Utility of a Postural Stability/Perceptual Inhibition Dual Task for Identifying Concussion in Adolescents.

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...

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Publicado en:Journal of Sport Rehabilitation Vol. 30; no. 8; pp. 1191 - 1197
Autores principales: Eagle, Shawn R., Sparto, Patrick J., Holland, Cynthia L., Alkathiry, Abdulaziz A., Blaney, Nicholas A., Bitzer, Hannah B., Collins, Michael W., Furman, Joseph M., Kontos, Anthony P.
Formato: research tables/charts Journal Article
Publicado: Human Kinetics Publishers, Inc. Nov2021
Acceso en línea:Ver este registro en EBSCOhost
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        10566716
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      jtl: Journal of Sport Rehabilitation
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      dt: Nov2021
      vid: 30
      iid: 8
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      pub: Human Kinetics Publishers, Inc.
      place: Champaign, Illinois
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        153310789
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        10.1123/jsr.2021-0084
        153310789
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        atl: Utility of a Postural Stability/Perceptual Inhibition Dual Task for Identifying Concussion in Adolescents.
      aug:
        au:
          Eagle, Shawn R.
          Sparto, Patrick J.
          Holland, Cynthia L.
          Alkathiry, Abdulaziz A.
          Blaney, Nicholas A.
          Bitzer, Hannah B.
          Collins, Michael W.
          Furman, Joseph M.
          Kontos, Anthony P.
      sug:
        subj:
          Brain Concussion Diagnosis
          Balance, Postural Evaluation
          Task Performance and Analysis Methods
          Human
          Male
          Female
          Adolescence
          Athletes
          Spatial Perception
          Visual Perception
          Reaction Time
          Case Control Studies
          Logistic Regression
          Scales
          T-Tests
          ROC Curve
          Data Analysis Software
          Descriptive Statistics
          Adolescent: 13-18 years
          Male
          Female
      ab: 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 <.05). Logistic regression identified predictors of concussion from outcomes. Area under the curve evaluated discriminative ability of identifying SRC. 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 <.001) and AP postural sway on foam (area under the curve = 0.70; 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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