ArticleSports health
Normative Tandem Gait in Collegiate Student-Athletes: Implications for Clinical Concussion Assessment.
Article in Sports health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Gait Impairment in Traumatic Brain Injury: A Systematic Review.Sensors (Basel, Switzerland) · 2022Pooled it
- Normative Data for Single- and Dual-Task Tandem Gait Performance in Collegiate Athletes.Sports medicine (Auckland, N.Z.) · 2026Article
- A Machine Learning Model for Post-Concussion Musculoskeletal Injury Risk in Collegiate Athletes.Sports medicine (Auckland, N.Z.) · 2025Article
- A Machine Learning Model for Post-Concussion Musculoskeletal Injury Risk in Collegiate Athletes.medRxiv : the preprint server for health sciences · 2025Article
- Youth Soccer Heading Exposure and Its Effects on Clinical Outcome Measures.Sports (Basel, Switzerland) · 2024Article
- Instrumented Static and Reactive Balance in Collegiate Athletes: Normative Values and Minimal Detectable Change.Journal of athletic training · 2024Article
- Initial investigation of kinesiophobia as a predictor of functional reaction time one year after concussion.Concussion (London, England) · 2024Article
- Integrative data analysis to identify persistent post-concussion deficits and subsequent musculoskeletal injury risk: project structure and methods.BMJ open sport & exercise medicine · 2024Article
- Spatiotemporal Parameters of Gait Among Adolescent Athletes with Concussion When Performing a Visuospatial Cognitive Task.International journal of sports physical therapy · 2023Article
- Single-Task and Dual-Task Tandem Gait Performance Across Clinical Concussion Milestones in Collegiate Student-Athletes.Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2021Article
- Sport-related concussion adopt a more conservative approach to straight path walking and turning during tandem gait.Journal of clinical and translational research · 2021Article
- No differences in tandem gait performance between male and female athletes acutely post-concussion.Journal of science and medicine in sport · 2020Article
- Tandem Gait Test-Retest Reliability Among Healthy Child and Adolescent Athletes.Journal of athletic training · 2019Article
- Using concurrent gait and cognitive assessments to identify impairments after concussion: a narrative review.Concussion (London, England) · 2018Review
- How tandem gait stumbled into the neurological exam: a review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2018Review
- Lower Extremity Musculoskeletal Injury Risk After Concussion Recovery in High School Athletes.Journal of athletic training · 2017Observational
- Decreased Anticipatory Postural Adjustments During Gait Initiation Acutely Postconcussion.Archives of physical medicine and rehabilitation · 2017Article
- Return to Sports After Concussion.Sports healthArticle
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundImpaired balance is common after concussion. The third edition of the Sport Concussion Assessment Tool (SCAT-3) recommends the Balance Error Scoring System (BESS) and/or tandem gait for postconcussion balance assessment. The limitations of the BESS are well documented; however, tandem gait has received little attention throughout concussion literature. The purpose of this study was to provide normative data for tandem gait in collegiate student-athletes based on sport type, concussion history, and gender. HYPOTHESIS: Tandem gait will be influenced by concussion history, sport, and gender. STUDY
designCohort study. LEVEL OF EVIDENCE: Level 3.
methodsFour hundred collegiate student-athletes from both collision/contact (n = 200) and limited contact/noncontact (n = 200) sports performed 4 tandem gait trials, consistent with SCAT-3 guidelines. The dependent variables included the best of the 4 trials (BEST), the mean of the 4 trials (MEAN), and the mean of each of the trials individually (ORDER). Separate multivariate analyses of variance were performed for each of the independent variables to determine effect on BEST and MEAN trial times. Significant main effects were followed up with a 1-way analysis of variance (ANOVA). A separate 1-way ANOVA was used to assess ORDER differences.
resultsThe mean BEST was 10.37 ± 1.76 seconds, and the MEAN was 11.32 ± 0.70 seconds. There were no significant differences in BEST or MEAN tandem gait times, respectively, between those with and without concussion history ( P = 0.41 and P = 0.69, respectively), sport type ( P = 0.57 and P = 0.42, respectively), or gender ( P = 0.73 and P = 0.49, respectively). There were significant differences ( P < 0.05) between ORDER of the 4 tandem gait trials across the population, with improved times at each trial.
conclusionThe results of this study provide a normative data set for tandem gait in healthy collegiate student-athletes and suggest that common determinants of balance, including concussion history, collision sport participation, and gender do not appear to influence performance, but ORDER could have significant clinical implications. CLINICAL RELEVANCE: Clinicians may use these data to distinguish important determinants of tandem gait performance and improve awareness when returning an individual to play after a concussion.
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