Sensor-Based Balance Measures Outperform Modified Balance Error Scoring System in Identifying Acute Concussion.

Sensor-Based Balance Measures Outperform Modified Balance Error Scoring System in Identifying Acute Concussion.
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基于传感器的平衡测量法在识别急性脑震荡方面优于修正平衡误差评分系统

DOI:
10.1007/s10439-017-1856-y
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发表时间:
2017-09
影响因子:
3.8
通讯作者:
Chapman JC
Chapman JC
中科院分区:
工程技术2区
文献类型:
--
作者:
King LA;Mancini M;Fino PC;Chesnutt J;Swanson CW;Markwardt S;Chapman JC

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平衡评估是脑震荡评估和管理的重要组成部分。虽然改进的平衡误差评分系统(mBESS)是常规的临床工具,但在mBESS过程中由可穿戴惯性传感器获得的客观指标可能会增加检测脑震荡后细微平衡缺陷的灵敏度。本研究的目的是确定在mBESS期间放置在腰椎上的惯性传感器获得的姿势状态和姿势摇摆指标最能区分急性脑震荡运动员。52名脑震荡急性期的大学运动员和76名对照组参加了这项研究。基于惯性传感器的测量客观地检测了急性脑震荡组运动员的组间差异,而临床mBESS没有(分别p<0.001和p = 0.06)。最简单的双站立状态下的中外侧体位摇摆是急性脑震荡的最佳分类。惯性传感器提供了一种灵敏、客观的测量急性脑震荡平衡的方法。这些结果可以发展为实用的指导方针,以改善和简化脑震荡后的姿势摇摆分析。
Balance assessment is an integral component of concussion evaluation and management. Although the modified balance error scoring system (mBESS) is the conventional clinical tool, objective metrics derived from wearable inertial sensors during the mBESS may increase sensitivity in detecting subtle balance deficits post-concussion. The aim of this study was to identify which stance condition and postural sway metrics obtained from an inertial sensor placed on the lumbar spine during the mBESS best discriminate athletes with acute concussion. Fifty-two college athletes in the acute phase of concussion and seventy-six controls participated in this study. Inertial sensor-based measures objectively detected group differences in the acutely concussed group of athletes while the clinical mBESS did not (p<0.001 and p = 0.06, respectively). Mediolateral postural sway during the simplest condition of the mBESS (double stance) best classified those with acute concussion. Inertial sensors provided a sensitive and objective measure of balance in acute concussion. These results may be developed into practical guidelines to improve and simplify postural sway analysis post-concussion.
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