Evaluation of nintendo Wii balance board as a tool for measuring postural stability after sport-related concussion
Journal article
Merchant-Borna, Kian, Cora Jones, Courtney Marie, Janigro, Mattia, Wasserman, Erin B., Clark, Ross A. and Bazarian, Jeffrey J.. (2017). Evaluation of nintendo Wii balance board as a tool for measuring postural stability after sport-related concussion. Journal of Athletic Training. 52(3), pp. 245 - 255. https://doi.org/10.4085/1062-6050-52.1.13
Authors | Merchant-Borna, Kian, Cora Jones, Courtney Marie, Janigro, Mattia, Wasserman, Erin B., Clark, Ross A. and Bazarian, Jeffrey J. |
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Abstract | Context: Recent changes to postconcussion guidelines indicate that postural-stability assessment may augment traditional neurocognitive testing when making return-to-participation decisions. The Balance Error Scoring System (BESS) has been proposed as 1 measure of balance assessment. A new, freely available software program to accompany the Nintendo Wii Balance Board (WBB) system has recently been developed but has not been tested in concussed patients. Objective: To evaluate the feasibility of using the WBB to assess postural stability across 3 time points (baseline and postconcussion days 3 and 7) and to assess concurrent and convergent validity of the WBB with other traditional measures (BESS and Immediate Post-Concussion Assessment and Cognitive Test [ImPACT] battery) of assessing concussion recovery. Design: Cohort study. Setting: Athletic training room and collegiate sports arena. Patients or Other Participants: We collected preseason baseline data from 403 National Collegiate Athletic Association Division I and III student-athletes participating in contact sports and studied 19 participants (age = 19.2 ± 1.2 years, height = 177.7 ± 8.0 cm, mass = 75.3 ± 16.6 kg, time from baseline to day 3 postconcussion = 27.1 ± 36.6 weeks) who sustained concussions. Main Outcome Measure(s): We assessed balance using single-legged and double-legged stances for both the BESS and WBB, focusing on the double-legged, eyes-closed stance for the WBB, and used ImPACT to assess neurocognition at 3 time points. Descriptive statistics were used to characterize the sample. Mean differences and Spearman rank correlation coefficients were used to determine differences within and between metrics over the 3 time points. Individual-level changes over time were also assessed graphically. Results: The WBB demonstrated mean changes between baseline and day 3 postconcussion and between days 3 and 7 postconcussion. It was correlated with the BESS and ImPACT for several measures and identified 2 cases of abnormal balance postconcussion that would not have been identified via the BESS. Conclusions: When accompanied by the appropriate analytic software, the WBB may be an alternative for assessing postural stability in concussed student-athletes and may provide additional information to that obtained via the BESS and ImPACT. However, verification among independent samples is required. |
Keywords | mild traumatic brain injury; athletes; balance; recovery; return-to-play guidelines; neurocognitive testing |
Year | 2017 |
Journal | Journal of Athletic Training |
Journal citation | 52 (3), pp. 245 - 255 |
Publisher | National Athletic Trainers Association, Inc |
ISSN | 1062-6050 |
Digital Object Identifier (DOI) | https://doi.org/10.4085/1062-6050-52.1.13 |
Scopus EID | 2-s2.0-85018856906 |
Page range | 245 - 255 |
Research Group | Sports Performance, Recovery, Injury and New Technologies (SPRINT) Research Centre |
Publisher's version | File Access Level Controlled |
Place of publication | United States of America |
https://acuresearchbank.acu.edu.au/item/8q5z8/evaluation-of-nintendo-wii-balance-board-as-a-tool-for-measuring-postural-stability-after-sport-related-concussion
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