A prospective investigation of changes in the sensorimotor following sports concussion: An exploratory study
Journal article
Hides, Julie A., Franettovich Smith, Melinda M., Mendis, M. Dilani, Smith, Nigel, Cooper, Andrew J., Treleaven, Julia, Leung, Felix, Gardner, Andrew J., McCrory, Paul and Low Choy, Nancy L.. (2017). A prospective investigation of changes in the sensorimotor following sports concussion: An exploratory study. Musculoskeletal Science and Practice. 29, pp. 7 - 19. https://doi.org/10.1016/j.msksp.2017.02.003
Authors | Hides, Julie A., Franettovich Smith, Melinda M., Mendis, M. Dilani, Smith, Nigel, Cooper, Andrew J., Treleaven, Julia, Leung, Felix, Gardner, Andrew J., McCrory, Paul and Low Choy, Nancy L. |
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Abstract | Background: Sports <a href="https://www.sciencedirect.com/topics/nursing-and-health-professions/... title="Learn more about Concussion from ScienceDirect's AI-generated Topic Pages">concussion is a risk for players involved in high impact, collision sports. Post-concussion, the majority of <a href="https://www.sciencedirect.com/topics/nursing-and-health-professions/... title="Learn more about Symptom from ScienceDirect's AI-generated Topic Pages">symptoms subside within 7–10 days, but can persist in 10–20% of <a href="https://www.sciencedirect.com/topics/nursing-and-health-professions/... title="Learn more about Athletes from ScienceDirect's AI-generated Topic Pages">athletes. Understanding the effects of sports <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/concussi... title="Learn more about Concussion from ScienceDirect's AI-generated Topic Pages">concussion on sensorimotor systems could inform <a href="https://www.sciencedirect.com/topics/nursing-and-health-professions/... title="Learn more about Physiotherapy from ScienceDirect's AI-generated Topic Pages">physiotherapy treatment. Objective: To explore changes in <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/sensorim... title="Learn more about Sensorimotor Function from ScienceDirect's AI-generated Topic Pages">sensorimotor function in the acute phase following sports concussion. Design: <a href="https://www.sciencedirect.com/topics/nursing-and-health-professions/... title="Learn more about Prospective Cohort Study from ScienceDirect's AI-generated Topic Pages">Prospective cohort study. Methods: Fifty-four players from elite rugby union and league teams were assessed at the start of the playing season. Players who sustained a concussion were assessed three to five days later. Measures included assessments of balance (sway velocity), <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/vestibul... title="Learn more about Vestibular System from ScienceDirect's AI-generated Topic Pages">vestibular system function (vestibular ocular reflex gain; right-left asymmetry), cervical <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/proprioc... title="Learn more about Proprioception from ScienceDirect's AI-generated Topic Pages">proprioception (joint <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/position... title="Learn more about Position from ScienceDirect's AI-generated Topic Pages">position error) and <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/torso&qu... title="Learn more about Torso from ScienceDirect's AI-generated Topic Pages">trunk <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/muscle&q... title="Learn more about Muscle from ScienceDirect's AI-generated Topic Pages">muscle size and function. Results: During the playing season, 14 post-concussion assessments were performed within 3–5 days of <a href="https://www.sciencedirect.com/topics/nursing-and-health-professions/... title="Learn more about Injury from ScienceDirect's AI-generated Topic Pages">injury. Significantly decreased sway <a href="https://www.sciencedirect.com/topics/nursing-and-health-professions/... title="Learn more about Velocity from ScienceDirect's AI-generated Topic Pages">velocity and increased size/contraction of trunk muscles, were identified. Whilst not significant overall, large inter-individual variation of test results for cervical proprioception and the vestibular system was observed. Limitations: The number of players who sustained a concussion was not large, but numbers were comparable with other studies in this field. There was missing baseline data for vestibular and cervical proprioception testing for some players. Conclusions: Preliminary findings post-concussion suggest an altered balance strategy and trunk muscle <a href="https://www.sciencedirect.com/topics/nursing-and-health-professions/... title="Learn more about Control from ScienceDirect's AI-generated Topic Pages">control with splinting/over-holding requiring consideration as part of the <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/developm... title="Learn more about Development from ScienceDirect's AI-generated Topic Pages">development of appropriate <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/physioth... title="Learn more about Physiotherapy from ScienceDirect's AI-generated Topic Pages">physiotherapy management strategies. |
Keywords | motor control; vestibular system; balance; cervical proprioception; trunk muscles; rugby |
Year | 2017 |
Journal | Musculoskeletal Science and Practice |
Journal citation | 29, pp. 7 - 19 |
Publisher | Elsevier |
ISSN | 2468-7812 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.msksp.2017.02.003 |
Page range | 7 - 19 |
Research Group | Mary MacKillop Institute for Health Research |
Publisher's version | File Access Level Controlled |
Place of publication | United Kingdom |
https://acuresearchbank.acu.edu.au/item/87yw9/a-prospective-investigation-of-changes-in-the-sensorimotor-following-sports-concussion-an-exploratory-study
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