Evaluation of Nintendo WII balance board as a tool for measuring postural stability after sport-related concussion

Titel: Evaluation of Nintendo WII balance board as a tool for measuring postural stability after sport-related concussion
Deutscher übersetzter Titel: Evaluation des Nintendo WII Balance Boards als Instrument zur Messung der posturalen Stabilität nach einer sportinduzierten Gehirnerschütterung
Autor: Merchant-Borna, Kian; Jones, Courtney Marie Cora; Janigro, Mattia; Wasserman, Erin B.; Clark, Ross A.; Bazarian, Jeffrey J.
Zeitschriftentitel: Journal of athletic training
Format: Zeitschriften­artikel
Medienart: Elektronische Ressource (online); Gedruckte Ressource
Sprache: Englisch
Veröffentlicht: 52 (2017), 3, S. 245-255, Lit.
Schlagworte: Analyse; Balance; Betreuung, sportmedizinische; Computer; Computersimulation; E-Sport; Evaluation; Gehirn; Gehirnerschütterung; Gleichgewicht; Gleichgewichtsschulung; Gleichgewichtstest; Gleichgewichtsvermögen; Netzwerk, neuronales; Neuromotorik; Neurophysiologie; Schädelhirnverletzung; Schädelverletzung; Spiel; Spielform; Sportmedizin; Sporttraumatologie; Sportwissenschaft; Trainingswissenschaft; Untersuchung, vergleichende;
Erfassungsnummer: PU201704002729
Quelle: BISp
Gespeichert in:

Abstract des Autors

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.

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