Sideline Performance of the Balance Error Scoring System during a Live Sporting Event.
Sideline Performance of the Balance Error Scoring System during a Live Sporting Event.
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DOI：
10.1097/jsm.0000000000000141
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发表时间：
2015-05
期刊：
影响因子：
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通讯作者：
Buckley TA
中科院分区：
文献类型：
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作者：
Rahn C;Munkasy BA;Barry Joyner A;Buckley TA
目的是研究现场体育边线环境对平衡误差评分系统（BESS）性能的影响。前瞻性纵向队列研究。BESS由所有参与者在三个地点进行; 1）安静的实验室，2）足球场场边，3）篮球竞技场场边。实验组38名（年龄：20.1±1.1岁，身高：170.0±7.7 cm，体重：66.7±9.5 kg），均为女大学生运动员（SA）。对照组为38名娱乐活跃的女大学生，年龄20.8±1.1岁，身高162.6± 6.0cm，体质量63.7± 10.6kg。两组在相同的地点进行测试，SA组在现场体育赛事期间进行，对照组在没有赛事发生时进行。因变量为BESS总分。分别采用2 × 3混合方法进行方差分析，考察环境因素和实践效果的影响。有一个显着的相互作用组的环境（P=0.004）和SA组犯更多的错误，在足球和篮球设置比对照组。SA组在足球比赛中犯的错误也比基线更多（P=0.028）。对照组表现出可能的实践效果，每次给药期间错误较少。当在现场体育赛事的场边进行时，BESS评分恶化，可能对BESS的临床实用性构成挑战。临床医生在进行BESS测试时需要考虑当地环境的作用，并应在与基线测试相同的环境中进行损伤后测试。在对疑似脑震荡患者进行平衡测试时，临床医生需要考虑进行测试的环境，并尝试匹配季前测试环境。
The purpose was to examine the influence of a live sporting sideline environment on balance error scoring system (BESS) performance. Prospective longitudinal cohort study. The BESS was performed by all participants at three locations; 1) quiet laboratory, 2) football stadium sidelines, 3) basketball arena sidelines. The experimental group had 38 participants (age: 20.1±1.1 years; height: 170.0±7.7 cm; mass: 66.7±9.5 kg) who were female intercollegiate student-athletes (SA). The control group consisted of 38 recreationally active female college students (age: 20.8±1.1 years; height: 162.6±6.0 cm; mass: 63.7±10.6 kg). The two groups performed the tests at the same locations, the SA group during live sporting events and the control group when no event was occurring. The dependent variable was the total BESS score. Separate 2 × 3 mixed methods ANOVAs investigated the influence of the environment and practice effect. There was a significant interaction for group by environment (P=0.004) and the SA group committed more errors at both the football and basketball settings than the control group. The SA group also committed more errors at football (P=0.028) than baseline. The control group demonstrated a likely practice effect with fewer errors during each administration. BESS score deteriorated when performed on the sidelines of a live sporting event potentially challenging the clinical utility of the BESS. Clinicians need to consider the role of the local environment when performing the BESS test and should perform post-injury tests in the same environment as the baseline test. When performing balance testing of patients with suspected concussions, clinicians need to consider the environment in which the test is performed and attempt to match the pre-season testing environment.