TY  - JOUR
AU  - Merchant-Borna, Kian
A2  - Merchant-Borna, Kian
A2  - Jones, Courtney Marie Cora
A2  - Janigro, Mattia
A2  - Wasserman, Erin B.
A2  - Clark, Ross A.
A2  - Bazarian, Jeffrey J.
DB  - BISp
DP  - BISp
KW  - Analyse
KW  - Balance
KW  - Betreuung, sportmedizinische
KW  - Computer
KW  - Computersimulation
KW  - E-Sport
KW  - Evaluation
KW  - Gehirn
KW  - Gehirnerschütterung
KW  - Gleichgewicht
KW  - Gleichgewichtsschulung
KW  - Gleichgewichtstest
KW  - Gleichgewichtsvermögen
KW  - Netzwerk, neuronales
KW  - Neuromotorik
KW  - Neurophysiologie
KW  - Schädelhirnverletzung
KW  - Schädelverletzung
KW  - Spiel
KW  - Spielform
KW  - Sportmedizin
KW  - Sporttraumatologie
KW  - Sportwissenschaft
KW  - Trainingswissenschaft
KW  - Untersuchung, vergleichende
LA  - eng
TI  - Evaluation of Nintendo WII balance board as a tool for measuring postural stability after sport-related concussion
TT  - Evaluation des Nintendo WII Balance Boards als Instrument zur Messung der posturalen Stabilität nach einer sportinduzierten Gehirnerschütterung
PY  - 2017
N2  - 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.
L2  - https://dx.doi.org/10.4085/1062-6050-52.1.13
L2  - http://natajournals.org/doi/pdf/10.4085/1062-6050-52.1.13
DO  - 10.4085/1062-6050-52.1.13
SP  - S. 245-255
SN  - 1062-6050
JO  - Journal of athletic training
IS  - 3
VL  - 52
M3  - Elektronische Ressource (online)
M3  - Gedruckte Ressource
ID  - PU201704002729
ER  -