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Quantification of postural control deficits in patients with recent concussion: An inertial-sensor based approach
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Date Issued
February 2017
Date Available
01T02:00:14Z February 2018
Abstract
Background: The aim of this study was to quantify postural control ability in a group with concussion compared with a healthy control group. Method: Fifteen concussion patients (4 females, 11 males) and a group of fifteen age- and sex-matched controls were recruited. Participants were tested during the performance of the three stance variants (bilateral, tandem and unilateral) of the balance error scoring system standing on a force place, while wearing an inertial measurement unit placed at the posterior aspect of the sacrum. Findings: The area of postural sway was computed using the force-plate and the '95% ellipsoid volume of sway' was computed from the accelerometer data. Concussed patients exhibited increased sway area (1513 mm2 [95% CI: 935 to 2091 mm2] vs 646 mm2 [95% CI: 519 to 772 mm2]; p = 0.02) and sway volume (9.46 m3 s− 6 [95% CI: 8.02 to 19.94 m3 s− 6] vs 2.68 m3 s− 6 [95% CI: 1.81 to 3.55 m3 s− 6]; p = 0.01) in the bilateral stance position of the balance error scoring system. The sway volume metric also had excellent accuracy in identifying task 'errors' (tandem stance: 91% accuracy [95% CI: 85–96%], p < 0.001; unilateral stance: 91% accuracy [95% CI: 86–96%], p < 0.001). Interpretation: Individuals with concussion display increased postural sway during bilateral stance. The sway volume that was calculated from the accelerometer data not only differentiated a group with concussion from a healthy control group, but successfully identified when task errors had occurred. This may be of value in the development of a pitch-side assessment system for concussion.
Other Sponsorship
Fujitsu Laboratories Ltd.
Type of Material
Journal Article
Publisher
Elsevier
Journal
Clinical Biomechanics
Volume
42
Start Page
79
End Page
84
Copyright (Published Version)
2017 Elsevier
Language
English
Status of Item
Peer reviewed
This item is made available under a Creative Commons License
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