A prospective investigation of changes in the sensorimotor system following sports concussion. An exploratory study.

Journal article

Hides, Julie, Franettovich-Smith, Melinda M., Mendis, Dilani, Smith, Nigel Anthony, Cooper, Andrew, Treleaven, Julia, Leung, Felix, Gardner, Andrew, McCrory, Paul and Choy, Nancy L.. (2017). A prospective investigation of changes in the sensorimotor system following sports concussion. An exploratory study. Musculoskeletal Science and Practice. 29, pp. 7 - 19. https://doi.org/10.1016/j.msksp.2017.02.003
AuthorsHides, Julie, Franettovich-Smith, Melinda M., Mendis, Dilani, Smith, Nigel Anthony, Cooper, Andrew, Treleaven, Julia, Leung, Felix, Gardner, Andrew, McCrory, Paul and Choy, Nancy L.
Abstract

Background Sports concussion is a risk for players involved in high impact, collision sports. Post-concussion, the majority of symptoms subside within 7–10 days, but can persist in 10–20% of athletes. Understanding the effects of sports concussion on sensorimotor systems could inform physiotherapy treatment. Objective To explore changes in sensorimotor function in the acute phase following sports concussion. Design 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), vestibular system function (vestibular ocular reflex gain; right-left asymmetry), cervical proprioception (joint position error) and trunk muscle size and function. Results During the playing season, 14 post-concussion assessments were performed within 3–5 days of injury. Significantly decreased sway 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 control with splinting/over-holding requiring consideration as part of the development of appropriate physiotherapy management strategies.

Year2017
JournalMusculoskeletal Science and Practice
Journal citation29, pp. 7 - 19
PublisherElsevier Ltd
ISSN2468-7812
Digital Object Identifier (DOI)https://doi.org/10.1016/j.msksp.2017.02.003
Scopus EID2-s2.0-85018995206
Page range7 - 19
Research GroupMary MacKillop Institute for Health Research
Publisher's version
File Access Level
Controlled
Place of publicationUnited Kingdom
EditorsA. Moore and G. Jull
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Mendis, Dilani, Wilson, Stephen, Stanton, Warren and Hides, Julie. (2010). Validity of real-time ultrasound imaging to measure anterior hip muscle size: A comparison with magnetic resonance imaging. Journal of Orthopaedic and Sports Physical Therapy. 40(9), pp. 577 - 581. https://doi.org/10.2519/jospt.2010.3286
A magnetic resonance imaging investigation of the transversus abdominins muscle during drawing-in of the abdominal wall in elite Australian football league players with and without low back pain
Hides, Julie Anne, Boughen, Carly, Stanton, Warren Robert, Strudwick, Mark and Wilson, Steve. (2010). A magnetic resonance imaging investigation of the transversus abdominins muscle during drawing-in of the abdominal wall in elite Australian football league players with and without low back pain. Journal of Orthopaedic and Sports Physical Therapy. 40(1), pp. 4 - 10. https://doi.org/10.2519/jospt.2010.3177
Countermeasures against lumbar spine deconditioning in prolonged bed rest : resistive exercise with and without whole body vibration
Hides, Julie Anne, Belavy, Daniel, Armbrecht, Gabriele, Richardson, Carolyn, Felsenberg, Dieter and Gast, U. (2010). Countermeasures against lumbar spine deconditioning in prolonged bed rest : resistive exercise with and without whole body vibration. Journal of Applied Psychology. 109(6), pp. 1801 - 1811. https://doi.org/10.1152/japplphysiol.00707.2010
Retraining motor control of abdominal muscles among elite cricketers with low back pain
Hides, Julie Anne, Stanton, Warren Robert, Wilson, Stephen, Freke, Matt, McMahon, Shaun and Sims, K. (2010). Retraining motor control of abdominal muscles among elite cricketers with low back pain. Scandinavian Journal of Medicine & Science in Sports. 20(6), pp. 834 - 842. https://doi.org/10.1111/j.1600-0838.2009.01019.x
The reliability and validity of the alcohol, smoking and substance involvement screening test (assist)
Hides, L., Cotton, Sue, Berger, G., Gleeson, John, O'Donnell, C., Proffitt, T., McGorry, Patrick and Lubman, Dan. (2009). The reliability and validity of the alcohol, smoking and substance involvement screening test (assist). Addictive Behaviors. 34(10), pp. 821 - 825. https://doi.org/10.1016/j.addbeh.2009.03.040
