Evidence map›Paper›PMID 30109948›Full record

ArticleJournal of athletic training2018

Normative Performance on the Balance Error Scoring System by Youth, High School, and Collegiate Athletes.

Sarah J Ozinga, Susan M Linder, Mandy Miller Koop, Tanujit Dey, Richard Figler, Andrew N Russman, Richard So, Alan H Rosenthal, Jason Cruickshank, Jay L Alberts

Registry-linked trialAbstract read
In one paragraph

Article in Journal of athletic training, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06473883 (Effects of Vestibulo-oculomotor and Neuromuscular Training on the Incidence of Concussions and Musculoskeletal Injuries in Competitive Female Football Players), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06473883 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Effects of Vestibulo-oculomotor and Neuromuscular Training on the Incidence of Concussions and Musculoskeletal Injuries in Competitive Female Football Players

TypeinterventionalSponsorBrainCare Medical GroupRan2024 to 2025Enrolled209ConditionsConcussion, Brain, Musculoskeletal PainArmsTraining recommendation
3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

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  15. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Sarah J OzingaDepartment of Biomedical Engineering.
Susan M LinderDepartment of Biomedical Engineering.
Mandy Miller KoopDepartment of Biomedical Engineering.
Tanujit DeyDepartment of Quantitative Health Sciences.
Richard FiglerThe Concussion Center.
Andrew N RussmanThe Concussion Center.
Richard SoThe Pediatric Institute, Cleveland Clinic, OH.
Alan H RosenthalThe Pediatric Institute, Cleveland Clinic, OH.
Jason CruickshankThe Concussion Center.
Jay L AlbertsDepartment of Biomedical Engineering.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextAnnually, more than 1 million youth athletes in the United States receive or are suspected of receiving a concussion. The Balance Error Scoring System (BESS) is the most commonly used clinical balance evaluation designed to provide a better understanding of the motor-control processes of individuals with concussion. Despite the widespread use of the BESS, a fundamental gap exists in applying this tool to young athletes, as normative values are lacking for this population.

objectiveTo determine age- and sex-specific normative values for the BESS in youth, high school, and collegiate athletes.

designCross-sectional study.

settingLocal youth sport organizations, high schools, and colleges. PATIENTS OR OTHER

participantsStudent-athletes (N = 6762) completed preseason baseline concussion testing as part of a comprehensive concussion-management program. Groups were youth males aged 5 to 13 years (n = 360), high school males aged 14 to 18 years (n = 3743), collegiate males aged 19 to 23 years (n = 497), youth females aged 5 to 13 years (n = 246), high school females aged 14 to 18 years (n = 1673), and collegiate females aged 19 to 23 years (n = 243). MAIN OUTCOME MEASURE(S): Errors according to the BESS specifications.

resultsPerformance on the BESS was worse ( P < .01) in youth athletes than in high school and collegiate athletes. In the youth and high school cohorts, females exhibited better scores than males ( P < .05). Sex was not a factor for collegiate athletes. Data from the youth cohort were further subdivided into 4-year bins to evaluate potential motor-development differences. The error count was highest for 5- to 9-year-old males and decreased with age.

conclusionsPerformance on the BESS depended on sex and age, particularly in youth athletes. These sex- and age-specific normative values provide a reference to facilitate and unify clinical decision making across multiple providers caring for youth athletes with concussions.

Indexed as

Postural BalanceAdolescentAthletesAthletic InjuriesBrain ConcussionChildChild, PreschoolCross-Sectional StudiesFemaleHumansMaleReference ValuesStudentsUnited StatesUniversitiesYoung Adultconcussionmotor controlpostural stabilityreference values

Identifiers

PMID30109948
PMCPMC6138268

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.