Evaluation of Nintendo Wii Balance Board as a Tool for Measuring Postural Stability After Sport-Related Concussion
Evaluation of Nintendo Wii Balance Board as a Tool for Measuring Postural Stability After Sport-Related Concussion
复制标题
DOI：
10.4085/1062-6050-52.1.13
复制
发表时间：
2017-03-01
影响因子：
3.3
通讯作者：
Bazarian, Jeffrey J.
中科院分区：
文献类型：
--
作者：
Merchant-Borna, Kian;Jones, Courtney Marie Cora;Bazarian, Jeffrey J.
内容：脑震荡后指南的最新变化表明，姿势稳定性评估可能会在做出重返参与决策时增强传统的神经认知测试。平衡误差评分系统（BESS）已被提议作为平衡评估的一项措施。一个新的，免费提供的软件程序，以配合任天堂Wii平衡板（WBB）系统最近已经开发出来，但尚未在脑震荡患者进行测试。目的：评价使用WBB评估3个时间点姿势稳定性的可行性（基线和脑震荡后第3天和第7天），并评估WBB与其他传统测量方法的并发和收敛有效性（BESS和脑震荡后立即评估和认知测试[ImPACT]电池）评估脑震荡恢复。设计：队列研究。设置：运动训练室和大学体育竞技场。患者或其他参与者：我们收集了403名国家大学体育协会I组和III组学生的季前赛基线数据，运动员参加接触性运动，并研究了19名参与者（年龄= 19.2 +/- 1.2岁，身高= 177.7 +/- 8.0 cm，体重= 75.3 +/- 16.6 kg，从基线到脑震荡后第3天的时间= 27.1 +/- 36.6周）。我们对BESS和WBB进行了单腿和双腿姿势的平衡评估，重点是WBB的双腿，闭眼姿势，并在3个时间点使用ImPACT评估神经认知。使用描述性统计量表征样本。使用平均差异和斯皮尔曼秩相关系数确定3个时间点内指标内和指标间的差异。随着时间的推移，个人水平的变化也graphically.Results：WBB表现出平均变化之间的基线和第3天postconcussion和第3天和第7天postconcussion。它与BESS和ImPACT的几项措施，并确定2例异常平衡postconcussion，不会被确定通过BESS.Conclusions：当伴随着适当的分析软件，WBB可能是一种替代评估姿势稳定性脑震荡学生运动员，并可能提供额外的信息，通过BESS和ImPACT获得。然而，需要在独立样本之间进行验证。
Context: Recent changes to postconcussion guidelines indicate that postural-stability assessment may augment traditional neurocognitive testing when making return-to-participation decisions. The Balance Error Scoring System (BESS) has been proposed as 1 measure of balance assessment. A new, freely available software program to accompany the Nintendo Wii Balance Board (WBB) system has recently been developed but has not been tested in concussed patients.Objective: To evaluate the feasibility of using the WBB to assess postural stability across 3 time points (baseline and postconcussion days 3 and 7) and to assess concurrent and convergent validity of the WBB with other traditional measures (BESS and Immediate Post-Concussion Assessment and Cognitive Test [ImPACT] battery) of assessing concussion recovery.Design: Cohort study.Setting: Athletic training room and collegiate sports arena.Patients or Other Participants: We collected preseason baseline data from 403 National Collegiate Athletic Association Division I and III student-athletes participating in contact sports and studied 19 participants (age = 19.2 +/- 1.2 years, height = 177.7 +/- 8.0 cm, mass = 75.3 +/- 16.6 kg, time from baseline to day 3 postconcussion = 27.1 +/- 36.6 weeks) who sustained concussions.Main Outcome Measure(s): We assessed balance using single-legged and double-legged stances for both the BESS and WBB, focusing on the double-legged, eyes-closed stance for the WBB, and used ImPACT to assess neurocognition at 3 time points. Descriptive statistics were used to characterize the sample. Mean differences and Spearman rank correlation coefficients were used to determine differences within and between metrics over the 3 time points. Individual-level changes over time were also assessed graphically.Results: The WBB demonstrated mean changes between baseline and day 3 postconcussion and between days 3 and 7 postconcussion. It was correlated with the BESS and ImPACT for several measures and identified 2 cases of abnormal balance postconcussion that would not have been identified via the BESS.Conclusions: When accompanied by the appropriate analytic software, the WBB may be an alternative for assessing postural stability in concussed student-athletes and may provide additional information to that obtained via the BESS and ImPACT. However, verification among independent samples is required.