Relationships between body fatness, small-screen sedentary activity and regionality among school children in Victoria, Australia
Aucote, Helen M. and Cooper, Andrew. (2009). Relationships between body fatness, small-screen sedentary activity and regionality among school children in Victoria, Australia. Australian Journal of Rural Health. 17(3), pp. 141 - 146. https://doi.org/10.1111/j.1440-1584.2009.01058.x
Measuring the psychological consequences of breast cancer screening: A confirmatory factor analysis of the psychological consequences questionnaire
Cooper, Andrew and Aucote, Helen. (2009). Measuring the psychological consequences of breast cancer screening: A confirmatory factor analysis of the psychological consequences questionnaire. Quality of Life Research. 18(5), pp. 597 - 604. https://doi.org/10.1007/s11136-009-9472-4
Different ways to balance the spine: Subtle changes in sagittal spinal curves affect regional muscle activity
Claus, Andrew, Hides, Julie, Moseley, G. Lorimer and Hodges, Paul. (2009). Different ways to balance the spine: Subtle changes in sagittal spinal curves affect regional muscle activity. Spine. 34(6), pp. 208 - 214. https://doi.org/10.1097/BRS.0b013e3181908ead
The association between degenerative hip joint pathology and size of the gluteus maximus and tensor fascia lata muscles
Grimaldi, Alison, Richardson, Carolyn, Durbridge, Gail, Donnelly, William, Darnell, Ross and Hides, Julie Anne. (2009). The association between degenerative hip joint pathology and size of the gluteus maximus and tensor fascia lata muscles. Manual Therapy. 14(6), pp. 611 - 617. https://doi.org/10.1016/j.math.2008.11.002
The effect of chronic low back pain on size and contraction of the lumbar multifidus muscle
Wallwork, Tracy, Stanton, Warren, Freke, Matt and Hides, Julie. (2009). The effect of chronic low back pain on size and contraction of the lumbar multifidus muscle. Manual Therapy. 14(5), pp. 496 - 500. https://doi.org/10.1016/j.math.2008.09.006
Effect of prolonged bed rest on the anterior hip muscles
Mendis, Dilani, Hides, Julie, Wilson, Stephen, Grimaldi, Alison, Belavy, Daniel, Stanton, Warren, Felsenberg, Dieter, Rittweger, Jorn and Richardson, Carolyn A.. (2009). Effect of prolonged bed rest on the anterior hip muscles. Gait & Posture. 30(4), pp. 533 - 537. https://doi.org/10.1016/j.gaitpost.2009.08.002
The association between degenerative hip joint pathology and size of the gluteus medius, gluteus minimus and piriformis muscles
Grimaldi, Alison, Richardson, Carolyn, Stanton, Warren Robert, Durbridge, Gail, Donnelly, William and Hides, Julie Anne. (2009). The association between degenerative hip joint pathology and size of the gluteus medius, gluteus minimus and piriformis muscles. Manual Therapy. 14(6), pp. 605 - 610. https://doi.org/10.1016/j.math.2009.07.004
Altered response of the anterolateral abdominal muscles to stimulated weight-bearing in subjects with low back pain
Hides, Julie, Belavy, Daniel, Cassar, Lana, Willia, Michelle, Wilson, Stephen and Richardson, Carolyn A.. (2009). Altered response of the anterolateral abdominal muscles to stimulated weight-bearing in subjects with low back pain. European Spine Journal. 18(3), pp. 410 - 418. https://doi.org/10.1007/s00586-008-0827-2
Is 'ideal' sitting posture real?: Measurement of spinal curves in four sitting postures
Claus, Andrew, Hides, Julie, Moseley, G. Lorimer and Hodges, Paul. (2009). Is 'ideal' sitting posture real?: Measurement of spinal curves in four sitting postures. Manual Therapy. 14(4), pp. 404 - 408. https://doi.org/10.1016/j.math.2008.06.001
MRI study of the size, symmetry and function of the trunk muscles among elite cricketers with and without low back pain
Hides, Julie, Stanton, Warren, Freke, Matt, Wilson, Stephen, McMahon, Shaun and Richardson, Carolyn A.. (2008). MRI study of the size, symmetry and function of the trunk muscles among elite cricketers with and without low back pain. British Journal of Sports Medicine. 42(10), pp. 809 - 813. https://doi.org/10.1136/bjsm.2007.044024
Sitting versus standing: Does the intradiscal pressure cause disc degeneration or low back pain?
