 25, 2017: Journal of Science and Medicine in Sport
Eamon T Campolettano, Gunnar Brolinson, Steven Rowson
Postural control testing is often used by clinicians and athletic trainers to assess the health of athletes during recovery from a concussion. Characterization of postural control as a clinical tool for use with youth athletes is limited though. The objective of this study was to compare performance on the Balance Error Scoring System (BESS) and a force plate protocol at the beginning and end of a season of football within a cohort of 34 healthy youth football players (average age of 9.9 ± 0.6 years). A secondary aim was to investigate if changes in measures of balance from the postseason to the preseason were correlated with head impact exposure...
November 1, 2017: Journal of Applied Biomechanics
Madeline Simon, Arthur Maerlender, Katelyn Metzger, Laura Decoster, Amy Hollingworth, Tamara Valovich McLeod
We sought to investigate the one-week and within-session reliability of the instrumented balance error scoring system test and the concurrent validity/one-week reliability of two neurocognitive assessments available through C3 Logix. (n = 37) Participants completed two balance error scoring system tests separated by the Trails A, Trails B, and Symbol Digit Modality test available through C3 Logix, and with paper and pencil. We found that the instrumented balance error scoring system test demonstrated strong one-week reliability and that neuropsychological tests available through C3 Logix show acceptable concurrent validity with standard (comparable) paper and pencil measures...
October 25, 2017: Developmental Neuropsychology
Mengqi Zhu, Zhonghua Huang, Chao Ma, Yinlin Li
Sports-related concussion is a common sports injury that might induce potential long-term consequences without early diagnosis and intervention in the field. However, there are few options of such sensor systems available. The aim of the study is to propose and validate an automated concussion administration and scoring approach, which is objective, affordable and capable of detecting all balance errors required by the balance error scoring system (BESS) protocol in the field condition. Our approach is first to capture human body skeleton positions using two Microsoft Kinect sensors in the proposed configuration and merge the data by a custom-made algorithm to remove the self-occlusion of limbs...
October 20, 2017: Sensors
Laurel J Collings, Nathan E Cook, Shaun Porter, Cody Kusch, Jonathan Sun, Naznin Virji-Babul, Grant L Iverson, William J Panenka
OBJECTIVES: The objectives of this study were to report baseline, preseason data for the Child-SCAT3, stratified by attention deficit hyperactivity disorder (ADHD) status, and examine group differences in Child-SCAT3 performance between children with and without ADHD. DESIGN: Cross-sectional study. METHODS: Young male hockey players (n = 304), aged 8-12 years, were administered the Child-SCAT3 during pre-season. Child-SCAT3 measures included a 20-item symptom scale, a Standardised Assessment of Concussion Child Version (SAC-C), a modified Balance Error Scoring System (m-BESS), a tandem gait task, and a coordination test...
2017: Brain Injury: [BI]
Jin H Lee, David R Howell, William P Meehan, Grant L Iverson, Andrew J Gardner
BACKGROUND: The Sport Concussion Assessment Tool-Third Edition (SCAT3) is currently considered the standard sideline assessment for concussions. In-game exercise, however, may affect SCAT3 performance and the diagnosis of concussions. PURPOSE: To examine the influence of exercise on SCAT3 performance in professional male athletes. STUDY DESIGN: Controlled laboratory study. METHODS: We examined the SCAT3 performance of 82 professional male athletes under 2 conditions: at rest and after exercise...
September 2017: Orthopaedic Journal of Sports Medicine
Abbis H Jaffri, Thomas M Newman, Brent I Smith, Sayers John Miller
BACKGROUND: There is a need for new clinical assessment tools to test dynamic balance during typical functional movements. Common methods for assessing dynamic balance, such as the Star Excursion Balance Test, which requires controlled movement of body segments over an unchanged base of support, may not be an adequate measure for testing typical functional movements that involve controlled movement of body segments along with a change in base of support. PURPOSE/HYPOTHESIS: The purpose of this study was to determine the reliability of the Dynamic Leap and Balance Test (DLBT) by assessing its test-retest reliability...
August 2017: International Journal of Sports Physical Therapy
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