Clinical Feasibility and Utility of a Dual-Task Tandem Gait Protocol for Pediatric Concussion Management.
Clinical management of sport-related concussion requires the assessment of various factors, including motor performance. The tandem gait test, a measure of postinjury motor performance, has demonstrated clinical utility but is limited by time availability and test uniformity. To assess intrasession...
| Publicado en: | Journal of Athletic Training (KnowledgeWorks Global, Ltd) Vol. 58; no. 2; pp. 106 - 112 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
KnowledgeWorks Global, Ltd
Feb2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163025349&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163025349 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10626050 HB36 jtl: Journal of Athletic Training (KnowledgeWorks Global, Ltd) issn: 10626050 maglogo: N pubinfo: dt: Feb2023 vid: 58 iid: 2 pid: 81084 pub: KnowledgeWorks Global, Ltd place: Richmond, Virginia artinfo: ui: 163025349 163025349 163025349 10.4085/323-20 163025349 ppf: 106 ppct: 6 formats: tig: atl: Clinical Feasibility and Utility of a Dual-Task Tandem Gait Protocol for Pediatric Concussion Management. aug: au: Wingerson, Mathew J. Seehusen, Corrine N. Walker, Gregory Wilson, Julie C. Howell, David R. affil: Sports Medicine Center, Children's Hospital Colorado, Aurora sug: subj: Brain Concussion Prevention and Control Decision Making, Clinical Task Performance and Analysis Gait Analysis Pediatric Care Clinical Assessment Tools Instrument Validation Human Cross Sectional Studies Male Female Psychometrics Descriptive Statistics Pearson's Correlation Coefficient Intraclass Correlation Coefficient ROC Curve Reliability Protocols Athletes Sensitivity and Specificity Child Funding Source Motor Skills Validation Studies Cognition Evaluation Discriminant Validity Child: 6-12 years Male Female ab: Clinical management of sport-related concussion requires the assessment of various factors, including motor performance. The tandem gait test, a measure of postinjury motor performance, has demonstrated clinical utility but is limited by time availability and test uniformity. To assess intrasession reliability between tandem gait test trials and determine the number of trials necessary for optimal utility and feasibility in clinical decision-making after concussion. Cross-sectional study. Pediatric sport medicine clinic. Adolescent athletes who recently sustained a concussion (n = 44; age = 15.4 ± 1.8 years; 39% females) and were seen for care within 14 days (7.3 ± 3.2 days) of their injury as well as uninjured control participants (n = 73; age = 15.8 ± 1.3 years; 41% females). All individuals completed 3 single-task and 3 dual-task tandem gait trials. We collected test completion time and cognitive performance for each trial and calculated Pearson correlation coefficients between trials and intraclass correlation coefficients (ICCs) to determine intrasession reliability. We also compared performance between groups and calculated area under the curve (AUC) values to identify the ability of each trial to distinguish between groups. Both the concussion and control groups demonstrated high intrasession reliability between tandem gait trials under single- (R ≥ 0.82, ICC ≥ 0.93) and dual- (R ≥ 0.79, ICC ≥ 0.92) task conditions. The greatest group classification values were obtained from the second single-task trial (AUC = 0.89) and first dual-task trial (AUC = 0.83). Test completion time provided excellent between-groups discrimination in single- and dual-task conditions. However, cognitive performance during dual-task trials demonstrated only marginally significant clinical utility (AUC ≤ 0.67). Tandem gait assessments may only require 2 trials under single-task and 1 trial under dual-task conditions to effectively discriminate between concussion and control groups. This approach may improve the feasibility (ie, time requirement) of the test while maintaining excellent discriminatory ability. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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