Claus, Andrew, Hides, Julie, Moseley, G. Lorimer and Hodges, Paul. (2008). Sitting versus standing: Does the intradiscal pressure cause disc degeneration or low back pain? Journal of Electromyography and Kinesiology. 18(4), pp. 550 - 558. https://doi.org/10.1016/j.jelekin.2006.10.011
Resistive simulated weightbearing exercise with whole body vibration reduces lumbar spine deconditioning in bed-res
Belavy, Daniel, Hides, Julie, Wilson, Stephen, Stanton, Warren, Dimeo, Fernando, Rittweger, Jorn, Felsenberg, Dieter and Richardson, Carolyn A.. (2008). Resistive simulated weightbearing exercise with whole body vibration reduces lumbar spine deconditioning in bed-res. Spine. 33(5), pp. 121 - 131. https://doi.org/10.1097/BRS.0b013e3181657f98
Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain
Hides, Julie, Stanton, Warren, McMahon, Shaun, Si, K. and Richardson, Carolyn A.. (2008). Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain. Journal of Orthopaedic and Sports Physical Therapy. 38(3), pp. 101 - 108. https://doi.org/10.2519/jospt.2008.2658
Multifidus size and symmetry among chronic IBP and healthy asymptomatic subjects
Hides, Julie, Gilmore, Craig, Stanton, Warren and Bohlscheid, Emma. (2008). Multifidus size and symmetry among chronic IBP and healthy asymptomatic subjects. Manual Therapy. 13(1), pp. 43 - 49. https://doi.org/10.1016/j.math.2006.07.017
Assessment of abdominal muscle function during a simulated unilateral weigh bearing task using ultrasound imaging
Hides, Julie, Wong, Ian, Wilson, Stephen, Belavy, Daniel and Richardson, Carolyn A.. (2007). Assessment of abdominal muscle function during a simulated unilateral weigh bearing task using ultrasound imaging. Journal of Orthopaedic and Sports Physical Therapy. 37(8), pp. 467 - 471. https://doi.org/10.2519/jospt.2007.2417
Ultrasound imaging assessment of abdominal muscle function during drawing-in of the abdominal wall: an intrarater reliability study
Richardson, Carolyn A., Miokovic, Tanja, Belavy, Daniel, Stanton, Warren and Hides, Julie. (2007). Ultrasound imaging assessment of abdominal muscle function during drawing-in of the abdominal wall: an intrarater reliability study. Journal of Orthopaedic and Sports Physical Therapy. 37(8), pp. 480 - 486. https://doi.org/10.2519/jospt.2007.2416
The behavioural inhibition system and behavioural approach system (bis/bas) scales: Measurement and structural invariance across adults and adolescents
Cooper, Andrew, Gomez, Rapson and Aucote, Helen. (2007). The behavioural inhibition system and behavioural approach system (bis/bas) scales: Measurement and structural invariance across adults and adolescents. Personality and Individual Differences. 43(2), pp. 295 - 305. https://doi.org/10.1016/j.paid.2006.11.023
Rehabilitative ultrasound imaging of the posterior paraspinal muscles
Stokes, Maria, Hides, Julie, Elliott, James, Kiesel, Kyle and Hodges, Paul. (2007). Rehabilitative ultrasound imaging of the posterior paraspinal muscles. Journal of Orthopaedic and Sports Physical Therapy. 37(10), pp. 581 - 595. https://doi.org/10.2519/jospt.2007.2599
The ability to predict dynamic foot posture from static measurements
Franettovich-Smith, M., McPoil, T. G., Russell, T., Skardoon, G and Vicenzino, Bill. (2007). The ability to predict dynamic foot posture from static measurements. Journal of the American Podiatric Medical Association. 97(2), pp. 115 - 120. https://doi.org/10.7547/0970115
Rehabilitative ultrasound imaging of the abdominal muscles
Teyhen, Deydre, Gill, Norman, Whitake, Jackie, Henry, Sharon, Hides, Julie and Hodges, Paul. (2007). Rehabilitative ultrasound imaging of the abdominal muscles. Journal of Orthopaedic and Sports Physical Therapy. 37(8), pp. 450 - 466. https://doi.org/10.2519/jospt.2007.2558
Magnetic resonance imaging assessment of trunk muscles during prolonged bed rest
