Reliability and Validity Evidence of Multiple Balance Assessments in Athletes With a Concussion
Reliability and Validity Evidence of Multiple Balance Assessments in Athletes With a Concussion
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DOI：
10.4085/1062-6050-49.3.32
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发表时间：
2014-07-01
影响因子：
3.3
通讯作者：
Reed-Jones, Rebecca
中科院分区：
文献类型：
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作者：
Murray, Nicholas;Salvatore, Anthony;Reed-Jones, Rebecca
据估计，美国每年发生30万起与运动有关的脑震荡。大约30%的脑震荡患者会经历平衡障碍。平衡评估的常用方法包括感觉组织和平衡临床测试（CTSIB），感觉组织测试（SOT），平衡误差评分系统（BESS）和Romberg测试;然而，美国全国大学生体育协会推荐Wii Fit作为脑震荡运动员平衡的替代措施。Wii Fit测试的核心问题是它在脑震荡运动员平衡障碍检测中的可靠性和有效性。目的：检验CTSIB、SOT、BESS、Romberg测试和Wii Fit测试在脑震荡运动员平衡障碍检测中的可靠性和有效性证据。数据来源：考虑进行综述的文献包括具有平衡评估的可靠性和有效性数据的出版物（CTSIB，SOT，BESS，Romberg test，and Wii Fit）来自PubMed，PsycINFO，and CINAHL.数据提取：我们确定了63篇相关文章供综述考虑。在63篇文章中，28被认为是适当的纳入和35被excluded.Data Synthesis：没有目前的可靠性或有效性信息支持使用CTSIB，SOT，Romberg测试，或Wii适合平衡评估运动员脑震荡。BESS表现出中等至高的可靠性（组间相关系数= 0.87）和低至中等的有效性（敏感性= 34%，特异性= 87%）。然而，Romberg测试和Wii Fit已被证明是可靠的工具，在帕金森patients.Conclusions的平衡评估：BESS可以评估脑震荡后的平衡问题。然而，它缺乏在恢复的第三天之后检测平衡问题的能力。需要进一步的调查来建立CTSIB，SOT，Romberg测试和Wii Fit用于评估脑震荡运动员的平衡。
Context: An estimated 300 000 sport-related concussion injuries occur in the United States annually. Approximately 30% of individuals with concussions experience balance disturbances. Common methods of balance assessment include the Clinical Test of Sensory Organization and Balance (CTSIB), the Sensory Organization Test (SOT), the Balance Error Scoring System (BESS), and the Romberg test; however, the National Collegiate Athletic Association recommended the Wii Fit as an alternative measure of balance in athletes with a concussion. A central concern regarding the implementation of the Wii Fit is whether it is reliable and valid for measuring balance disturbance in athletes with concussion.Objective: To examine the reliability and validity evidence for the CTSIB, SOT, BESS, Romberg test, and Wii Fit for detecting balance disturbance in athletes with a concussion.Data Sources: Literature considered for review included publications with reliability and validity data for the assessments of balance (CTSIB, SOT, BESS, Romberg test, and Wii Fit) from PubMed, PsycINFO, and CINAHL.Data Extraction: We identified 63 relevant articles for consideration in the review. Of the 63 articles, 28 were considered appropriate for inclusion and 35 were excluded.Data Synthesis: No current reliability or validity information supports the use of the CTSIB, SOT, Romberg test, or Wii Fit for balance assessment in athletes with a concussion. The BESS demonstrated moderate to high reliability (interclass correlation coefficient = 0.87) and low to moderate validity (sensitivity = 34%, specificity = 87%). However, the Romberg test and Wii Fit have been shown to be reliable tools in the assessment of balance in Parkinson patients.Conclusions: The BESS can evaluate balance problems after a concussion. However, it lacks the ability to detect balance problems after the third day of recovery. Further investigation is needed to establish the use of the CTSIB, SOT, Romberg test, and Wii Fit for assessing balance in athletes with concussions.