ArticleMedicine and science in sports and exercise2020
Clinical and Device-based Metrics of Gait and Balance in Diagnosing Youth Concussion.
Article in Medicine and science in sports and exercise, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Validity and Reliability of Methods to Assess Movement Deficiencies Following Concussion: A COSMIN Systematic Review.Sports medicine - open · 2023Pooled it
- Head Injury Treatment With Healthy and Advanced Dietary Supplements: A Pilot Randomized Controlled Trial of the Tolerability, Safety, and Efficacy of Branched Chain Amino Acids in the Treatment of Concussion in Adolescents and Young Adults.Journal of neurotrauma · 2024Trial
- Neurophysiological Effects of Repeated Soccer Heading in Youth.Journal of biomechanical engineering · 2023Trial
- Article
- Clinical Utility of the Sport Concussion Office Assessment Tool 6 (SCOAT6) and Other Select Multidomain Assessments for Subacute Sport-Related Concussion.Sports medicine (Auckland, N.Z.) · 2025Article
- Balance Impairments in Adolescents Post-Sports Concussion during Single and Dual Tasks.Brain and behavior · 2025Article
- Article
- Characteristics of Pediatric Concussion across Different Mechanisms of Injury in 5 through 12-Year-Olds.The Journal of pediatrics · 2024Observational
- Clinician-Prioritized Measures to Use in a Remote Concussion Assessment: Delphi Study.JMIR formative research · 2024Article
- Understanding Abnormal Examination Findings During Concussion Recovery: A Retrospective Chart Review.Neurology. Clinical practice · 2024Article
- Scientometric Research and Critical Analysis of Gait and Balance in Older Adults.Sensors (Basel, Switzerland) · 2024Review
- Optimizing the Combination of Common Clinical Concussion Batteries to Predict Persistent Postconcussion Symptoms in a Prospective Cohort of Concussed Youth.The American journal of sports medicine · 2024Article
- Maximizing the Accuracy of Adolescent Concussion Diagnosis Using Individual Elements of Common Standardized Clinical Assessment Tools.Journal of athletic training · 2023Article
- Sleep Problems After Concussion Are Associated With Poor Balance and Persistent Postconcussion Symptoms.Journal of child neurology · 2023Article
- Trajectories of Visual and Vestibular Markers of Youth Concussion.Journal of neurotrauma · 2022Article
- Thirty-Second Single-Leg Stance Identifies Impaired Postural Control in Children After Concussion: A Preliminary Report.Journal of sport rehabilitation · 2022Article
- Test-Retest Reliability of Postural Control Assessment on Biodex BioSway™.BioMed research international · 2022Article
- Validation of the Gait Disorientation Test in children with concussion.Frontiers in pediatrics · 2022Article
- Clinical Assessment of Concussion and Persistent Post-Concussive Symptoms for Neurologists.Current neurology and neuroscience reports · 2021Review
- The diagnostic and prognostic utility of the dual-task tandem gait test for pediatric concussion.Journal of sport and health science · 2021Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
purposeEvaluate the discriminatory ability of two clinical measures and one device-based measure of gait and balance for concussed youth.
methodsWe enrolled 81 cases and 90 controls age 14-18 yr old from August 2017 to June 2018. Controls were recruited from a suburban high school, and cases were recruited from the concussion program of an academic pediatric tertiary care center. Tests included two clinical measures: 1) complex tandem gait, scored as sway/errors walking forward and backward eyes open and closed; 2) Modified Balance Error Scoring System (mBESS), scored as total number of errors on three standing tasks; and one device-based measure; 3) Modified Clinical Test of Sensory Interaction and Balance (mCTSIB) using the Biodex Biosway Balance System, scored as a sway index. Sensitivity, specificity, ideal cutpoint, and area under the receiver operating characteristic curve (AUC) were calculated for all test components.
resultsIdeal cutpoint for total number of sway/errors for tandem gait = 5, sensitivity 41%, specificity 90%. Ideal cutpoint for total mBESS errors = 4, sensitivity 55%, specificity 75%. Ideal cutpoint for mCTSIB = 1.37, sensitivity 37%, specificity 88%. Among each test, some individual components outperformed overall composites, in particular tandem gait (specificity forward eyes open = 99%, sensitivity backward eyes closed = 81%). Among the 40 cases and 65 controls with all three assessments, AUC (95% CI) for tandem gait = 0.63 (0.52,0.75), mBESS = 0.70 (0.60,0.81), and mCTSIB = 0.54 (0.42,0.66).
conclusionsA device-based measure of balance did not produce better discriminatory ability than two clinical assessments. Complex tandem gait has the additional benefit of being an easy-to-perform and graded test with highly sensitive and specific individual components.
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