Hides, Julie, Belavy, Daniel, Stanton, Warren, Wilson, Stephen, Rittweger, Jorn, Felsenberg, Dieter and Richardson, Carolyn A.. (2007). Magnetic resonance imaging assessment of trunk muscles during prolonged bed rest. Spine. 32(15), pp. 1687 - 1692. https://doi.org/10.1097/BRS.0b013e318074c386
Intrarater and interrater reliability of assessment of lumbar multifidus thickness using rehabilitative ultrasound imaging
Wallwork, Tracy, Hides, Julie and Stanton, Warren. (2007). Intrarater and interrater reliability of assessment of lumbar multifidus thickness using rehabilitative ultrasound imaging. Journal of Orthopaedic and Sports Physical Therapy. 37(10), pp. 608 - 612. https://doi.org/10.2519/jospt.2007.2418
A pilot study of the initial effects of anti-pronation taping on electromyographic activity of lower leg muscles during walking
Franettovich, M., Chapman, A. and Vicenzino, B.. (2006). A pilot study of the initial effects of anti-pronation taping on electromyographic activity of lower leg muscles during walking. Journal of Science and Medicine in Sport. 9(1), pp. 33-34. https://doi.org/10.1016/j.jsams.2006.12.078
An MRI investigation into the function of the transversus abdominis muscle during "drawing-in" of the abdominal wall
Hides, Julie, Wilson, Stephen, Stanton, Warren, McMahon, Shaun, Keto, Heidi, McMahon, Catherine, Bryant, Mary and Richardson, Carolyn A.. (2006). An MRI investigation into the function of the transversus abdominis muscle during "drawing-in" of the abdominal wall. Spine. 31(6), pp. 175 - 178. https://doi.org/10.1097/01.brs.0000202740.86338.df
The use of real-time ultrasound imaging for biofeedback of lumbar multifidus muscle contraction in healthy subjects
Van, Khai, Hides, Julie and Richardson, Carolyn A.. (2006). The use of real-time ultrasound imaging for biofeedback of lumbar multifidus muscle contraction in healthy subjects. Journal of Orthopaedic and Sports Physical Therapy. 36(12), pp. 920 - 925. https://doi.org/10.2519/jospt.2006.2304
Low back pain patients demonstrate increased hip extensor muscle activity during standardized submaximal rotational efforts
Pirouzi, Soraya, Hides, Julie, Richardson, Carolyn A., Darnell, Ross and Toppenberg, Rowena. (2006). Low back pain patients demonstrate increased hip extensor muscle activity during standardized submaximal rotational efforts. Spine. 31(26), pp. 999 - 1005. https://doi.org/10.1097/01.brs.0000250076.74366.9d
Initial effects of anti-pronation tape on the medial longitudinal arch during walking and running
Vicenzino, Bill, Franettovich-Smith, M., McPoil, T. G., Russell, T and Skardoon, G. (2005). Initial effects of anti-pronation tape on the medial longitudinal arch during walking and running. British Journal of Sports Medicine. 39(12), pp. 939 - 943. https://doi.org/10.1136/bjsm.2005.019158
MRI measures of the lumbo-pelvic muscles in bedrest and follow-up: Implications for exercise countermeasures in microgravity.
Richardson, Carolyn A., Hides, Julie, Wilson, Stephen, Belavy, Daniel, Stanton, Warren, McCook, D, Elmann-Larsen, B, Rittweger, Jorn and Felsenberg, Dieter. (2005). MRI measures of the lumbo-pelvic muscles in bedrest and follow-up: Implications for exercise countermeasures in microgravity. Journal of Gravitational Physiology. 12(1), pp. 117 - 118.
Long-term overactivity in the abdominal oblique muscle after 8 weeks bed-rest - possible implications for musculoskeletal health
Belavy, Daniel, Richardson, Carolyn A., Wilson, Stephen, Darnell, Ross, Hides, Julie, Toppenberg, Rowena, Elmann-Larsen, B, Rittweger, Jorn and Felsenberg, Dieter. (2005). Long-term overactivity in the abdominal oblique muscle after 8 weeks bed-rest - possible implications for musculoskeletal health. Journal of Gravitational Physiology. 12(1), pp. 117 - 118.