The utility of the balance error scoring system for mild brain injury assessments in children and adolescents.
The utility of the balance error scoring system for mild brain injury assessments in children and adolescents.
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DOI：
10.3810/psm.2014.09.2073
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发表时间：
2014-09
期刊：
影响因子：
--
通讯作者：
Myer GD
中科院分区：
文献类型：
--
作者：
Quatman-Yates C;Hugentobler J;Ammon R;Mwase N;Kurowski B;Myer GD
平衡错误评分系统(BESS)被广泛认为是评估轻度创伤性脑损伤(MTBI)或脑震荡后成人患者姿势控制的一种可接受的评估方法。然而，BESS作为年轻患者mTBI后评估测试的测量特性还不是很清楚。本研究的目的是通过两项调查来评估BESS作为8-18岁儿童和青少年mTBI后评估测试的有效性：(1)对年龄、BESS评分和其他常见的mTBI后评估测试之间的关系进行回顾性的医疗记录回顾；(2)比较一组儿童的BESS评分与最近匹配的健康同龄人的mTBI和BESS评分。年龄与Bess的多项指标和Bess总分显著相关(P<；0.05)。损伤组与健康组的3项BESS评分和BESS总分均有显著差异。然而，观察到的差异不太可能具有临床意义。总体而言，文献证据和这些研究的结果表明，BESS在准确评估年轻运动员mTBI后的姿势控制能力方面可能是有限的。未来的研究建议包括测试BESS的修改版本或其他替代方案，用于对更年轻的个体进行mTBI后的姿势控制评估。
The Balance Error Scoring System (BESS) is widely recognized as an acceptable assessment of postural control for adult patients following a mild traumatic brain injury (mTBI) or concussion. However, the measurement properties of the BESS as a post-mTBI assessment test for younger patients are not well understood. The purpose of this study was to evaluate the utility of the BESS as a post-mTBI assessment test for children and adolescents aged 8 to 18 years through 2 investigations: (1) a retrospective medical records review of the relationship among age, BESS scores, and other common post-mTBI assessment tests; and (2) a prospective study comparing BESS scores for a cohort of children with a recent mTBI and BESS scores for a cohort of matched healthy peers. Age was found to be significantly correlated with several of the BESS measures and the total BESS score (P < 0.05). Significant differences were observed between the injured and healthy cohorts for 3 of the BESS measures and the total BESS score. However, the observed differences were not likely to be clinically meaningful. Cumulatively, evidence from the literature and the results of these studies indicate that the BESS may be limited for producing accurate assessments of younger athletes’ post-mTBI postural control abilities. Future research recommendations include testing of modified versions of the BESS or other alternatives for post-mTBI postural control assessments with younger individuals.
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影响因子：
4.8
作者：
Guskiewicz, KM;Marshall, SW;Jordan, BD
通讯作者：
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